Clinical Fire Safety
The Vanderbilt Medical Center Facilities Management and the Vanderbilt Environmental Health & Safety (VEHS) departments are responsible for development, implementation and review of the Medical Center Fire Safety Program. Both departments serve as the primary contacts for the Metropolitan Fire Marshal's Office and is available to assist with any issues concerning the State Fire Marshal's office. If you have any questions about fire safety issues in your area, contact Hospital/Clinic Safety & Training Staff and we will provide assistance. Information about fire safety in non-patient care locations is available here.
VEHS safety officers work with Facilities Management regarding specific Life and Fire Safety concerns. These issues include:
- Review of exiting/egress paths.
- Review of operational or structural changes such as remodeling, construction or changes of the building's occupancy with regard to life safety systems. When necessary, Interim Life Safety measures will be implemented to ensure patient, visitor and staff safety.
- Review of departmental Fire safety and evacuation plans and advise on needed refinements or revisions.
Fire Drills in the Medical Center and clinics are scheduled and performed by VEHS personnel, Hospital/Clinic Safety Program. Fire drills are required by the Joint Commission and by state licensing agencies.
- In-patient facilities are required to have a minimum of one drill per shift every quarter. These buildings include VUH, MCJCHV VPH, MCN CRC, MCN Round Wing and MCE North Tower.
- Ambulatory surgery centers are required to perform one fire drill per shift (worked shifts) for every quarter. These facilities include Vanderbilt Orthopedic Surgery Center (FEL), Franklin Bone and Joint Surgery Center and The Vanderbilt Clinic (TVC).
- Clinic and office buildings where there are no in-patients and fewer than 4 patients under anesthesia are only required to have one fire drill per year. These buildings include most off-site clinics, MAB, Crystal Terrace, Vanderbilt Eye Institute and Oxford House.
If you are asked to participate in a Fire Drill, you are to respond as you would to a real fire situation.
VEHS provides fire safety training to Medical Center personnel.
- Initial fire safety training is provided in online orientation.
- Refresher training for fire/life safety is provided online or during some other annual mandatory safety training initiative, such as departmental training.
- VEHS will provide training for your department upon request.
Medical Center faculty, staff and students can login with VUNet ID to view "Fire Safety at VUMC." This fire safety training video runs for 18 minutes.
The VUMC Fire Safety Program is documented in the VUMC Safety and Emergency Operations Manual. The program includes information about Employee Responsibilities, Types of Fires, Use of a Fire Extinguisher, Fire alarms, Detection and Reporting a Fire and Evacuation Procedures.
VUMC Fire Safety Policies
- SA 10-10.03 Fire Safety and Red Alert
- Additional Fire Safety Policies:
Fire Response Information
- For general response guidelines, refer to the VUMC Emergency Operations Quick Reference Guides for the VUMC Main Campus and for the One Hundred Oaks Campus.
- For your department-specific response, refer to your disaster sub-plan.