In the heart of the operating room, nurses stood at the forefront of the Fire Safety Project, transforming protocols into practice and ensuring every patient’s safety. Their commitment began with education — understanding the fire triangle and the causes of surgical fires. Nurses led training sessions, emphasizing the importance of proper use and drying of flammable prep solutions, careful draping, and minimizing oxygen concentration near ignition sources.

Before each procedure, nurses conducted thorough fire risk assessments, identifying high-risk scenarios, and implementing the highest level of safety protocols. They ensured alcohol-based solutions were used sparingly and allowed sufficient drying time, preventing dangerous fumes from accumulating. Nurses checked all electrical equipment, protected heat sources, and maintained clear communication with the surgical team.

During surgery, nurses are prepared. If there was any risk of fire, they would get wet sponges and sterile saline ready to put the fire out immediately. They would also coordinate with anesthesia providers to follow guidelines for high-risk cases, ensuring open communication and readiness.

To ensure ultimate readiness, a mock fire drill was conducted where nurses proved their skills and acted swiftly and decisively. The circulating nurse announced, “Code Red,” clearing the room for evacuation, and contacted the PACU to prepare for incoming patients. The scrub nurse assisted the surgeon in packing the incision site with moist lap sponges and gathered essential instruments for a safe transfer. Throughout the mock emergency, nurses stabilized the patient, maintained sterility, and facilitated a smooth evacuation.

After the event, the lead nurse of the project, Madonna Abria, BSN, RN, led a debrief and evaluation, reviewing each step taken and reinforcing best practices. Their leadership ensured that every team member understood their role and responsibilities, fostering a culture of preparedness and resilience.

Thanks to the dedication and expertise of nurses, the Fire Safety Project in the operating room became a model of success. Their vigilance, teamwork, and commitment to patient safety set a new standard — proving that when nurses lead, excellence follows.