Haz Mat for Healthcare: An Operations Level Course Decontamination, Disposal, Documentation

1. Haz Mat for Healthcare:An Operations Level CourseDecontamination, Disposal, Documentation Module IV

2. Objectives • Explain decontamination procedures for victims, personnel, and equipment. • Discuss application of relevant Standard Operating Procedures. • Describe proper disposal and documentation procedures during a Haz Mat response.

3. S I N P C P C I A D D D Foundation Objectives continuedThe Hazmat Response Process -Operations Level -Command -Identification -Protective Equipment -Action Plans -Containment / Control -Protective Actions -Decon -Disposal -Documentation

4. Decontamination • Removing or neutralizing contaminants • Personnel • Equipment

5. Types of Decon • Primary • Done at the scene • Secondary • Done post incident • Emergency • Normally done by first responders

6. Who, What, When & Why • Why: Prevent escalation of problem • Exposure: it might be on you • Contamination: it is on you

7. Degree of Contamination • Amount of material on you • Length of time it’s on you • Concentration of material • Physical state of material • Ambient temperatures

8. Who, What, When & Why • When: Anytime you suspect contamination • Material is visible • Victim complains of pain, odor, etc. • Victim was near release

9. Who, What, When & Why • Who/What: People & equipment • Victims • Responders • Equipment • Structures

10. Who, What, When & Why • Who usually does decon: • FRO’s (properly trained & equipped) • Tech’s and Specialists via Decon Team • How to decon: No absolute methods • Only general guides

11. Performing Decon • Physical removal • Chemical removal • Emergency decon

12. Performing Decon • Procedures follow logical order • Go from “dirty” to “clean” • Check your plan Dirty Clean Filthy

13. Summary • Purpose: Prevent spread of contamination • Decon procedures are guides only

14. Consequences of No Decon • Acute/Chronic health effects • Problem gets bigger • Death! oooo-aaaaah!

15. Emergency Decon • Anytime you suspect contamination • Use common sense • Life risk • Level of exposure

16. Emergency Decon • Use copious amount of water • Copious=more than you have used • Remove all clothing from victim • Including undergarments

17. Emergency Decon • Precautions • Avoid contact w/clothing • Ensure privacy of victim(s) • Barriers/temp garments • Segregate by gender

18. Emergency Decon • Medical considerations • Decon prior to transport • Protect equipment from contamination • Segregate contaminated material

20. Patients arriveActivate Plan EVENT Patients arrive with or without notification Activate Disaster Plan and prepare staff to receive patient(s)

21. Triage Triage Patient(s) Decontamination Required?

22. No decontamination required Collect personal belongings/ evidence** NO Patient(s) to Treatment Area Redress Patient(s) with clean covering Reassessment and Treatment Disposition

23. Decontamination required Yes Activate hospital decontamination protocols Secondary Triage Collect personal belongings/ evidence** Undress Patient(s)

24. Able to perform Self-decon Assistance or Medical Treatment required? Patient(s) directed to Self-decontamination NO Assess for adequacy of decontamination**

25. Need assistance Assistance or Medical Treatment required? YES Provide assistance and/or treatment within hospital capability Decontaminate patient(s) Assess for adequacy of decontamination**

26. Evaluate decontamination Assess for adequacy of decontamination** Adequate? YES NO Re-decontaminate and/or provide technical decontamination**

27. Treatment / Disposition Adequate? YES Redress Patient(s) with clean covering Reassessment and Treatment Disposition

28. Management of the Contaminated Patient

29. Patients entering from Hot (Exclusion) Zone Safe Refuge Area Decon Resource Team Decon Initial Contact Unit Leader Dirty Decon Triage Unit Leader (Stay upwind & keep distant from patients) stripper, bagger Highly Contaminated Patients Shower one / tub one Decon Resource Team Warm washer/ rinser Zone Less Contaminated Patients Cleaner Contamination Reduction Corridor Shower two / tub two Warm Decon Resource Team Zone washer/ rinser Less Contaminated Patients Cleaner Decon Resource Team dryer, dresser, gatekeeper, admittance checklist Clean Un Contaminated Patients Safe Haven Area Patients exit to Cold (Support) Zone

30. ICS Haz Mat Organization • Hazardous Materials Group Positions • Haz Mat Group Supervisor • Technical Reference • Site Access Control • Decon Leader • Entry Leader • Assistant Safety Officer* • *Reports to Safety Officer

31. Haz Mat Decon Resource Team

32. Decontamination Procedures

33. Mass Decon Fire Department / Haz Mat Team

39. Mass Decon Hospital Based

46. VICTIM DECONTAMINATION FACILITY VANDERBILT UNIVERSITY MEDICAL CENTER

47. Site of Decon Unit Entrance to Emergency Department

48. Site of Decon Unit Circular Drive at Front of Med Ctr

49. Routinely used as break area. During emergency, site of decon unit.

50. Deploying the shower curtains