HAZMAT OPERATION FOR FIRST RECEIVERS

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HAZMAT OPERATION FOR FIRST RECEIVERS
"This project is made available through a grant
managed by St. Vincent Healthcare and funded by
the U.S. Department of Health and Human Services,
Health Resources and Services Administration
(HRSA)."
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Overview

• Pre-Donning Exam Components
• Primary Hazards of PPE
• Decontaminants
• Equipment and supplies
• Patient Decontamination Procedures
• Termination and Recovery Procedures
• Level C PPE Donning and Doffing Procedure

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Pre-Donning Exam Components

• Use the Pre/Post Donning Exam Form
• Vital Signs - BP, pulse, respiration rate,
  temperature weight
• Skin evaluation for rashes, lesions, open wounds
• Mental Status evaluation
• Medical History
• Chronic Illnesses
• Recent Illnesses
• Medications taken within past 72 hours
• Current symptoms of fever, nausea, diarrhea,
  vomiting, coughing, wheezing and recent alcohol
  consumption.

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PRIMARY HAZARDS OF WEARING PPE

• Heat Stress
• Slips / Trips / Falls
• Overexertion
• Limited field of vision

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Decontaminants

• Soap and water
• Adsorbent materials
• Diluted hypochlorite solution

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Soap and Water

• Ideal for decontaminating chemical substances
• Use liquid soap
• Does not react with any chemical.
• Easy to obtain
• Inexpensive

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Adsorbent Materials

• Best used on contaminants that reacts to water
• Types
• Earth
• Flour
• Kitty Litter

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Do not use water to decontaminate

• Magnesium
• Aluminum
• Potassium
• Metallic Sodium
• Lithium

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Hypochlorite Solution

• Ideal to decontaminate biological agents
• Types
• 1 or 2 sodium hypochlorite (Patients)
• 5 sodium hypochlorite (Equipment)

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Equipment and Supplies

• Shelter
• Plastic bags
• Fiberglass long spine board or raven litters
• Saw horses or litter stands
• Buckets / sponges / scrub brushes
• Trauma scissors
• Showering devices or water hoses

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Patient Decontamination Procedures
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Decon Station 1

• Assess patient (use decon preliminary charting
  form)
• Remove contaminated clothing
• Contaminated valuables in plastic ziplock bag and
  write patients name on bag
• Contaminated clothes are placed in plastic bag
• Do not remove dressings or bandages

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Clothes Cutting Protocolfor Non-Ambulatory
Patients
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Decon Station 2

• Wash body using decontaminants
• Flush wounds
• Rinse body with copious amount of water

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Decon Station 3

• Redress wounds
• Dry off patients
• Clean covering
• Transport to ED

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Termination Procedures

• Notification of appropriate agencies
• Containment and Security
• Recovery
• Debriefing
• Complete Documentation

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Notification of Appropriate Agencies

• County Emergency Manager
• Facility Environmental Health Safety Officer
• County Environmental Health Agency
• Department of Fish and Game
• Department of Health Services

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Containment and Security

• Contaminated clothes
• Personal belongings
• Contaminated water runoff
• Contaminated expendable equipment
• Contaminated durable equipment that will need to
  be decontaminated
• All contaminated items should be secured until
  properly disposed.

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Recovery

• Decontaminate durable and patient care equipment
• Shelter
• Raven litter or spine board or Gurneys
• Perform team decontamination.
• Discontinue facility lock down.
• Staff monitoring of post-decontamination activity
  in collaboration with employee health (use
  pre/post donning exam form).

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Debriefing

• Critical Incident Stress Debriefing for Decon
  Team Members - Rapid defusing for staff just
  after the incident.
• Quick, basic debriefing of Incident Command Staff
  before disbanding the command center.

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Complete Documentation

• Keep good documentation and exposure records.
• Keep essential communications.
• Consider teamwork essential.
• Consider Risk Management, Financial, and
  Regulatory Issues.

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• Level C PPE Donning and Doffing Procedures

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Summary
? Pre-Donning Exam Components Primary Hazards
of PPE Decontaminants Equipment and
supplies Patient Decontamination Procedures
Termination and Recovery Procedures Level C PPE
Donning and Doffing
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THANK YOU