DECON TEAM REQUIREMENTS SITE CONSIDERATIONS Decon v 2

DECON TEAM REQUIREMENTS/ SITE CONSIDERATIONS Decon v 2. 0 1

Objectives • • Who should be on the Decon team? Discuss OSHA First Receivers standard. Roles of various team members. Discuss decontamination site selection. Decon v 2. 0 Decontamination Team 2

Hospital Decontamination Teams • Core Trained Group – Originally only ER staff – Now core includes many more than ER staff • Members available 24/7 – Pager – Stipend for responding and training • Accountability for equipment and access Decon v 2. 0 Decontamination Team 3

Who will do Decon? Who should not do DECON? • • Administrators ED Clinicians Firefighters/EMS Housekeeping Facilities Military Techs and non-medical support Security Decon v 2. 0 Decontamination Team 4

OSHA First Receivers Guidelines • Created in January 2005 • It is an extension of the standards for personnel involved in responding to hazardous chemical spills • Specifically addresses hospital providers • Available at www. osha. org Decon v 2. 0 Decontamination Team 5

Security Team • Control all access to hospital entrance/exits. • May have to recruit non-security staff. • PPE requirements risk/benefit analysis. • Might be the first person to “greet” a contaminated patient. Decon v 2. 0 Decontamination Team 6

Decontamination Team • Patient transport – entry and exit (does not enter tent) – To the tent (guide/non-ambulatory) – Cut clothes if non-ambulatory • Triage - pre and/or post decontamination (does not normally enter tent) • Decontamination personnel – Ambulatory (1 per side – post DECON) – Non-ambulatory (minimum of 4 (? ) per patient) – Agent specific monitoring for success (another person? ) Decon v 2. 0 Decontamination Team 7

Decontamination Clinical Team Decides if immediate treatment is needed prior to decontamination – MARK 1 kits – Amyl nitrate • Decide what type of decontamination is needed • Deceased/expectant patients assessment Decon v 2. 0 Decontamination Team 8

Perfect World • Decon zone personnel = 9 people – – – Safety Monitor - 1 Security - 1 Clinical/Triage - 1 Litter bearers/escorts – 2 Decontaminators – 4 • Decon zone personnel = 30 people – – – Safety Monitor - 1 Security – 1 to 4 Clinicians – 2 to 5 Litter bearers/escorts – 14 Decontaminators – 8 Decon v 2. 0 Decontamination Team 9

Decontamination Site • • • Large outdoor area Fixed lines vs. deployable shelters Control run off (EPA) Non-permeable surface if possible Utilities & Water – Hot & cold – No tears soap • Down wind of the facility • Controlled access to the DECON site and the healthcare facility!!!!! Decon v 2. 0 Decontamination Team 10

Decontamination Equipment • Ownership • Accessible • Mobile as site may change • Maintained and Inspected regularly Decon v 2. 0 Decontamination Team 11

Secure Entry Control Point Triage Station Immediate Treatment ? Decontamination Site Wet Decon Dry Decon Litter Decon Secondary Facility ? Hospital Decon v 2. 0 Decontamination Team 12

Litter Decon Dry Decon Wet Decon v 2. 0 Decontamination Team 13

Summary • Personnel need to … – Understand the decontamination plan – Understand the difference in requirements between the RELEASE SITE (HAZMAT) and HOSPITAL ENTRY DECON zones – Be trained and medically cleared for their specific roles – Equipped with Level C PPE if working in the decon zone – Scale response to the size of the event – Establish a decontamination site Decon v 2. 0 Decontamination Team 14

Thank you! Questions? Decon v 2. 0 15