36C25918R0261-013.pdf

ECHCS DECONTAMINATION

OBJECTIVES

Describe the DECON procedure Describe proper disposal procedures for contaminated clothing and run-off

Discuss application of relevant SOP

WHY DECON?

To prevent secondary contamination

To prevent escalation of the problem

What is DECONTAMINATION

The removal or neutralizing of contaminants from people or equipment.

TYPES OF DECON

PRIMARY/GROSS

SECONDARY

TERTIARY

EMERGENCY

Only trained staff, e.g., Hazardous Materials

Awareness/Operations Level Hospital Hospital Decontamination Staff

How to DECON: No absolute methods.

Only general guidelines.

Who does DECON?

DECON

Physical removal of contaminant Chemical Removal of contaminant Emergency DECON

DECONDECON

Reduce the spread of Reduce the spread of contamination from the contamination from the area, andarea, and Prevent contact with Prevent contact with contaminated materials, contaminated materials, e.g. e.g. cross contaminationcross contamination

DECONTAMINATION PLAN DECONTAMINATION PLAN

SHOULD PROVIDE FOR:SHOULD PROVIDE FOR:

Proper Level of Proper Level of Decontamination Decontamination Suitable LocationSuitable Location DecontaminationDecontamination Worker SafetyWorker Safety

PERFROMING DECON

•Procedures: Follow order in sequence

•Go from Dirty to Clean •Check your plan

EMERGENCY DECON

•Anytime you suspect a contaminant

Decon Plan should provide for:

Disposal of Contaminated materials

•Use copious amounts of water •Remove all clothing •Medical Treatment •Provide for Privacy •Segregate by gender

DECONTAMINATION DECONTAMINATION

PROCEDURESPROCEDURES

Assume Personnel Grossly Assume Personnel Grossly ContaminatedContaminated Determine Level of Determine Level of

Protection and Specific Protection and Specific Equipment to be WornEquipment to be Worn

DECONTAMINATION DECONTAMINATION PROCEDURESPROCEDURES

GROSS DECONTAMINATION GROSS DECONTAMINATION

Remove Clothing Starting with Remove Clothing Starting with the Most Heavily Contaminated, the Most Heavily Contaminated, Ending with the Least Ending with the Least ContaminatedContaminated

DECONTAMINATIONDECONTAMINATION

PROCEDURESPROCEDURES

Separate Each OperationSeparate Each Operation 3-5 ft. if possible 3-5 ft. if possible Adapt Original Decon PlanAdapt Original Decon Plan to Actual Workingto Actual Working ConditionsConditions

DETERMINEDETERMINE

LEVEL OF PROTECTION BY LEVEL OF PROTECTION BY ::

Contaminant Contaminant ToxicityToxicity ConcentrationsConcentrations

DETERMINEDETERMINE

LEVEL OF PROTECTION BY LEVEL OF PROTECTION BY ::

Monitoring EquipmentMonitoring Equipment Results of Swipe TestsResults of Swipe Tests TicketsTickets TubesTubes

MASS CASUALTY DECON

Normally done by the Fire Dept.

Water Curtains/deluge showers

HOSPITAL BASED

MASS DECON

PPE Store/Change Room (M16 key)

Decon Equipment Storage (M16 key for access)

Decon Tent

ED

9th Street

MRI

Utility Connections

ER Entrance Canopy

ECHCS PATIENT DECON AREA SET‐UP DIAGRAM FOR BUILDING 1

Decon - 2 lines, male and female ambulatory, male and female injured; 2 single gender decon teams rotate out depending on customer; dress out kits for patients’ possessions

ER Intake

Decon Trailer

Stretchers

Ambulatory

ECP

Triage

Body bag prcessing

R ed b ag w as te s

EC

P Mortuary in/out

Screened

Privacy

Corridor

Body bags/red bags thru door to parking area

Staff decon if re-entry

St af f d ec on if re

-e nt ry

R ed

B ag s, B od y ba gs s tr et ch er s w / d ec ea se d