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Decontamination Team Requirements and Site Considerations

Discuss the roles of decontamination team members, OSHA guidelines, and site selection for hospital decontamination. Learn who should be part of the team, equipment requirements, and operational considerations.

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Decontamination Team Requirements and Site Considerations

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  1. DECON TEAM REQUIREMENTS/SITE CONSIDERATIONS

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

  3. 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 Decontamination Team

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

  5. 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 Decontamination Team

  6. 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. Decontamination Team

  7. 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?) Decontamination Team

  8. 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 Decontamination Team

  9. 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 Decontamination Team

  10. 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!!!!!!!!! Decontamination Team

  11. DecontaminationEquipment • Ownership • Accessible • Mobile as site may change • Maintained and Inspected regularly Decontamination Team

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

  13. Dry Decon Litter Decon Wet Decon Decontamination Team

  14. 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 Decontamination Team

  15. Thank you! Questions?

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