1Decon v2.0

DECON TEAM REQUIREMENTS/

SITE CONSIDERATIONS

Decontamination Team 2Decon v2.0

Objectives

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

Decontamination Team 3Decon v2.0

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 4Decon v2.0

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 5Decon v2.0

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 6Decon v2.0

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 7Decon v2.0

• 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

Decontamination Team 8Decon v2.0

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 9Decon v2.0

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 10Decon v2.0

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!!!!!!!!!

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DecontaminationEquipment

• Ownership

• Accessible• Mobile as site may

change• Maintained and

Inspected regularly

Decontamination Team 12Decon v2.0

Hospital

Secure EntryControl Point

Secondary Facility ?

Wet Decon Dry Decon

LitterDecon

TriageStation

ImmediateTreatment ?

DecontaminationSite

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WetDecon

LitterDecon

DryDecon

Decontamination Team 14Decon v2.0

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

15Decon v2.0

Thank you!

Questions?