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!!!!!!!!!
Decontamination Team 11Decon v2.0
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
Decontamination Team 13Decon v2.0
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?