Biomedical Engineering Reference
In-Depth Information
9. Personnel should shower and redress in normal
working attire and then report for medical
surveillance.
Appendix 7.4 Example of Technical
Decontamination Process for Hospital
Personnel
[Source:
Managing Hazardous Materials
Incidents. Hospital Emergency Departments: A
Planning Guide for the Management of Contam-
inated Patients
. Volume II. U.S. Department
of Health and Human Services. Public Health
Service. Agency for Toxic Substances and Disease
Registry (Revised 2000), www.atsdr.cdc.gov.]
Personnel should remove protective clothing in
the following sequence
.
Appendix 7.5 Example of Integrated
Procedures for First Receivers
Note
: The
Emergency Management and Disaster
Preparedness Plan—Chemically contaminated
patient care protocol
included in this appendix
was developed by the INOVA Health System
(Virginia) for use in INOVA facilities. The INOVA
Health System uses powered air-purifying respira-
tors (PAPRs). However, in cases where informa-
tion is adequate to determine that an air-purifying
respirator (APR) would provide adequate protec-
tion against the hazard, APRs might be used in
place of PAPRs. At INOVA facilities, a specific,
designated individual (the
Charge MD
) is respon-
sible for determining the appropriate PPE for the
decontamination team and for making appropriate
adjustments as the situation evolves.
This example plan represents a portion of
the emergency management plan used by one
healthcare organization. Based on their indi-
vidual circumstances, other organizations will have
different procedures, terminology, and division of
responsibilities.
1. Remove tape (if used), securing gloves and
boots to suit.
2. Remove outer gloves, turning them inside out
as they are removed.
3. Remove suit, turning it inside out and folding
downward (first loosen and secure PAPR belt).
Avoid shaking.
4. Remove boot/shoe cover from one foot and step
over the clean line. Remove other boot/shoe
cover and put that foot over the clean line.
5. Remove respirator. The last person removing
his/her respirator may first wash all other respi-
rator hoods or facepieces with soapy water
and thoroughly wipe PAPR fan housing, then
clean his/her own equipment before removing
his/her suit and gloves. Place the masks in
plastic bag and hand the bag over the clean
line for placement in second bag held by
another staff member. Send bag for decontam-
ination. Discard items that cannot be effec-
tively cleaned (e.g., it may not be possible
to completely remove persistent contaminants
from PAPR belts).
6. Remove inner gloves and discard them in a
drum inside the dirty area.
7. Secure the dirty area until the level of contam-
ination is established and the area is properly
cleaned.
8. Personnel should then move to a shower area,
remove undergarments and place them in a
plastic bag. Double-bag all clothing and label
bags appropriately.
INOVA HEALTH SYSTEM Emergency
Management & Disaster Preparedness Plan
Subject: ANNEX C- Chemically Contaminated
Patient Care Protocol
Written: August 5, 2002 Revision:
Emergency Management and Disaster Prepared-
ness Task Force
Purpose
To establish a policy for providing care to victims
of hazardous materials and/or chemical terrorism
incidents while ensuring the safety of the emer-
gency department (ED) personnel and hospital
environment.
