Biomedical Engineering Reference
In-Depth Information
this process will occur using the Mass Decontam-
ination set up.
(side of the dominant hand is suggested) and
plug in the PAPR. The air hose should come
over the shoulder not under the arm.
18. Position APR/PAPR facepiece to ensure full
visibility and comfortable fit. Tighten all
bands in pairs by pulling them backwards
and not up. Confirm tight seal by covering
cartridge opening with hand and taking deep
breaths—face shield should pull tight against
face. If faulty seal is found, then re-tighten all
bands and repeat seal test. If tight seal cannot
be obtained, then seek second provider assis-
tance or use hooded devise.
19. Pull suit hood up and over the head maxi-
mizing the coverage of the head, neck, and
ears and covering the APR/PAPR seal edge
around the face—ensure the suit is pulled
up and fully under the chin and zipper is
closed and covered. There should be
no
exposed skin
.
20. Turn PAPR on, also making sure that all
cartridge tabs are removed to allow airflow.
21. Have someone place a 3 in. piece of Velcro or
tape across shoulders with staff member's last
name and function (e.g., Jones RN) written
with magic marker.
22. Have second person perform safety check
before proceeding to assigned work area.
23. Note time personnel left the dress out area.
1. If dry contaminant, remove first by using tape
or dust off clothing or skin before wetting.
2. Have patient remove all valuables and place
in the small plastic bag.
3. Clothing is removed and placed in the larger
plastic bag. Place both bags into the red
biohazard plastic bag. Place identifying tag
with unique patient number on bag and seal
off top. Place outside on ramp area for future
disposition by Safety and Security.
4. Patient will do head-to-toe gross decontami-
nation wash using mild soap and water. Have
patient place ID band around wrist. This ID
band will have the same identifying number
that has been placed on the red biohazard
plastic bag holding the patient's personal
effects.
5. Special attention should be paid in the
washing process to hair and all body crevices.
Wash time cycle should be five (5) minutes
per person under a single stream of water.
6. Water temperature should be tepid.
7. Washing
should
be
gentle
to
avoid
abrading skin.
8. Open wounds should be washed first with
sterile water and covered with occlusive
dressing prior to remainder of body decon-
tamination.
9. Upon completion of wash cycle, patient
should step away from the immediate wash
area, towel dry, and put on a supplied Tyvek®
gown from the Patient Redress Kit.
10. All ED towels and wash cloths used by
patients in the showering process should be
placed in a marked contaminated container
for later clean up and decontamination.
B. Ambulatory Patient Decontamination
Children should be kept with their parents if at all
possible; if no parent or older sibling is available
then a Decon Team member should provide needed
assistance to a child.
Patient should be given Personal Decon kit as
soon as it is available and be given rapid instruc-
tions on its use.
The ambulatory patient may be directed by the
decon nurse and technician to self-decon in the
Emergency Department Decontamination Room
thereby sparing additional staff from involve-
ment (though the full decon team should remain
dressed and ready in an adjacent room if interven-
tion is needed). If the situation involves multiple
patients requiring simultaneous decontamination,
11. Patient may then enter the ED, where the
receiving RN can obtain vital signs, complete
secondary triage, complete decon paperwork,
and transport to an assigned bed in ED.
