Biomedical Engineering Reference
In-Depth Information
2. Decon staff will undergo a technical decontam-
ination wash from head-to-toe involving the
outer garments, gloves, and boots.
3. After the wash is complete, personnel should
remove protective clothing in the following
sequence:
a. Remove outer gloves, turning them inside
out as they are removed and place in bio-
hazard trash container.
b. Remove tape from wrist and boot tops.
c. Remove boots.
d. Remove suit, turning inside out and avoid
shaking.
e. Remove APR mask or PAPR hood. The
last member removing his/her respiratory
protective equipment may take responsi-
bility for washing all masks in soapy water.
Refer to clean-up and recovery protocol.
f. Remove inner glove and discard into bio-
hazard trash container.
g. Isolate all potentially contaminated mate-
rials until level of contamination is estab-
lished and arrangements for cleaning and
handling of trash and equipment can be
determined.
h. Post-exposure medical monitoring should
be initiated and new data recorded on the
primary form.
i. Personnel should then remove scrub wear
and shower and dress in replacement
scrubs.
Local Health Department
State Health Department Emergency Epidemi-
ology After Hours [1-866-820-9611]
National Capital Region Poison Control Center
[202-625-3333]
Agency for Toxic Substances and Disease
Registry (ATSDR) [1-404-498-0120]
National Response Center [1-800-424-8802]
In-hospital HAZMAT Incident
A. Contain victims in area of
incident until
contamination is confirmed.
B. Administrative Director to be notified by area
supervisor of incident site and specifics.
C. Hospital operator, notified by area supervisor,
shall page ED charge nurse with HAZMAT
location.
D. Hospital operator shall page Safety and Secu-
rity to restrict access to the site.
E. ED charge nurse and ED charge physician
assign HAZMAT team for response to site
ONLY
if patients are identified to be immedi-
ately in danger of exposure.
F. If Emergency Department HAZMAT team
required to respond within facility have the
communication nurse call PSCC to request ED
“reroute” status and request Fire Department
HAZMAT response per facility protocol.
G. The HAZMAT team should then dress in
appropriate level of PPE for the given
response. If unknown contaminant, dress in
highest level of protection available.
H. The HAZMAT team responds to site
bringing portable decontamination equipment
for decontamination at a safe area closest to
the site of incident.
1. Single patient—non-ambulatory bring two
stretchers, one with containment cover and
hose and container for runoff collection.
2. Ambulatory—bring kiddy pools (2) and
backpack sprayers or
E. Emergency Decon
Staff member distress is recognized.
Staff member PPE immediately decontaminated
with soap and water.
PPE removed quickly in head to toe fashion in cold
zone area. Medical care rendered as warranted.
Key Resources/Points of Contact
Notifications of appropriate authorities:
Law Enforcement-
Local Police Department
Federal Bureau of Investigation/DC [202-324-
3000]
Fire/Rescue Department
large irrigation
bottles for decon wash.
I. Decon shall be completed at site (as in previ-
ously described manner) until patient is clean
