Best Practices for Hospital-Based First Receivers of Victims

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Remove tape from wrist and boot tops. Remove boots. Remove suit, turning inside out and avoid shaking. Remove APR mask or PAPR hood. The last member removing his/her respiratory protective equipment may take responsibility for washing all masks in soapy water. Refer to clean-up and recovery protocol. Remove inner glove and discard into bio-hazard trash container. Isolate all potentially contaminated materials until level of contamination is established and arrangements for cleaning and handling of trash and equipment can be determined. Post-exposure medical monitoring should be initiated and new data recorded on the primary form. Personnel should then remove scrub wear and shower and dress in replacement scrubs.

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 EnforcementLocal Police Department Federal Bureau of Investigation/DC [202-324-3000] Fire/Rescue Department Local Health Department State Health Department Emergency Epidemiology 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 • Contain victims in area of incident until contamination is confirmed. • Administrative Director to be notified by area supervisor of incident site and specifics. • Hospital operator, notified by area supervisor, shall page ED charge nurse with HAZMAT location. • Hospital operator shall page Safety and Security to restrict access to the site. • ED charge nurse and ED charge physician assign HAZMAT team for response to site ONLY if patients are identified to be immediately in danger of exposure. • 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. • 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. • The HAZMAT team responds to site bringing portable decontamination equipment

OSHA

BEST

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