DPT 8.0

DOMESTIC DOMESTIC PREPAREDNESSPREPAREDNESS

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Training Sessions Sponsored byTraining Sessions Sponsored byArkansas Hospital Association andArkansas Hospital Association andthe Arkansas Department of Healththe Arkansas Department of Health

Training Team Members: Training Team Members: Central Arkansas Veterans Healthcare System Central Arkansas Veterans Healthcare System Emergency Medical Response Team (EMRT)Emergency Medical Response Team (EMRT)

Thinking Through the Unthinkable: Nuclear, Biological and Chemical (NBC) Training

DPT 8.0

Part 1: INTRODUCTION

Nuclear, Biologic and Chemical Preparedness

DPT 8.0

To provide assistance in preparing for and responding to terrorist incidents involving Nuclear, Biological, and Chemical agents.

Purpose of Course

DPT 8.0

F E M A D O E

F B IP H S

DoDE P AEMERGENCYRESPONDERS

Partnership

DomesticPreparedness

DPT 8.0

• Focus group output:

- 26 Performance Objectives for DP Training based on OSHA Std 29 CFR 1910.120, NFPA 472 & 473, and JCAHO - Streamlined Training To Accommodate Limited Time - Transportable Format

- Modular Training - Focus on NBC “Delta”

Background

DPT 8.0

NBC DELTANBC DELTA

NBC Domestic Preparedness

Existing Preparedness

Training

Incident Command

911 Operations

Law Enforcement Emergency Medical CareFirefighting

HAZMAT

Search and

Rescue

EmergencyManagement

NBC “Delta”

DPT 8.0

Domestic PreparednessHospital Provider Training

DPT 8.0

Overview

• Introduction

• Threat of NBC Terrorism

• Chemical Casualty Care

• Biological Casualty Care

• Radiological Casualty Care

• Special Hospital Considerations in NBC Terrorist Incidents

DPT 8.0

Course Goals

• Train healthcare providers to initiate the correct medical response and treatment actions in a Nuclear, Biological, or Chemical (NBC) terrorist incident, including:

• Identifying various threat agents, and the signs and

symptoms of exposure to them– Selecting the proper treatment for resulting conditions

– Identifying special threats to healthcare providers, such as secondary contamination

DPT 8.0

Focus - NBC Delta

• Nuclear Materials

• Biological Agents

• Chemical Agents

DPT 8.0

Everyday HAZMAT Incident vs. NBC Terrorism Incident

HMI NBCTI• Deliberate attack ∆• Greater agent toxicity ∆• Early hazard identification x• Potential for mass casualties ∆• Need for mass decontamination ∆• Unusual risk to ∆ healthcare providers

DPT 8.0

Everyday HAZMAT Incident vs. NBC Terrorism Incident

HMI NBCTI

• Crime scene and evidence preservation x ∆• Major interaction/coordination with ∆

local, State, and Federal agencies• EMS & hospitals quickly overwhelmed ∆• Secondary device designed to kill ∆

responders

DPT 8.0

Instructor Introductions

DPT 8.0

Meet your Instructors Central Arkansas Veterans Healthcare System

• Donna Edwards, RN, Associate Chief of Nursing and CAVHS Emergency Medical Response Team (EMRT) Director

• Ken Ray, RN, Nurse Manager, Primary Care

• Mike Smith, RN, Nurse Manager, Emergency Department

• John Beatty, Chief of Safety & Hazmat Team Director

• Billy Conner, Emergency Manager, NDMS, VACO

• Michael Hayes, Industrial Hygienist CAVHS

• John Moss, PhD, Chief Nuclear Medicine & Radiation Safety

• Margie A. Scott, MD, Chief Pathology and Laboratory Medicine Service, Infectious Disease Pathologist, Domestic Preparedness NBC Trainer.