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Transcript of youtube / watch?v =NSAXkp9cqbk
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• http://www.youtube.com/watch?v=NSAXkp9cqbk
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DeconTag, You’re It!!!!
Brent Cox MS, CHEP, HAZMAT Tech
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Why Be Concerned at all?
• Regulatory Agencies• Hospital Impact
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TJC• EC 1.4 – Healthcare facility must be prepared
to decontaminate patients and have regular drills and exercises conducted to test preparedness. – An Incident Management system is required– Hazard vulnerability analysis conducted
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OSHA
• First Responder Requirements• Published Best Practices for First Receivers
General Duty ClauseSec. 5. Duties(a) Each employer
(1) Shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees;
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Equipment 29 CFR 1910.134
• Must be adequate for the type and exposure levels one can reasonably anticipate.– OSHA – Level C is adequate for medical centers.
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Medial evaluations29 CFR 1910. 120 (f)
review with employee health to best implement.
it is debatable of where hospital decon teams fall as they do not meet the definition of a decontamination team.
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Equipment 29 CFR 1910.134
• Equipment must be inspected and maintained• Respiratory equipment is routinely integrated
into medical surveillance program. – Infection control or employee health
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Incident Command• TJC and OSHA• Using HEICS– Falls under operations– Separate Branch (HAZMAT)– On site
• HAZMAT Commander (OSIC)• Safety Officer• Medical Officer • Triage Officer
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So who’s it?
• Fire Departments Role
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So who’s it?
• Hospitals Role
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So who’s it?
• Working Together
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Building a Team
• What is a Decon Team– Call it…
• How many people?– American Hospital Association recommends
for a 48 hour response time:Recommends 50 clinicians for metropolitan medical centers
20 at non-metropolitan healthcare facilities
Small facilities should aim for a two person team 24/7.
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Building a Team• Who do we use?– Nurses• Floor - ER• Home health
– Engineering/Maintenance - Respiratory– Medical Records -Environmentalist– Security - Admissions– PCT’s - Education– Physical Therapy
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Building a Team
Team Issues• Turn over• So many needs, so few people.
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Team Considerations• Turn over rate• Availability• Normal Job Function• Desire vs. Ability
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Training
No Set Standards or Requirements for
First Receivers
• Meet TJC requirements• Meet OSHA requirements– First Responder Requirements
AwarenessOperations
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Training
How often and long should we train?• Research being conducted.
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Training
What content should be covered?
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State Wide Need
• No one is alone– Critical access – Level 1 Trauma
• So what options do we have– Work alone and hope for the best– Develop Regional and State Teams
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State Wide Need
• How would Regional Teams help?– When and When Not– How effective?
• Where to begin?
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Conclusion
Tag, You’re It!!Where do we go from here?