Transcript HOSPITAL DECON TEAM - Arkansas Hospital Assn

• http://www.youtube.com/watch?v=NSAXkp9c
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Decon
Tag, You’re It!!!!
Brent Cox
MS, CHEP, HAZMAT Tech
Why Be Concerned at all?
• Regulatory Agencies
• Hospital Impact
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
OSHA
• First Responder Requirements
• Published Best Practices for First Receivers
General Duty Clause
Sec. 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;
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.
Medial evaluations
29 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.
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
Incident Command
• TJC and OSHA
• Using HEICS
– Falls under operations
– Separate Branch (HAZMAT)
– On site
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HAZMAT Commander (OSIC)
Safety Officer
Medical Officer
Triage Officer
So who’s it?
• Fire Departments Role
So who’s it?
• Hospitals Role
So who’s it?
• Working Together
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.
Building a Team
• Who do we use?
– Nurses
• Floor
• Home health
– Engineering/Maintenance
– Medical Records
– Security
– PCT’s
– Physical Therapy
- ER
- Respiratory
-Environmentalist
- Admissions
- Education
Building a Team
Team Issues
• Turn over
• So many needs, so few people.
Team Considerations
•
•
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Turn over rate
Availability
Normal Job Function
Desire vs. Ability
Training
No Set Standards or Requirements
for
First Receivers
• Meet TJC requirements
• Meet OSHA requirements
– First Responder Requirements
Awareness
Operations
Training
How often and long should we train?
• Research being conducted.
Training
What content should be covered?
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
State Wide Need
• How would Regional Teams help?
– When and When Not
– How effective?
• Where to begin?
Conclusion
Tag, You’re It!!
Where do we go from here?