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Flashcards in Disaster Safety and Assess Hazards Deck (31)
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What are the ABCs of scene safety action plan?

Awareness of hazardous conditions
Barrier needed for protection
Communication information


What are secondary hazards?

An addition to the primary event that may not be completely obvious
A risk to victims and rescuers


What are the first things to do in a hazard situation?

Protect yourself
Get out, call 911, follow scene priorities, all-hazard consideration, restrict access


What are the scene priories of protection?

Protect self, then team, then public, then patients, then environment


What are the scene environment "U"s?

Unsafe, uncertain, unpredictable


What are the scene caveats?

Don't show up uninvited
Don't disturb possible evidence
Don't disrupt emergency services


What should be done with a suspicious package?

ID - inappropriate/unusual labeling
Do not open, shake, examine or show it
Wash hands and call 911


What are some considerations for a chemical incident?

Safe zone uphill, upwind, secondary contamination, must wear PPE, secondary threats and environment


What are some considerations for a biological incident?

Delayed presentation, health care facilities become scene
Community issues, isolate ill, observe exposed, PPE


What are some considerations for a radiological incident?

Hazards - contaminated victim, continued release, fallout, windborn spread, PPE


What are some considerations for a nuclear incident?

Get out! Probably not terrorist


What are some considerations for a natural disaster?

Scene variability, danger from secondary threats, evac and rescue


What are some considerations for explosives?

Location of contamination/dispersal
Do not enter area w/ explosives, on-going threat, immediate evac
Cell phones, pagers and electronics - danger


What are some secondary dangers?

Structural instability
Falling debris


What are some critical considerations for personal protection equipment?

Minimize contact, protect orifices, proper training and fitting, no one type protects against everything, may create work hazards


What should be considered when choosing a PPE?

Immediate Danger to Life or Health?
The agent
Release method
Confined space?
Release site proximity (Hot/Warm zone)
Job duties during the event


Describe a level A PPE.

Fully encapsulated suit, provides the maximum protection, uses a self-contained breathing apparatus on the inside, fully encapsulating and includes chemical resistance boots and gloves
Need assistance to get in or out of


Describe a level B PPE.

Provides high respiratory protection but has less skin protection, uses a self-contained breathing apparatus, hooded chemical resistant suit, which does include the boots and gloves


Describe a level C PPE.

Powered air-purifying respirator (PAPR), hooded chemical resistant clothing, chemical resistant boots and gloves
Suitable for decontamination


Describe a BIO-PPE.

Double gloves, impermeable gowns, goggles, cap, leg and shoe covers, N95 mask or better respirator, hand hygiene
Suitable for most hospital situations


Describe a level D PPE.

Minimum protection, no respiratory protection, standard work uniform, standard OSHA personal protective barriers


What is the universal respiratory etiquette strategy for healthcare faculties?

Give surgical masks/cough barriers, provide hygiene supplies in waiting areas, encourage coughers to be 3 ft away, construct barriers between staff and sick


What should be used to figure out which hospital PPE to use?

Hot zone - casulaty collection Level A
Warm zone - triage and decontaminate Level B or C
Cold zone - treatment/transport Level D or BioPPE


What are some types of respiratory protection?

Self contained breathing apparatus
Supplied air respirator
Powered air purifying respirator
Air purifying respirator


Which PPEs are a fit test required for?

N95 or greater


What is decontamination?

Rapid removal or deactivation of contaminants as soon as possible even with incomplete info
Reduce amount and spread of contaminants


Who should you decontaminate?

Everyone who may have been contaminated by a chemical, radiological, nuclear (or biological) agent


How do you decontaminate?

Dry = undress
Wet = undress +solution
Soap and water vs dilute bleach


Describe gross decontamination.

Close to location, non-ambulatory, casualty collection, privacy, ambient and water temp (hypothermia)


Describe technical decontamination

Close to the gross location, privacy, ambient temp and water (hypothermia), fresh clothing needed