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Decontamination

Clinical Indications:<= /o:p>

= ______ 1. Any patient who may have been exposed to significant hazardous

mate= rials, in= cluding chemical, biological, or radiological weapons.

Procedure:

= ______ 1.      In coordination with HazMat and other Emergency Management Personnel, establish hot, warm and cold

cold= zon= es of operation.

= ______ 2.      Ensu= re that personnel assigned to operate within each zone have proper personal protective equipment.

= ______ 3.      In coordination with other public safety personnel, assure each patient from t= he hot zone undergoes

appr= opriate ini= tial decontamination. This is spec= ific to each incident. Such decontamination may include:

        &= nbsp;         *Removal of patients from hot zone

        &= nbsp;         *Simple removal of clothing

        &= nbsp;         *Irrigation of eyes

        &= nbsp;         *Passage through high-volume water bath for patients contaminated with liquids or certain solids.

        &= nbsp;         Patients exposed to gases, vapors, = and powders often will not require this step as it may

        &= nbsp;         unnecessarily delay treatment and/or increase dermal absorption of the agent(s).

= ______ 4.      Init= ial triage of patients should occur after step #3. Immediate life threats should be addressed prior to

tech= nical decontamination.

= ______ 5.      Assi= st patients with technical decontamination (unless contraindicated based on #3 above). This may <= /span>

incl= ude rem= oval of all clothing and gentle cleansing with soap and water. All body areas should be thoroughly cleansed, although overly harsh scrubbing which could break the skin should= be avoided.

= ______ 6.      Place triage identification on each patient.&nbs= p; Match triage information with each patient’s personal

belo= ngings whi= ch were removed during technical decontamination. Preserve these personal affects fo= r

law<= /span> enforcement.

= ______ 7.      Moni= tor all patients for environmental illness.

= ______ 8.      Tran= sport patients per local protocol.

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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