EMS Policy Manual - Contra Costa Health Services
EMS Policy Manual - Contra Costa Health Services EMS Policy Manual - Contra Costa Health Services
Contra Costa Emergency Medical Services POLICY #: 36 PAGE: 2 of 2 Individuals who have not been trained to respond, contain, identify, decontaminate and evacuate victims of hazardous materials events, within the contamination area, should not enter the Hot or Warm Zone. Other rescuers should be trained in accordance with Federal and State OSHA standards to handle hazardous materials incidents and include fire, law enforcement, or other local agencies. Prehospital providers shall have processes identified for appropriate EMS Event Reporting and subsequent review of patient and provider safety issues regarding hazardous materials incidents. V. EMS HAZMAT INCIDENT ROLES AND RESPONSIBILITIES 1 A. Scene Command: First Response agencies arriving on scene shall: Implement Incident Command System Establish Incident Command Post Isolate and Deny Entry Assess Incident and request necessary resources Notify response agencies Provide medical attention Rescue victims – If rescue can be done safely Contain/Control Release by trained personnel 2 – If actions can be done safely Initiate early notification to the hospital(s) receiving victims of a hazardous materials incident B. Fire-Medical Dispatch: The fire-medical dispatch agency shall communicate to responding units/crews: That the call involves suspected or known hazardous substance as an alert. Information regarding type of substance, wind direction, staging area (if established), command post, designated entry and egress paths or other pertinent patient information should be obtained and relayed to responders as soon as possible. Responding crews will acknowledge information provided by dispatch. Responding crews will alert dispatch to hazardous materials exposures promptly. C. Hospital: All hospitals receiving victims from hazardous materials incidents should: Prepare a designated staging area for appropriate patient handoff and additional decontamination if required. Contact CCHS Hazardous Materials through Sheriff’s Dispatch if further information is required to determine the need for primary or secondary decontamination. Have policies, procedures and trained personnel available to decontaminate exposed prehospital personnel and/or patients from the field. 1 See EMS personnel recognition of Hazardous Materials Exposure Decision Tree. 2 The responsibility for hazardous materials containment, identification, and decontamination, and victim evacuation at the scene of incident shall rest with the designated hazardous materials response agencies.
EMS Personnel Recognition of a Hazardous Materials Exposure First Responder and Transport Personnel While Responding REPORT TO STAGING AREA IF ESTABLISHED Prior to arrival request location and safe route into staging area/or IC from dispatch If no staging area determine location and safe route to report to Incident Commander (IC). Do not enter contaminated area until cleared by IC. DECONTAMINATE PATENT Decontamination shall be performed by trained personnel in designated area TRANSPORT Obtain clearance from IC prior to transport Obtain MSDS for chemical if available Provide early alert to receiving Hospital that may determine need to repeat decontamination. Arrive at designated hospital staging area as needed. SO = Sheriff’s Office Dispatch Notes While On-Scene CONSIDER YOURSELF EXPOSED TO THE CHEMICAL-TREAT YOURSELF AS CONTAMINATED Evacuate to Safe Location uphill and upwind from hazardous scene If in cloud travel crosswind until out of cloud NOTIFY FIRE MEDICAL DISPATCH AND IC (thru dispatch) THAT YOU HAVE BEEN EXPOSED Request CCHS HazMat response thru SO. Request backup Fire/Transport as needed for affected EMS personnel and patients. Stay in safe location until IC arrives to provide further instructions Prepare to be decontaminated DECONTAMINATE EMS PERSONNEL AND PATIENT Decontamination shall be performed by trained personnel in designated area TRANSPORT Obtain clearance from IC prior to transport Obtain MSDS for chemical if available Provide early alert to receiving Hospital who may determine need to repeat decontamination. Arrive at designated hospital staging area as needed. While Transporting CONSIDER YOURSELF EXPOSED TO THE CHEMICAL- TREAT YOURSELF AS CONTAMINATED DETERMINE IF SAFE TO DRIVE Notify Fire-Medical Dispatch EMS responders exposed Transport will continue or not. Request CCHS HazMat response to appropriate destination SAFE TO DRIVE (no symptoms of exposure) Early alert of hospital of HazMat situation REQUEST WHERE TO STAGE FOR HOSP SITE DECONTAMINATION Request Fire/Transport backup as needed On arrival prepare to be decontaminated NOT SAFE TO DRIVE (symptoms of exposure) Immediate decontamination needed Stop transport Notify Fire-Medical dispatch and request CCHS HazMat thru SO. Request Fire/Transport backup as needed Protect from further exposure and prepare to be decontaminated In all cases, prehospital medical care shall be provided as soon as it is safe. Hospitals are encouraged to consult with CCHS HazMat to determine if secondary decontamination is required All precautions should be taken to prevent contamination of hospital emergency department and personnel Page 1
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<strong>EMS</strong> Personnel Recognition of a Hazardous Materials Exposure<br />
First Responder and Transport Personnel<br />
While<br />
Responding<br />
REPORT TO STAGING AREA IF<br />
ESTABLISHED<br />
Prior to arrival request location and<br />
safe route into staging area/or IC<br />
from dispatch<br />
If no staging area determine<br />
location and safe route to report to<br />
Incident Commander (IC).<br />
Do not enter contaminated area<br />
until cleared by IC.<br />
DECONTAMINATE PATENT<br />
Decontamination shall be<br />
performed by trained personnel in<br />
designated area<br />
TRANSPORT<br />
Obtain clearance from IC<br />
prior to transport<br />
Obtain MSDS for chemical<br />
if available<br />
Provide early alert to<br />
receiving Hospital that may<br />
determine need to repeat<br />
decontamination.<br />
Arrive at designated<br />
hospital staging area as<br />
needed.<br />
SO = Sheriff’s Office Dispatch<br />
Notes<br />
While<br />
On-Scene<br />
CONSIDER YOURSELF EXPOSED<br />
TO THE CHEMICAL-TREAT<br />
YOURSELF AS CONTAMINATED<br />
Evacuate to Safe Location uphill and<br />
upwind from hazardous scene<br />
If in cloud travel crosswind until out of<br />
cloud<br />
NOTIFY FIRE MEDICAL<br />
DISPATCH AND IC (thru<br />
dispatch) THAT YOU HAVE<br />
BEEN EXPOSED<br />
Request CCHS HazMat<br />
response thru SO.<br />
Request backup Fire/Transport<br />
as needed for affected <strong>EMS</strong><br />
personnel and patients.<br />
Stay in safe location until IC<br />
arrives to provide further<br />
instructions<br />
Prepare to be decontaminated<br />
DECONTAMINATE <strong>EMS</strong> PERSONNEL<br />
AND PATIENT<br />
Decontamination shall be performed by<br />
trained personnel in designated area<br />
TRANSPORT<br />
Obtain clearance from IC<br />
prior to transport<br />
Obtain MSDS for<br />
chemical if available<br />
Provide early alert to<br />
receiving Hospital who<br />
may determine need to<br />
repeat decontamination.<br />
Arrive at designated<br />
hospital staging area as<br />
needed.<br />
While<br />
Transporting<br />
CONSIDER YOURSELF<br />
EXPOSED TO THE CHEMICAL-<br />
TREAT YOURSELF AS<br />
CONTAMINATED<br />
DETERMINE IF SAFE TO DRIVE<br />
Notify Fire-Medical Dispatch<br />
<strong>EMS</strong> responders exposed<br />
Transport will continue or not.<br />
Request CCHS HazMat response<br />
to appropriate destination<br />
SAFE TO DRIVE<br />
(no symptoms of exposure)<br />
Early alert of hospital of<br />
HazMat situation<br />
REQUEST WHERE TO<br />
STAGE FOR HOSP SITE<br />
DECONTAMINATION<br />
Request Fire/Transport<br />
backup as needed<br />
On arrival prepare to be<br />
decontaminated<br />
NOT SAFE TO DRIVE<br />
(symptoms of exposure)<br />
Immediate<br />
decontamination needed<br />
Stop transport<br />
Notify Fire-Medical<br />
dispatch and request<br />
CCHS HazMat thru SO.<br />
Request Fire/Transport<br />
backup as needed<br />
Protect from further<br />
exposure and prepare to<br />
be decontaminated<br />
In all cases, prehospital medical care shall be provided as soon as it is safe.<br />
Hospitals are encouraged to consult with CCHS HazMat to determine if secondary decontamination is required<br />
All precautions should be taken to prevent contamination of hospital emergency department and personnel<br />
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