TVHS Decontamination Team

Transcription

1 TVHS Decontamination Team Bill Mangieri Emergency Management Coordinator

2 Why a Decontamination Team? Public Law VHA Directives VHA CEMP Capabilities Descriptions Joint Commission Compliance OSHA Compliance

3 Dept. of Veterans Affairs Emergency Preparedness Act of 2002 Public Law Secretary shall take appropriate actions to provide for the readiness of Department medical centers to protect the patients and staff of such centers from chemical or biological attack or otherwise to respond to such an attack so as to enable such centers to fulfill their obligations as part of the Federal response to public health emergencies.

4 VHA Directive It is VA Policy that each medical center Director is responsible for implementing an appropriate mass casualty decontamination capability at the medical center that protects the medical center staff and patients in the event of an off-site incident.

5 VHA CEMP Capabilities Description 3.3 Processes and Procedures for Managing a Hazardous Substance Incident To maintain the safety of occupants and infrastructure, as well as to ensure continued operations, the facility must have a plan for internal & external hazardous materials incident response.

6 VHA CEMP Assessment Excerpt from Final Report While there is a small core of trained decontamination team members and available decontamination equipment, the facility appears to have an insufficient number of trained staff to demonstrate a safe and reliable capability to respond to a hazardous substance incident during an emergency at both divisions at all times. We, therefore, recommend that an aggressive recruitment program supported by senior leadership be established to enlist additional decontamination team members to support a reliable response to a hazardous substance incident.

7 Joint Commission EM EP 4 The EOP describes how the hospital will provide for radioactive, biological, and chemical isolation and decontamination.

8 OSHA First Receiver Operations The Occupational Health Safety Act Title 29 of the Code of Federal Regulations specifies that: Hospitals must provide First Receiver Operations training to staff who are expected to decontaminate victims or handle victims before they are thoroughly decontaminated.

9 Steps in Team Development Collect data on Best Management Practices of successful First Receivers Decontamination Programs at VA Medical Centers Inventory all decontamination equipment for serviceability Identify and purchase needed equipment items Establish budget & funding opportunities for ongoing operational goals Recruit new members Complete repairs to Fixed Decontamination Facility in Nashville Set administrative benchmarks for decontamination operations plans Provide comprehensive training to decontamination team members and others Participate in CEOSH 3 day Decontamination Training & Exercise April th 2011 Continuous Improvement Team Certification Program Development Timeline Development Needs/Resource Assessment Assess Our Vulnerability

10 Project Timeline November 2010 Data collection, best management practices, recruiting, arranging training opportunities, administrative benchmarks December 2010 January 2011 Decon equipment inventory, serviceability, identify needed equipment items, recruiting Establish budget, equipment issue to candidates, First Receiver training, formulate decon operations plans, Level B training, Recruiting February 2011 March 2011 Decon Team Dress Out Training Nashville/York, First Receiver training, Recruiting Emergency Medical Operations for CBRNE training, Radiological Response for Hospitals training, equipment familiarization and deployment April 2011 May 2011 CEOSH Decon Train-the-Trainer Course & Exercise New Decon Team Member Graduation and recertification of TVHS Decon Team

11 Training for Team Recertification OSHA First Receiver Awareness Training OSHA First Receiver Operations Training Emergency Medical Operations for CBRNE Incidents Radiological Response for Hospital Emergency Departments CEOSH Train-the-Trainer Decontamination Operations Online Basic Skills Training

12 Emergency Medical Response Team (EMRT) All Hazards Response Team

13 EMRT Evolution Transition from a single hazard Decon Team to an All Hazards Response Team Build a well trained, cohesive multi-functional team Team would handle in-house patient movements and coordination during potential internal disasters

14 EMRT Evolution Team will train staff on Evacusleds and advanced evacuation procedures EMRT members will be responsible for setting up Patient Reception Areas for NDMS Operations EMRT will set up Point of Dispensing clinics to support Emergency Pharmaceutical Cache Operations

15 EMRT Evolution Some EMRT members will become experts in Hospital Command Center (HCC) operations and assist in HCC set-up and management EMRT members will respond to internal chemical spills EMRT members will set up Alternate Care Facilities

16 EMRT Training Hospital Incident Command Courses NDMS Federal Coordinating Center Operations Course Annual Operations Level Decon Training CBRNE Detection Courses CERT Training Alternative Care Site Training Advanced Emergency Code Training

17 Best Management Practices Ownership of the Decon Program must reside with the Medical Center Director Director appoints member of ELT to serve as an advisor to the program Adequately Fund the Team Incorporate decontamination program management into position descriptions and performance plans of responsible staff

18 Best Management Practices *One Full Day Training Per Month * Pre-determined reoccurring monthly training and drilling Both campuses, All Shifts + CBOCS Meeting more frequently improves Decon team s response time Reoccurring training keeps team refreshed and engaged You Can t Teach This In An Hour!

19 Team Member Application Process TVHS EMRT Application Form Decon Team Medical Clearance Form Interview with Emergency Management Coordinator Successful completion of Level 1 Training Successful completion of CEOSH Train-the Trainer Course