Plans: Emergency Preparedness and Response Plan with Radiation Component Have a written facility Have a written facility Emergency Preparedness and Emergency Preparedness and Response Plan with a Regional Response Plan with a Regional Radiation Response Plan Radiation Response Plan Radiation Detection Equipment: Mass screening of suspected Mass screening of suspected www.thermo.com radiation contaminated persons radiation contaminated persons is is accomplished by an available accomplished by an available www.ludlums.com Portal Monitor Unit upon request Portal Monitor Unit upon request to MEDCOM to MEDCOM An isotope identifinder is available upon request to MEDCOM Page 1
Radiation Equipment Preventive Maintenance If you have a portal monitor, calibrate annually or in accordance with state regulations. For dosimeters, change Lithium batteries every 6 months;; back up batteries are readily available and accessible 24/7. For the portal monitor, calibrate annually or in accordance with state regulations. For isotope identifinder, calibrate annually or in accordance with state regulations. Change standard AA batteries (battery life 9-10 hours in consistent use) For the survey meter, calibrate annually or in accordance with state regulations. For dosimeters, change Lithium batteries every 6 months;; back up batteries are readily available and accessible 24/7. Calibrate annually or in accordance with state regulations Page 2
Radiation Threat Response Facility s Radiation Response Facility s Radiation Response Team, consisting of a Team, consisting of a multidisciplinary team, who has multidisciplinary team, who has completed an operations level completed an operations level training on radiation threats and training on radiation threats and precautions, initiates the precautions, initiates the decontamination process, setting decontamination process, setting up the decontamination site with up the decontamination site with appropriate resources, donning appropriate resources, donning correctly the appropriate personal correctly the appropriate personal protective equipment (PPE), and protective equipment (PPE), and decontaminating the radiation decontaminating the radiation exposed persons exposed persons Radiation Contamination is defined as twice the normal background levels. Action Level for radiation contamination is twice the normal background levels. If the radiation contaminated person in a life threatening health status, he receives medical treatment before decontamination Disposal of radiation contaminated materials is in accordance with state regulations. Control and contain in accordance with state regulations, with the exception of effluent generated by decon. Page 3
Directed Decon for all hazards Is able to perform immediate Is able to perform immediate Availability of PPE directed decon for casualties up directed decon for casualties in Availability of water to 50% of emergency excess of facility treatment source department capacity or patient capacity. Availability of directed care access entry point decon kits. Personnel Training Functional Personnel Readiness & Trained Staff & Entry Team Members Decon Response Team (DRT) is Decon Response Team (DRT) is Staffing stability. identified as 50% of staff, who identified as 35% of staff, who Availability of training have been screened as have been screened as program. medically appropriate, fitted for medically appropriate, fitted for Employee health practices PPE, and show evidence of PPE, and show evidence of and fit-testing procedures. training within the last calendar training within the last calendar year in DRT procedures. year in DRT procedures. Page 4
Functional Decon Response in a Mass Casualty Incident (MCI) Facility has fully-functional allweather Facility has fully-functional all- Location of Supplies & decon set-up for weather decon set-up for Equipment. ambulatory and non-ambulatory ambulatory and non-ambulatory Plant Design and casualties that can be set-up casualties that can be set-up Engineering Controls. within 20 minutes. within 20 minutes. Environmental Constraints. Training Program for setup. Functional Decon Throughput 24 people in 6 hours 48 people in 6 hours (minimum of 4 people/hour) (minimum of 8 people/hour) Page 5
Attire & Equipment For 100% of entry team members: For 100% of entry team members: Coveralls, Tychem BR with Coveralls, Tychem BR with attached hood and respiratory attached hood and respiratory opening opening Cooling vests (optional) Cooling vests (optional) Butyl gloves Butyl gloves Rubber boots Rubber boots PAPR with NBC cartridge PAPR with NBC cartridge Discarding of Contaminated Fluids Existing contracts with Hazardous Existing contracts with Hazardous waste companies. waste companies Page 6
Decon/RSO Operations STRAC Participation 50% Participation in EHDG 50% Participation in EHDG Decon/RSO Meetings Decon/RSO Meetings Decon/RSO Operations Inventory Inspection Must be able to inspect inventory on a Must be able to inspect inventory on a Monthly basis. Monthly basis. Decon/RSO Operations Training and Exercises Exercises are conducted every Exercises are conducted every JCAHO Requirement year. year in addition to the San Antonio Mass Casualty Exercise Evaluation SAMCEE. Page 7