Technician Module 2 Unit 3 Slide 1

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MODULE 2UNIT 3
Self Protection, Rescue, Decontamination Medical
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Unit 3 Learning Objective

• At the completion of this unit, the student will
  be able to identify self protection measures and
  how to conduct a scene assessment for evaluation
  and rescue.

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Student Performance Objectives

• Know and follow self-protection measures and
  rescue and evacuation procedures for WMD events.
• Know how to rescue victims of a potential WMD or
  hazardous materials event. Follow procedures for
  moving victims to a safe area for triage and
  treatment.
• Know how to select and use personal protective
  equipment (PPE) needed to work safely within the
  hot zone and warm zone on the scene of a
  potential WMD event. Fully understand the
  limitations of the PPE. Follow department policy
  on the use, inspection, and maintenance of PPE.
• Know how and when to use appropriate personal
  protective equipment (PPE) issued by the
  department to work in the hot and warm zones on
  the scene of a potential WMD event. Be able to
  select appropriate PPE for the hazards present.
  Use reference manuals to assist in selecting
  appropriate PPE. Fully understand the limitations
  of the PPE. Follow departmental policy for use,
  inspection, and maintenance of PPE.

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Student Performance Objectives (cont.)

• Understand the hazards and risks associated with
  wearing chemical protective clothing and other
  protective clothing at a potential WMD event.
  Understand and follow the rehabilitation steps to
  help responders reduce the level of heat stress.
• Follow departments safety procedures and
  practices for retrieving, handling, transporting,
  and disposing unknown or suspicious packages.
• Know and follow state environmental department
  safety procedures and practices for retrieving,
  handling, transporting, and disposing of a
  hazardous material or WMD agent.
• Know and follow safety procedures for HazMat
  responders or hazardous waste contractors in
  retrieving, handling, packaging, and transporting
  hazardous materials or WMD agents to a
  predetermined waste disposal site. Coordinate
  these activities with law enforcement personnel
  and the on-scene Incident Commander.

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Student Performance Objectives (cont.)

• Understand the hazards and risks in using
  chemical protective clothing. Follow department
  precautions and safe practices to safeguard the
  wearer of the clothing as he/she performs
  assigned tasks. Understand and implement
  rehabilitation steps to help responders reduce
  the level of heat stress. Take other precautions
  to protect on-the-scene responders.
• Know how to plan for and implement, in
  coordination with the emergency medical group,
  medical monitoring protocols for those persons
  entering the hot zone or warm zone as needed.
• Know how to plan for and implement, in
  coordination with HazMat and fire personnel,
  medical monitoring protocols for those persons
  entering the hot zone or warm zone as needed.
  These plans will include recording vital signs of
  personnel before entry and upon leaving the hot
  or warm zones, as well as monitoring vital signs
  of rescue personnel at other designated times.

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Student Performance Objectives (cont.)

• Know how to coordinate with EMS protocols for
  medical monitoring of emergency responders and
  other persons entering and leaving the hot and
  warm zones.
• Be able to help mitigate on-scene hazards and
  risks to responders and the public. Assist the
  on-scene incident commander in developing and
  implementing strategies and tactics to reduce
  on-scene risks for responders and the public. Be
  able to recognize special threats, such as
  terrorists using exploding secondary devices to
  harm emergency responders. Follow procedures and
  practices for safely searching for these devices
  and, if found, controlling or removing these
  types of threats from the scene.
• Know and follow measures for protecting victims
  and other individuals from hazardous materials or
  WMD agents, including secondary devices.
  Coordinate implementation of on scene precautions
  with law enforcement personnel and the incident
  commander.

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Student Performance Objectives (cont.)

• Have experience in emergency medical basic life
  support treatment, rescue of victims and
  responders, triage, decontamination of persons
  and equipment, and transport of victims exposed
  to WMD agents.
• Follow appropriate decontamination procedures to
  protect victims, emergency responders, the
  public, and equipment, including vehicles that
  will be reused. Coordinate decontamination
  procedures with the incident commander.
• Understand the importance of and know how to
  implement appropriate decontamination procedures
  for victims, responders, mass casualties, and
  equipment that will be reused. Use reference
  manuals as needed.
• Be able to determine (or assist in determining)
  critical factors for site clean up by a hazardous
  waste contractor after resolution of the
  emergency. Follow State environmental procedures
  for site clean up and waste disposal.

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Self Protection Measures

• Self protection measures are very important to
  the overall response effort. If you are not able
  to help in the effort because of an exposure, you
  have essentially become part of the problem
  instead of the solution

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Personal Protective Equipment

• Choosing PPE is one of the most difficult
  decisions a HazMat technician can make.

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Protection

• Chemical Resistance
• Permeation
• Degradation
• Penetration

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NOTICE

• It is important to note that no material protects
  against all chemicals or combinations of
  chemicals, and that no currently available
  material is an effective barrier to any prolonged
  chemical exposure.

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Levels of Protection

• OSHA and the EPA established guidelines and
  terminology to address a PPE ensemble. The
  combination of gear worn (respiratory protection
  device and type of clothing) establishes the
  level of protection.
• Level D
• Level C
• Level B
• Level A

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Personal Protective Hazards

• Heat stress can cause
• heat rash
• heat cramps
• heat exhaustion
• heat stroke

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Medical Monitoring

• The Incident Commander along with the Safety
  Officer should make certain that there are
  sufficient resources at the scene of the WMD
  incident for medical monitoring before entry into
  the hot zone as well as after exiting the hot
  zone for post medical monitoring.

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Rescue Operations

• NOTE The decision to rescue a person that may
  place the rescuer at an increased risk of harm is
  at the rescuers sole discretion. You MUST make a
  decision based on risk vs. benefit.

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Rescue Triage

• First Priority
• Second
• Third
• Fourth

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Medical Triage

• Deceased
• Immediate
• Delayed
• Minor

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Medical Support

• Basic Life Support
• A, B, Cs

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Decontamination

• Emergency Decon
• Mass Casualty Decon
• Hose Lines
• Engine Corridors
• Ladder Corridors
• Tents and Trailers

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Decontamination (cont.)

• Hospital Decon
• Technical Decon
• Equipment Decon

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Decontamination (cont.)

• Collection of clothing as Evidence
• Unruly people
• Handling Evidence
• Transporting
• Clean-up

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Unit 3 Quiz
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Questions