MCI PATIENT DECON
PATIENT DECON LEADER :
WA. EMD INCIDENT #:
DATE:
COMMAND LOCATION:
GENERAL RESPONSIBILITIES
MCI patient decon description here.
 Receive a briefing from the Incident Commander or Hazmat Operations.
 Talk Group assignment
 Type of contaminate if known.
 Location for patient decon area
 Special precautions, circumstances
 Recommended PPE
 Water supply
 Weather or other site conditions
 Request resources
 Dedicated water supply for gross decon and also for patient decon stations
 Engine company assistance
 Locate patient decon area
 Up hill, up wind, adequate space for operations, support equipment
 Clearly mark to differentiate from responder decon
 Clearly mark separate decon stations for men, women, families and nonambulatory patients as needed
 String hazard or crowd control tape
 Select appropriate PPE for Decon team
 Bunkers w/PAPRS
 Bunkers w/SCBA
 Level B with PAPRS
 Level B with SCBA
 Level A
 Select appropriate decon solution
 CDC recommendation for most WMD products is Soap and Water
 Select appropriate Decon steps per WAC 296-305-08000 method
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
page 1 of 8
 Station #1 – Gross Decon:
o Locate at edge of hot zone
o Instruct patients to approach water spray
o Decon ambulatory with low pressure water from engine
o SCBA/bunkers minimum PPE for engine & hose operators
o Do not contact contaminated patients without proper PPE
o Instruct patients to move into warm zone
o Rescue responders bring non-ambulatory patients through gross decon
 Station #2 - Clothing removal:
o Responder PPE required for respiratory protection and skin contact
o Distribute temporary coveralls or disposable blankets as needed for
patients waiting
o Attendant(s) assist/remove the outer clothing from patients.
o Place clothing and personal items in an over-pack for later testing and
further decontamination.
 Red Garbage cans
 Red Decon Bags
 Station #3 - Personal shower for ambulatory patients:
o Responder PPE required for respiratory protection and skin contact
o Attendants(s) instruct patients during washing
o Patients wash and rinse entire body with mild soap and water.
o Contain runoff water if possible, but secondary to removing contaminants
from personnel.
 Soap solution in shower line
 Water line for rinse
 Station #4 - Drying off:
o Patients dry off using towels or whatever is available.
o Place items used in an appropriate container for disposal.
 Emergency clothing such as disposable coveralls.
 Disposable towels
 Station #5 – Shower for non-ambulatory patients
o Responder PPE required for respiratory protection and skin contact
o Remove outer clothing from patients
o Place clothing and personal items in an over-pack for later testing and
further decontamination.
 Red Garbage cans
 Red Decon Bags
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
page 2 of 8
o Remove contaminants as appropriate
o Protect airway, observe vital signs
o Dry, cover and move patient to gurney
 Station #6 - Medical evaluation:
o Evaluate Patients by Medical
o Check vital signs including temperature and level of consciousness.
o Maintain medical evaluation and exposure forms.
 Station #7 - Transport to emergency room:
o Medical transport patients exhibiting any signs or symptoms of exposure
for further evaluation and observation.
EXAMPLE LAYOUT MCI PATIENT DECON
1
HOT ZONE
PPE: LEVEL A/B
ENGINE
WARM ZONE
GROSS DECON
PPE: SCBA
2
2
ENGINE
ENGINE
WOMEN
DECON
TEAM
MEN
3
NON
AMB
5
4
6
AID
AID
AID
7
WARM ZONE
MASS DECON
PPE: LEVEL B/C
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
COLD ZONE
TRIAGE
TREAT
TRANSPORT
page 3 of 8
MAP MCI PATIENT DECON
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
page 4 of 8
MCI RESPONDER DECONTAMINATION
RESPONDER DECON LEADER :
WA. EMD INCIDENT #:
DATE:
COMMAND LOCATION:
GENERAL RESPONSIBILITIES
The Port of Seattle Fire Department has the responsibility for Responder Decon when
responding to a Mass Decon response with Zone 3 resources off of the Airport Property.
The Port of Seattle Fire Department Haz Mat team responds to instances of Mass
Decon with the designated Haz Mat vehicle (777) and the designated Decon trailer
(Decon 777). These units respond with a minimum of 3 personnel comprised of the on
duty Haz Mat team.
 Receive a briefing from the Incident Commander or Hazmat Operations.
 Talk Group assignment
 Type of contaminate if known.
 Location for responder decon area
 Special precautions, circumstances
 Recommended PPE
 Recommended Decon Solution
 Water supply
 Weather or other site conditions
 Request resources
 Dedicated water supply
 Engine company assistance
 Locate responder decon area
 Up hill, up wind, separate from patient/civilian decon
 Clearly mark to differentiate from patient/civilian decon
 Select appropriate PPE for Decon team
 Bunkers w/PAPRS
 Bunkers w/SCBA
 Level B with PAPRS
 Level B with SCBA
 Level A
 Select appropriate decon solution
 CDC recommendation for most WMD products is Soap and Water
 Select appropriate Decon steps per WAC 296-305-08000 method
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
page 5 of 8
 Station #1 - Segregated equipment drop:
o
o
o
Deposit contaminated equipment that will be used again in the "Hot" zone, disposed of,
or decontaminated at a later time or place.
Red Garbage cans
Red Decon Bags
 Station #2 - Wash/rinse:
o
o
Wash Entry Team with appropriate decontamination solution and rinse with water by
attendant(s) to remove gross contamination.
Multiple wash/rinse steps depending on the severity of the hazards involved.
 Black Rectangular receptacles to stand in
 First wash
 Second wash
 Rinse
 Soap and water with brushes
 Station #3 - Outer protective clothing removal:
o
o
o
Attendant(s) remove the outer protective clothing from Entry Team.
Use caution to avoid touching the inside of the suit while removing it.
Place protective clothing that has been removed in an over pack for later testing and
further decontamination.
 Red Garbage cans
 Red Decon Bags
 Station #4 - Removal of SCBA:
o
o
Assist Entry Team removing their SCBA.
Leave SCBA face piece in place and the low pressure hose held away from any
potentially contaminated inner clothing.
 Station #5 - Removal of inner clothing:
o
Remove all clothing worn inside the suit in cases where the suit has been penetrated and
the entry personnel are contaminated.
 Zumro Tent
 Clothes into Red Decon Bag
 Deposit Bags into Red Garbage Cans
 Station #6 - Personal shower:
o
o
Entry Team washes and rinses entire body with mild soap and water.
Contain runoff water if possible, but secondary to removing contaminants from personnel.
 Soap solution in shower line
 Water line for rinse
 Station #7 - Drying off:
o
o
Entry Team dry off using towels or whatever is available.
Place items used in an appropriate container for disposal.
 Emergency clothing such as disposable coveralls.
 Disposable towels and disposable Tyvec suits
 Station #8 - Medical evaluation:
o
o
o
Evaluate Entry Team by Medical
Check vital signs including temperature and level of consciousness.
Provide evaluation form to the team safety officer to be included in the member’s
exposure records.
 Station #9 - Transport to emergency room:
o
Medical transport personnel exhibiting any signs or symptoms of exposure for further
evaluation and observation.
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
page 6 of 8
USAMRIID’s
Medical Management of Biological Casualties Handbook
Dermal exposure to a suspected B/W aerosol should be immediately treated by soap
and water decontamination. Careful washing with soap and water removes nearly all of
the agent from the skin surface. Hypochlorite solution (bleach solution) or other
disinfectants are reserved for gross contamination(i.e. following the spill of solid or liquid
agent from a munition directly onto the skin). In the absence of chemical or gross
biological contamination, these will confer no additional benefit, may be caustic, and
may predispose to colonization and resistant superinfection by reducing the normal skin
flora. Grossly contaminated skin surfaces should be washed with a 0.5% sodium
hypochlorite solution, if available, with a contact time of 10 to 15 minutes.
To mix a 0.5% sodium hypochlorite solution, take 1 part Clorox and 9 parts water (1:9)
since standard stock Clorox is a 5.25% sodium hypochlorite solution. The solution is
them applied with a cloth or swab. The solution should be made fresh daily with the pH
in the alkaline range.
Chlorine solution must NOT be used in (1) open body cavity wounds, as it may lead to
the formation of adhesions, or (2) brain and spinal cord injuries. However, this solution
may be instilled into non-cavity wounds and then removed by suction to an appropriate
disposal container. Within about 5 minutes, this contaminated solution will be
neutralized and nonhazardous. Subsequent irrigation with saline or other surgical
solutions should be performed. Prevent the chlorine solution from being sprayed into the
eyes, as corneal opacities may result.
For decontamination of fabric clothing or equipment, a 5% hypochlorite solution should
be used. For decontamination of equipment, a contact time of 30 minutes prior to
normal cleaning is required. This is corrosive to most metals and injurious to most
fabrics, so rinse thoroughly and oil metal surfaces after completion.
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
page 7 of 8
Use NIOSH Guide for PPE and Decon solution selection.
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ABRIN Biotoxin
CYANOGEN CHLORIDE Systemic Agent
HYDROGEN CYANIDE Systemic Agent
LEWISITE Blister Agent
SULFER MUSTARD Blister Agent
POTASSIUM CYANIDE Systemic Agent
RICIN Biotoxin
SARIN Nerve Agent
SODIUM CYANIDE Systemic Agent
SOMAN Nerve Agent
TABUN Nerve Agent
VX Nerve Agent
Radiological Information
 Casualty Management After Detonation of a Nuclear Weapon in an Urban
Area
 Causality Management After a Deliberate Release of Radioactive Material
 Radioactive Contamination and Radiation Exposure.
Distribute CDC Fact Sheets to Patients
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ABRIN
ARSINE
ANTHRAX
BENZENE
BOTULISM
BROMINE
CHLORINE
CYANIDE
HYDROGEN FLORIDE (HYDROFLUORIC ACID)
LEWISITE
NITROGEN MUSTARDS
PARAQUAT
PHOSGENE
PHOSGENE OXIME
PLAGUE
RICIN
RIOT CONTROL AGENTS
SARIN
SMALL POX
SODIUM AZIDE
SOMAN
STRYCHNINE
SULFUR MUSTARD
TABUN
TULAREMIA
VIRAL HEMORRHAGIC FEVERS
VX
Hazardous Materials Incident Manual –Decon Team Leader
1/12/2012
page 8 of 8