Hospital Emergency Response Training—Home Training Emergency Treatment Area (ETA)

Incident Notification Sources of notification include Hospital personnel. Local 9-1-1 call center. Activation of Emergency Operations Center (EOC).

Incident Notification (continued) Important information includes Type of event Contaminating material, Transport method, and Responder status. Event location. Patient numbers.

ETA Trigger Events Emergency Operations Plan (EOP) lists common event triggers MCI; Hazardous Materials (HAZMAT) incident; Chemical, Biological, Radiological, Nuclear or Explosives (CBRNE) incident; Internal chemical, biological, or radiological substance release; or Hazardous substance introduced by contractor.

Upon notification of an incident The Hospital Emergency Response Team (HERT) will Establish communications with the Incident Commander (IC), Prepare ETA, and Use appropriate Personal Protective Equipment (PPE).

ETA Overview

ETA Overview (continued) ETA exclusively processes contaminated/suspected contaminated patients including From the incident site, and Walk-ins.

ETA Overview (continued) ETA area is established with the following: One entrance and one exit. Three controlled sections: Patient reception area, Decontamination corridor, and Clean treatment and transport area.

ETA Overview (continued) Advance planning must include the following site considerations: Utilities access; Hospital and ED access; Heating, Ventilating, and Air Conditioning (HVAC) intake system

ETA Overview (continued) Advance planning must also include the following site considerations: ETA equipment space requirements, Visibility, Security support, and Weather.

ETA Overview (continued) Considerations after location has been determined include Contamination containment, ETA layout, Vehicle entry, Media assembly and staging area, and Family members’ reception area.

Hazard Control Zones In hazard control zones Employees have a safe environment; Patients see effective, organized action; and Safety issues are paramount, including Access to grounds and hospital, Overall security, and Contamination containment.

Hazard Control Zones (continued) Occupational Safety and Health Administration (OSHA) defines Hospital decontamination zone (warm zone) to include Triage and patient staging, and Decontamination and postdecontamination inspection. Hospital postdecontamination zone (cold zone) to include ED, and All uncontaminated areas.

Hospital Decontamination Zone Activities in this zone include the following: Scene assessment (size-up), Scene control, Triage, Patient assembly, Treatment vs. decontamination designations, and Ambulatory vs. nonambulatory designations.

Post decontamination Zone This zone acts as A clean, uncontaminated area. Support zone for the ETA. Major treatment area. Last area for patients before hospital admission. Additionally, it is important for this zone To be near ED. To have effective security and control.

Demobilizing the ETA ETA demobilization includes taking care to Properly remove contaminated material, Decontaminate maintenance equipment, Strictly adhere to procedures for Specimen collection, and Evidence collection.

Demobilizing the ETA (continued) ETA demobilization also includes careful Site remediation, and Contaminated waste product disposal.

Postevent Actions The following actions are necessary: Perform postevent evaluations and After Action Review (AAR), Medically evaluate staff members, Update EOP as needed, File all reports and documentation, and Return hospital to normal routine.

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