FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Enhanced Operations FEB00
Overview Time consuming Personnel and equipment intensive FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Overview Time consuming Personnel and equipment intensive For US&R personnel and rescued victims or as directed Least amount of evidence destroyed Decon equipment provided to TFs is based on mission requirement FEB00
Objective Students will setup and operate a decontamination corridor FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Objective Students will setup and operate a decontamination corridor FEB00
Decontamination Haz Mat Specialist will normally have oversight of decon operations Get “clean” patients to the hospital Verify with instrumentation Protect the integrity of the hospital Protect TF members
Believe it or not, you have a role in this. FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Decontamination Prompt, safe, and effective decontamination protects against and reduces effects of exposure. Believe it or not, you have a role in this. FEB00
Working definition of Decontamination A chemical and/or physical process to remove and prevent the spread of a contaminant from an emergency scene because of the contaminant’s ability to cause harm to living beings and/or the environment
Types of Decontamination FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Types of Decontamination Emergency Gross Technical FEB00
Emergency Decontamination Fire Hose near point of Entry Decontamination Foam Distributor Design system per the mission
Gross Decontamination Remove clothing Cut victim clothing off if needed Better to remove clothing dry if possible Do not remove responder CPC Remove respiratory protection last Remove contaminates Water Brushes and/or wipes
Technical Decon TF Four Step process Gross Wash Wash & Rinse Doffing of CPC & Respiratory Equipment Personal Shower
Decontamination Situations FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Decontamination Situations Obvious contamination with known substance Suspected contamination with known substance Any likelihood of exposure to a hazardous substance Prevent spread of contaminant Environmental protection FEB00
Perform Decon by Priority TF members and canines who are ill, symptomatic, or have compromised PPE Rescued victims TF Members and canines with intact PPE and are asymptomatic
Basic Decontamination Equipment Buckets and brushes Decon solution and containment berms Dedicated water supply Plastic sheeting and chairs
Basic Decon Equipment Containment vessel for runoff and pump waste water Appropriate PPE for decon workers
Objectives of TF Members Don appropriate level of PPE Properly wear and operate in PPE Establish operating time log Setup and operate decon line Conduct triage Communicate while in PPE
Decontamination of PPE - TF Members Rinse, head to foot-Gross Wash Scrub suit with brush, head to foot-Wash/Rinse Attend to heavily contaminated areas (hands, feet, front of suit) Rinse again, head to foot Assist TF member in removing CPC (Do not reach inside, roll CPC down from outside)
Decontamination of TF Members If dealing with known contaminate Perform personal shower Eliminate possibility of contaminating BoO Ensure safety of Medical Evaluators
Decontamination Supervisor Responsible for final walkthrough of corridor Ensures supplies present Addresses runoff containment Safe and efficient operations
Medical Decon Liaison Responsible for medical QC Observe the need for medical intervention Liaison with decon supervisor Positioned to observe all leaving hot zone
EPA Position on Runoff The EPA position on runoff states that you can avoid capturing waste if it is a matter of life and death.
US&R WMD Standardized Decon Scope FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes US&R WMD Standardized Decon Scope US&R Decon operations intended to serve: Task Force Personnel K-9 teams Others as directed Victims extricated by US&R Task Force Decon Equipment “Basic” decon equipment added to Task Force Cache FEB00
Standardized Decon Staffing FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Standardized Decon Staffing Decon supervised by Haz Mat Specialist Decon positions filled by any available personnel All TF members receive basic decon training Medical Specialist conduct Triage FEB00
Standardized Decon Equipment Added FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Standardized Decon Equipment Added KD Canopies 10’by 20’ Air space heater Water Heater Generators Tube lighting Work lights NOTE: Tent and tarp colors may vary FEB00
Standard Decon Equipment Added FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Standard Decon Equipment Added Electrical extension cords & water hoses 600-gallon waste bladders Gross Decon showers Modular Decon Tent FEB00
Additional Decon Equipment Buckets Scrub Brushes Tent tie-down straps or weights Water Supply Soap Plastic sheeting Trash or collection containers (SCBA’s, CPC)
Fresh Air Space Heater Portable with wheels and handles FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Fresh Air Space Heater Portable with wheels and handles Provides breathable heated air -110,000 btu output, 850 cfm fan Multi-fuel (kerosene, diesel, fuel oil, JP 4/8) 16 hours on 1 tank of fuel FEB00
Water Heater Portable 60°F to 105°F at 1000 gallons per hour (18 gpm) FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Water Heater Portable 60°F to 105°F at 1000 gallons per hour (18 gpm) Adjustable thermostat Fuels - diesel #1/2, JP or kerosene Solid state ignition - ignites when water flows Onboard pressure reducing valve FEB00
Water Run Off FEMA purchased, collapsible berms Sump Pumps FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Water Run Off FEMA purchased, collapsible berms Sump Pumps Water Bladders Plastic Sheeting FEB00
Cover with Tents Use tents for privacy and inclement weather FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Cover with Tents Use tents for privacy and inclement weather NOTE: Tents, tarps, and plastic sheeting colors may vary FEB00
Cold Weather Use Tents with Sidewalls Space heater Hot water heater FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Cold Weather Use Tents with Sidewalls Space heater Hot water heater Zippers for entrance and exit May need a “Party Tent” if weather is severe to cover the entire corridor IST or Local Jurisdiction Help FEB00
Standardized TF Decon Site Layout FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Standardized TF Decon Site Layout Face into the wind, back to hot zone Face upgrade, drain to contaminated zone or to side Large enough to keep clean from contamination Place heaters upwind and upgrade to help avoid contamination Plastic bags on hand to collect personal items FEB00
Three lane modular scrub and rinse tent 600 gal Waste Bladder Generator Generator Water Source Decon Setup Diagram Water Heaters Light Light Manifold Warm Water KD Canopy 10’ x 20” Medical & Rehab Tent Tube light 3-KD Canopies 10’ x 20” Tube Lights Sump Pump 3 gpm Shower Sump Pump Personal Shower Doff Area Tube light DOFF Tent Redress Male Cold Water Tube light 3 gpm Shower Sump Pump Three lane modular scrub and rinse tent Personal Shower Tube light Gross Decon Redress Female Decon Tent DOFF Tent Gross Decon Showers w/1” inlets & 1 WW Pump Spill blocker dike SCBA Rinse Barrels Electrical Cold water Warm water Waste water Tube light Sump pump Waste barrel SCBA decon KD Canopy 10’ x 20” Donning Tent Tube light SCBA Drop off and rehab Light Light
Decon Solution Soap and water in most cases FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Decon Solution Soap and water in most cases Sandia Foam may be available Hazmat Specialist can arrange for other solutions if needed FEB00
US&R WMD Standard Decon Process FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes US&R WMD Standard Decon Process Step One – Gross Decon (Shower) Step Two - Wash and Rinse Modular pre-plumbed 3 lane shower Step Three- Remove Outer Protection Respiratory protection removed last MONITOR Step Four – Personal Hygiene Shower FEB00
Step 1. Gross Decon Rinse thoroughly in shower FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Step 1. Gross Decon Rinse thoroughly in shower FEB00
APR’s and Gross Decon Do not enter Gross Decon unassisted if you are wearing APR or Canister type Mask Apply Specific Gross Spray by Decon Assistant Water will clog filters if subjected to uncontrolled gross wash
Step 2. Decon Wash and Rinse FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Step 2. Decon Wash and Rinse Scrub clean (helpers on hand) Person spread arms and legs, rotate for cleaning FEB00
Step 2. Decon Wash and Rinse Wash top down Medical Specialists assist with victims Assistants must decon themselves before they leave corridor
Decon Tent
Step 3. Remove Outer Protection FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Step 3. Remove Outer Protection Remove CPC; not respirator Place CPC in container for disposal Prevent cross contamination Turn CPC inside out as it is removed Peel CPC off rescuer without touching inside of CPC Remove respirator after leaving area FEB00
FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Post Decon Monitoring Personnel/Victims exiting decon checked with monitoring instruments by Haz Mat Specialists If contaminants still present after removing CPC, or working in known contaminants, then personal hygiene is high priority FEB00
Step 4. Personal Hygiene May be on or off site FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Step 4. Personal Hygiene May be on or off site Victims must be clean before evacuation Personal hygiene can range from hand washing to showering FEB00
After Decon Water Disposal FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes After Decon Water Disposal Contained water, when collected, should be removed by another agency or contractor Ask for established policy as per Decon Plan IST EPA FEB00
Post Decon Medical Evaluation Rehabilitation Reports and exposure logs FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Post Decon Medical Evaluation Rehabilitation Reports and exposure logs Haz Mat tracking Medical reports Documentation is Critical FEB00
Summary Decontamination theory Standard plan Provide protection to all FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Summary Decontamination theory Standard plan Provide protection to all Haz Mat Specialist coordinates decon Emergency decon is four steps Decon layout FEB00
Module 4 Activity: Setup and Operate a DECON Corridor FEMA US&R Response System Structural Collapse Technician Training Module 2 A. Shoring Basics - Instructor’s Slides + Notes Module 4 Activity: Setup and Operate a DECON Corridor FEB00
Activity Layout containment berms Assemble tents and showers Setup and operate water heater Setup and operate space heater Walk through decon process