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

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

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

4. 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.

5. 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).

6. ETA Overview

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

8. 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.

9. 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

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

11. 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.

12. 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.

13. 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.

14. 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.

15. 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.

16. 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.

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

18. 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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