Treatment of patients suffering from pulmonary agent exposure should focus on? Wash with decon solution that will not harm the skin. Boots, fully-encapsulating suit, inner gloves removed and deposited in separate containers lined with plastic. the potential for, and location of, exposure based on assigned worker duties, activities, and functions. What method is used to estimate a radiation dose by measuring the biological response to an absorbed dose of ionizing radiation? FM 3-11.4. What is the first step in self decontamination? Place in container with liner. What is the best method of decontamination? 4. The CANA is given only as a buddy-aid treatment for which of the following reasons? Molecules flow from areas of high concentration to areas of low concentration. 2. Patient presents with 5-day-old blisters/rash mostly on the arm, face, and hands. In addition, use of ultraviolet light can increase the risk of skin cancer and eye damage; therefore, a qualified health professional should assess the benefits and risks associated with ultraviolet light prior to its use at a waste site. If you are capable of injecting yourself with an ATNAA during self-aid, you do not need the CANA. The decontamination process should consist of a series of procedures performed in a specific sequence. Worker's air tank is exchanged, new outer gloves and boot covers donned, joints taped, and worker returns to duty. Remove or neutralize contamination. It is prepared easily by diluting household bleach to one-tenth strength (ie, 9 parts water or saline to 1 part bleach). These types of weapons have the ability to create both mass casualties as well as mass disruption of society. From a health and safety standpoint, two key questions must be addressed: Decontamination methods vary in their effectiveness for removing different substances. Wash splash suit, gloves, and safety boots. To the right of the HOTLINE, above the rectangle, two circles indicate the location of the Decon Solution and Water. 1. A patient is suffering from painful, highly corrosive burns similar to acid, and wheals have begun to appear on the skin. 1. Multiple rinses with clean solutions remove more contaminants than a single rinse with the same volume of solution. (Initial box on right side). on plastic drop cloths. The impact of the decontamination process and compounds on worker safety and health. Worker returns to duty. The sequence of stations is called the decontamination line. 2. A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. A decontamination plan should be developed (as part of the Site Safety Plan) and set up before any personnel or equipment may enter areas where the potential for exposure to hazardous substances exists. What precautions should be taken when handling chlorine? Paper or cloth towels for drying protective clothing and equipment. 3. 6. If decontamination can be performed without interfering with essential life-saving techniques or first aid, or if a worker has been contaminated with an extremely toxic or corrosive material that could cause severe injury or loss of life, decontamination must be performed immediately. If No, (Arrow to box on right side) Perform Life-Saving Procedures. All equipment used for decontamination must be decontaminated and/or disposed of properly. Station 7: Suit/Safety Boot Wash (within the CONTAMINATION REDUCTION ZONE), to Station 8: Suit/SCBA/Boot/Glove Rinse. Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days? Place laser and/or sunlight outserts in outsert pocket. These are available commercially as wash additives or anti-static sprays. The amount of radiation that an individual absorbs depends on ____? They inhibit the enzyme Acetylcholinesterase (AChE) allowing Acetylcholine (ACh) to accumulate. (b) Draw a diagram showing the locations of the two sheets, labeling the regions and drawing the field lines for each region. The effectiveness of any decontamination method should be assessed at the beginning of a program and periodically throughout the lifetime of the program. Your unit has responded within minutes to a suspected CBRNE incident. Air Tanks or Masks and Cartridges Depending Upon Level, d. 2-3 Long-Handled, Soft-Bristled Scrub Brushes. Curtains, enclosures, or spray booths to contain splashes from pressurized sprays. The door is open; many victims are lying on the floor. Which type of anthrax is responsible for the patient's symptoms? The solvent must be chemically compatible with the equipment being cleaned. Stations should be separated physically to prevent cross contamination and should be arranged in order of decreasing contamination, preferably in a straight line. Remove and open canteen. Often this term is used to describe incidents that involve one of these materials, ranging from an industrial accident to a terrorist attack. The first step in decontamination is to establish Standard Operating Procedures that minimize contact with waste and thus the potential for contamination.. What category is Cbrne described as? Removing clothing and washing with warm soapy water. 5. What is the correct procedure to decontaminate personal equipment using M100 SDS? c. 2-3 Long-Handled. 4. delayed until past the time of bone marrow suppression and delayed wound healing. Long handled brushes, rods, and shovels for dislodging contaminants and contaminated soil caught in tires and the undersides of vehicles and equipment. Chemical Detector Paper/Kits. 11. He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. Which of the following is the last step done for both the waist carry and shoulder carry configuration for the M50 Joint-Service General Purpose (JSGPM)? The filter service life indicator turns blue. Stow audio equipment in main stowage area. They are: Respiratory Protection & Chemical Protective Garments. Based on the information would you suspect chickenpox or smallpox? If worker leaves exclusion zone to change air tank, this is the last step in the decontamination procedure. Remove outer boots and gloves. These procedures were derived from the U.S. Environmental Protection Agency, Office of Emergency and Remedial Response's (OERR), "Interim Standard Operating Safety Guides (revised Sep. 82)". Which of the below courses of action is most appropriate for the situation? Decontamination methods either (1) physically remove contaminants, (2) inactivate contaminants by chemical detoxification or disinfection/sterilization, or (3) remove contaminants by a combination of both physical and chemical means. (A series of three arrows in the upper right, one arrow 20 degrees above and the other arrow 20 degrees below the central arrow, indicate wind direction toward the HOTLINE.) 1.41010B)1.21051.2 \times 10^{-5} Consult specialists if necessary. stand for? on plastic drop cloths or in different containers with plastic liners. Assuming you want a sentence related to the background information: The best way to learn something new is to break it down into small, manageable steps. Used in life-threatening situations, the goal is to remove contaminant as quickly as possibl. Which of the following is NOT a physical requirement of those expected to wear PPE? Pulmonary (choking) agents primarily enter the victim by what means? The purpose of the decontamination process is to reduce the number of these contaminants in order to . Wash hands and face if shower is not available. The level and types of decontamination procedures required depend on several sitespecific factors including: Decontamination procedures must provide an organized process by which levels of contamination are reduced. A)1.410101.4 \times 10^{-10} For example: In addition, Standard Operating Procedures should be established that maximize worker protection. You approach the scene of a terrorist incident that occurred 2 minutes prior in an enclosed room. Boots,chemical-resistant suit, inner gloves removed and deposited in separate containers lined with plastic. ____ poisoning. Emergency Preparedness and Response Course Study with Quizlet and memorize flashcards containing terms like You are certain that your patient, who is now convulsing from nerve agent exposure After an enemy rocket attack, your unit's chemical audio-visual alarms begin signaling the presence of a chemical-warfare agent (CWA). The "green" formulations involve the use of a water-based solution consisting of a synthetic biodegradable polymer, polyvinyl alcohol (PVA), together with a natural polymer (sodium alginate) as the polymer matrix and bentonite as . Rinse off decon solution using copious amounts of water. This is particularly important when decontaminating personal protective clothing constructed of organic materials that could be damaged or dissolved by organic solvents. SCBA backpack and facepiece is removed (avoid touching face with fingers). Two arrows continue from the second divided Decon rectangle to a circle marked with an X that has an upward pointing arrow, that turns back toward the dashed HOTLINE to an area labelled Redress: Boot Covers and Outer Gloves, and crosses the dashed HOTLINE. 2. Unmasking Procedures Without the M256-Series Chemical Detector Kit. . Remove mitt for decom kit 2. Wash patient with their clothing still on. Worker's canister is exchanged. Table 2. Presidential Policy Directive-8 Decontamination will be conducted in the __________ hazard zone. Mission-oriented protective posture (MOPP) provides commanders a flexible system of individual protective equipment (IPE). Methods of Disinfection Many disinfectants are used alone or in combinations (e.g., hydrogen peroxide and peracetic acid) in the health-care setting. It is reported that the smell of bitter almonds is in the air. Volatile liquid contaminants can be removed from protective clothing or equipment by evaporation followed by a water rinse. Disinfection refers to the elimination of virtually all pathogenic organisms on inanimate objects and surfaces thereby reducing the level of microbial contamination to an acceptably safe level. What type of viral infection do you suspect? Use remote sampling, handling, and container-opening techniques (e.g., drum grapplers, pneumatic impact wrenches). Rinse off decon solution from station 2 usingcopious amounts of water. The information in this document is meant to supplement methods and procedures in FM 3-11.5 based on current guidance from the CDC and World Health Organization (WHO). 3. Scrub with long-handle scrub brush and decon solution. Slowly passing a radiation detector (RADIAC) over the entire body. Eyelens first, covered by head harness skullcap, and facing away from the body. 2.81012D)9.91029.9 \times 10^{-2} (a) Determine the magnitude and direction of the electric field in all regions of space. Patient is alert and oriented during the exam. Remove face piece. Any decontamination method that permeates, degrades, damages, or otherwise impairs the safe functioning of the PPE is incompatible with such PPE and should not be used. Raise the mask to your face and place your chin firm in the chin cup Workers with large areas of damaged skin should be kept from working on site until the skin heals. Open mask carrier flap and remove the mask Stress work practices that minimize contact with hazardous substances (e.g., do not walk through areas of obvious contamination, do not directly touch potentially hazardous substances). Another way to test the effectiveness of decontamination procedures is to analyze for contaminants left in the cleaning solutions. Recognizing which compartment(s) are damaged and minimizing that damage. A dashed line cutting vertically through this rectangle indicates the HOTLINE. Determine the number and layout of decontamination stations. All personnel should be trained in the Standard Operating Procedures for minimizing contact and maximizing worker protection, and these procedures should be enforced throughout site operations. origins and history of globalization epoch; objects of affection central idea. 9. A patient who works at an insecticide manufacturing plant is admitted to the emergency room. Which of the below courses of action is most appropriate for the situation? Do not wear inner clothing off-site since there 'is a possibility that small amounts of contaminant might have been transferred in removing the fully-encapsulating suit. Suppose that you are standing on a skateboard near a wall and you push on the wall with a force of 30N30 \mathrm{~N}30N. These include alcohols, chlorine and chlorine compounds, formaldehyde, glutaraldehyde, ortho -phthalaldehyde, hydrogen peroxide, iodophors, peracetic acid, phenolics, and quaternary ammonium . The Station 8 numbered hexagon has two arrows, the first arrow points to Station 9: Change and Redress - Boot Cover/Outer Gloves, which has an upward arrow that crosses the HOTLINE reentering the EXCLUSION ZONE, and the second arrow, continuing downward to Station 10: Safety Boot Removal, to Station 11: Fully Encapsulating Suit with Hard Hat Removal, to Station 12: SCBA Backpack Removal, to Station 13: Inner Glove Wash, to Station 14: Inner Glove Rinse, to Station 15: Face Piece Removal, to Station 16: Inner Glove Removal, to Station 17: Inner Clothing Removal which has an arrow crossing downward past the CONTAMINATION CONTROL LINE, to Station 18: Field Wash (within the SUPPORT ZONE), which has an arrow across to Station 19: Redress, the final station. Cold water may also cause hypothermia. (b) Show that if your mass is 60kg60 \mathrm{~kg}60kg your acceleration while pushing will be 0.5m/s20.5 \mathrm{~m} / \mathrm{s}^20.5m/s2. Hands and face are thoroughly washed. Both the inner and outer surfaces of protective clothing should be tested. In dental health care settings, all instrument cleaning, disinfecting, and sterilizing should occur in a designated central processing area in order to more easily control quality and ensure safety. For example, proper procedures for dressing prior to entering the Exclusion Zone will minimize the potential for contaminants to bypass the protective clothing and escape decontamination. When giving the visual CBRN alarm hand and arm signal, what is the proper way to extend your arms and position your hands? Which of the following statements are correct regarding biological weapon characteristics? Rinse off decon solution using water. They should only be used for decontamination in extreme cases where other cleaning agents will not remove the contaminant. General Guide to Solubility of Contaminants In Four Solvent Types. With assistance of helper, remove splash suit. Prior to each use, the personal protective equipment (PPE) should be checked to ensure that is contains no cuts or punctures that could expose workers to wastes. Remove boot covers and deposit in container with plastic liner. 12. 8. Don your mask before going into the room Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure. (A series of three arrows in the upper right, one arrow 20 degrees above and the other arrow 20 degrees below the central arrow, indicate wind direction toward the HOTLINE.) (Continue to decision arrow below) Further Medical Attention or Surveillance Required? Natural light. Another series of arrows pointing downward go to another rectangle, the Remove SCBA final decon area. There are 4 main categories of physical and chemical means of decontamination: (1) heat; (2) liquid disinfection; (3) vapors and gases; and (4) radiation. Saving and protecting life Saving of life is the first priority of all responding agencies. Some detergents can be used with organic solvents to improve the dissolving and dispersal of contaminants into the solvent. Which of the following decontamination method is NOT recommended for removing vesicants from casualties? The Equipment Drop Area (from left to right) is indicated by a rectangle with a circle below indicating the location of the Plastic sheet and a right pointing arrow to another rectangle divided by a diagonal line into the Decon Outer Garments area and the Remove Boot Covers and Outer Gloves area with a circle below indicating the location of a 10 gallon can. If No, (Arrow to sixth box below) Method OK to use. What are the three methods of decontamination? 5. CBRNE is an acronym for Chemical, Biological, Radiological, Nuclear, and high yield Explosives. 2. 3. Because of the potential hazards, decontamination using chemicals should be done only if recommended by an industrial hygienist or other qualified health professional. If immediate medical treatment is required to save a life, decontamination should be delayed until the victim is stabilized. Disinfection/Sterilization. The decontamination plan should: The plan should be revised whenever the type of personal protective clothing or equipment changes, the site conditions change, or the site hazards are reassessed based on new information. Air Tanks or Face Masks and Cartridge Depending on Level, a. Dressing Trailer is Needed in Inclement Weather, a. 3. Another series of arrows pointing downward go to another rectangle, the Remove Mask final decon area. What are the proper masking procedures? What type of viral infection do you suspect? 1. How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? If worker leaves exclusion zone to change air tank, this is the last step in the decontamination procedure. Don FPM and check seal Appropriate equipment and clothing for protecting decontamination personnel should be selected by a qualified health and safety expert. Decontamination methods may: The chemical and physical compatibility of the decontamination solutions or other decontamination materials must be determined before they are used. 2. Another arrow from the circle marked with an X continues to a rectangle indicating the area to Remove Boots/Gloves and Outer Garments (For Disposal and Off Site Decontamination) with a circle below indicating the location of a 32 gallon can. Surfactants. Which of the following is considered a pulmonary (choking) agent? This study presents the formulation and application of strippable coatings for the entrapment and removal of heavy metals (HMs) and radio nuclides (RNs). Worker's air tank is exchanged. Storage tanks of appropriate treatment systems for temporary storage and/or treatment of contaminated wash and rinse solutions. Amyl nitrite, sodium nitrite, sodium thiosulfate. 4. Administer the ATNAA. Close your eyes, stop breathing and hold your breath You suspect Lewisite. The methods available for protecting workers during decontamination. You can wash your hands, face, and parts of your body that were uncovered at a sink or faucet. 1.3 The maximum decontamination procedures for all levels of protection consist of specific activities at nineteen stations. As a rule, gases, vapors, and low-viscosity liquids tend to permeate more readily than high-viscosity liquids or solids. Place the mask in the carrier. The decontamination site should NOT be located. new outer gloves and boot covers donned, and joints taped. 9.9102E)6.91096.9 \times 10^{-9}6.9109. Repeat process for both eyes. Shower if highly toxic skin-corrosive or skin-absorbable materials are known or suspected to be present. What blood test is available that will give an accurate estimate of radiation dose? Expectant Expand All Heat sterilization (wet or dry) Liquid disinfection Vapors and gases Radiation (ionizing or non-ionizing) Expand All Contact EH&S Biosafety .