CPS CASUALTY DECONTAMINATION STATION

Transcription

1 CPS CASUALTY DECONTAMINATION STATION CHECK SHEET USS REF: a) NSTM 470 b) AEL for CPS Casualty Decontamination Station Equipment c) NAVSEA Drawing for CPS Casualty Decontamination Stations CPS CASUALTY DECONTAMINATION STATION IAW S/U S/U S/U S/U S/U Station or Compartment Number 1. Control Area (CA) Ref a. Is one portable lantern installed in the CA? b. Is hands free capable intercom installed (weather tight enclosure, if located in weather)? c. Do washdown hose stations have a selectable feature in the CA, either fresh water or seawater? Primary supply, min press = 25 psi, max press = 40 psi. d. Is label installed at the weather entrance: "CASUALTY DECONTAMINATION STATION ENTRANCE FOR RECOVERY FROM CBR ATTACK, ENTER UPON COMMAND" e. Are labels installed at the proper quick disconnect fittings located at the CA: "FRESH WATER SUPPLY FOR FLUSHING THE WASHDOWN HOSE STATIONS" AND "SEAWATER SUPPLY FOR PERSONNEL DECONTAMINATION" f. Are labels installed at the appropriate intercom units: "HANDS FREE 2. Liquid Hazard Area (LHA) Ref a. Are route markers installed in weather areas to indicate the most direct route to the nearest access opening of the decontamination station? b. Decontamination station entrance marker is installed at each entrance door? c. A label plate reading ACCESS TO DECONTAMINATION STATION is installed on the weather door access? d. Door to Liquid Hazard Area operates properly and does not require adjustment e. Are two portable lanterns installed in the LHA near OVHD, one at each end of the roller table? f. Is hands free capable intercom installed? g. Is washdown hose station installed and hose of sufficient length (minimum length of 12 ft., but shall be of sufficient length to reach 1 ft. past the far side the roller tables. At least one of the hoses shall be of sufficient length to reach to all interior areas of the CAL. At least one of the hoses shall be of sufficient length to reach to all interior areas of the AAL)? h. Is Stainless Steel deck grating installed covering the entire deck w/exception of Roller Table deck track and support? i. Are three 5 in. dia. vents, w/splash shields, located on the bottom entrance face of the LHA? j. Are labels installed at the appropriate intercom units: "HANDS FREE k. Are the LHA roller table, VHA roller table, and CAL roller table the same height and level? l. Are the top of the roller table tracks level with the top of the grating in the LHA and VHA? m. Are the LHA roller table, VHA roller table, and CAL roller table centered along the same centerline? Do all rollers operate freely? n. Are two 2 Deck drains installed and operational? 1

2 3. Vapor Hazard Area (VHA) Ref a. Are two portable lanterns installed in the VHA, near OVHD, one at each end of the roller table? b. Is hands free capable intercom installed? c. Is Washdown hose station installed and hose of sufficient length (minimum length of 12 ft., but shall be of sufficient length to reach 1 ft. past the far side the roller tables. At least one of the hoses shall be of sufficient length to reach to all interior areas of the CAL. At least one of the hoses shall be of sufficient length to reach to all interior areas of the AAL)? d. Is Stainless Steel deck grating installed covering the entire deck w/exception of Roller Table deck track and support? e. Are three 5 in. Dia vents, w/splash shields, located on the top entrance face of the VHA? f. Are labels installed at the appropriate intercom units: "HANDS FREE g. Are the LHA roller table, VHA roller table, and CAL roller table the same height and level? Are the top of the roller table tracks level with the top of the grating in the LHA and VHA? h. Are the LHA roller table, VHA roller table, and CAL roller table centered along the same centerline? Do all rollers operate freely? i. Are two 2 Deck drains installed and operational? 4. Ambulatory Air Lock (AAL) Ref a. Is one portable lantern installed in the AAL? b. Is hands free capable intercom installed? c. Is Stainless Steel deck grating installed covering the entire deck w/exception of Roller Table deck track and support? d. Is one 6 in. Dia vent located on the top exit face of the AAL? e. Is one 6 in. Dia vent, w/splash shield, located on the bottom entrance face of the AAL? f. Is label installed on the inboard side of the door leading from the CPS TP zone to the AAL: "NO ENTRY EXCEPT AS DIRECTED DURING CONTAMINATION RECOVERY OR EXERCISE" g. Is label installed on the inboard side of the door leading from the CPS TP zone to the AAL: "DO NOT BLOCK CASUALTY DECONTAMINATION STATION EXIT" h. Are labels installed at the appropriate intercom units: "HANDS FREE i. Is one 2 Deck drain installed and operational? 5. Casualty Air Lock (CAL) Ref a. Is one portable lantern installed in the CAL? b. Is hands free capable intercom installed? c. Are two 4.5 in. Dia vents located on the top exit face of the CAL? d. Are two 4.5 in. Dia vents located on the bottom entrance face of the CAL? e. Is label installed on the inboard side of the door leading from the CPS TP zone to the CAL: "DO NOT BLOCK CASUALTY DECONTAMINATION STATION EXIT" f. Are labels installed at the appropriate intercom units: "HANDS FREE g. Are the LHA roller table, VHA roller table, and CAL roller table the same height and level? h. Are the top of the roller table tracks level with the top of the grating in the LHA and VHA? i. Are the LHA roller table, VHA roller table, and CAL roller table centered along the same centerline? Do all rollers operate freely? j. Is one 2 Deck drain installed and operational? 6. Casualty Decon Station Labeling Ref (c) a. The following 12 labels shall be located where specified: 2

3 1. Location: LHA Weather entrance on casualty processing side: CONTAMINATED TRIAGE AREA 1. REMOVE ALL BATTLE DRESS ITEMS 2. REMOVE ALL ORDNANCE AND WEAPONS TO DESIGNATED AREA 3. REMOVE ATROPINE INJECTOR, 2-PAM CHLORIDE INJECTOR, AND NAPP TO DESIGNATED AREA 4. TRIAGE CASUALTIES 5. DECON MASK AND RUBBER GLOVES USING DECON KIT FOR CHEMICAL HAZARD OR HTH SOLUTION FOR BIOLOGICAL HAZARD 6. DECON OVERBOOTS USING HTH SOLUTION 7. TRANSFER CASUALTY TO LIQUID HAZARD AREA UPON COMMAND THEN CLOSE DOOR 2. Location: LHA weather entrance on ambulatory processing side AMBULATORY DECON PROCEDURES CONTAMINATED TRIAGE AREA 1. REMOVE ALL BATTLE DRESS ITEMS 2. REMOVE ALL ORDNANCE AND WEAPONS TO DESIGNATED AREA 3. REMOVE ATROPINE INJECTOR, 2-PAM CHLORIDE INJECTOR, AND NAPP AND CAREFULLY DECON OUTSIDE SURFACES WARNING: ALWAYS PLACE TWO FINGERS ON THE FRONT VOICEMITTER WHEN PERFORMING BUDDY SYSTEM PROCEDURES TO PREVENT BREAKING MASK SEAL WARNING: DO NOT REMOVE MASK OUTSERT WHEN DECONING MASK 4. PERFORM BUDDY SYSTEM TO DECON MASKS AND GLOVES USING DECON KIT - DECON FINGER TIPS AND THEN DECON EXPOSED AREAS OF BUDDY'S MASK - DECON GLOVES COMPLETELY AND DO NOT TOUCH ANY CONTAMINATED SURFACE (INCLUDING THE JSLIST) INSIDE OUR OUTSIDE THE DECON STATION - BUDDY REPEATS STEP 4 5. ENTER LIQUID HAZARD AREA UPON COMMAND 3. Location: Control Area (CA) CASUALTY AIR LOCK TIME: 2 MINUTES AMBULATORY AIR LOCK TIME: 2 MINUTES AIR LOCK PURGE TIMES 4. Location: LHA on casualty processing side LIQUID HAZARD AREA 11. TRANSFER CASUALTY FROM LITTER TO ROLLER TABLE WITH HEAD TOWARDS VAPOR HAZARD AREA WARNING: DO NOT TOUCH CASUALTY S BARE SKIN NOR CHARCOAL LINING SIDE OF OUTER CLOTHING 3

4 NOTE: CUT OFF OUTER LAYER OF CLOTHING IF CASUALTY IS NOT WEARING PROTECTIVE EQUIPMENT 2. CUT OFF OUTER TROUSER AND PEEL AWAY FROM INNER CLOTHING AND SKIN 3. PULL OFF OR CUT OFF OVERBOOTS 4. CUT OFF OUTER COAT AND PEEL AWAY FROM INNER CLOTHING AND SKIN 5. PULL OFF RUBBER GLOVES 6. CUT OFF HOOD 7. GRASP OUTER CLOTHING AND PULL FLAT UNDER CASUALTY NOTE: OUTER CLOTHING WILL FALL OFF ROLLER TABLE INTO LIQUID HAZARD AREA WHILE CASUALTY IS TRANSFERRED TO VAPOR HAZARD AREA WARNING: NO TWO CASUALTY DECON STATION DOORS 8. TRANSFER CASUALTY TO VAPOR HAZARD AREA UPON COMMAND THEN CLOSE DOOR 9. BAG AND REMOVE ALL CLOTHING AND EQUIPMENT 10. DECON GLOVES, SCISSORS, AND ROLLER TABLE 11. SIGNAL FOR NEXT CASUALTY 5. Location: LHA on ambulatory processing side AMBULATORY DECON PROCEDURES FOR DOFFEE LIQUID HAZARD AREA ENTRANCE - STEP INTO BOOTWASH UPON COMMAND AND SCRUB BOOTS FOR 10 SECONDS IN FRONT OF BAG HOLDERS - UNBUCKLE SUSPENDERS THRU COAT (DO NOT REACH INSIDE COAT) - PLACE TWO FINGERS ON FRONT VOICEMITTER WHEN CUTTER IS OPERATING NEAR MASK IN FRONT OF STOOL - PLACE TWO FINGERS ON FRONT VOICEMITTER WHEN CUTTER IS OPERATING NEAR MASK WARNING: NO TWO CASUALTY DECON STATION DOORS SEATED ON STOOL - REMOVE RUBBER GLOVES (ASSISTED BY CUTTER) - PROCEED INTO VAPOR HAZARD AREA UPON COMMAND 6. Location: VHA on casualty processing side VAPOR HAZARD AREA WARNING: ONLY VHA PERSONNEL MAY TOUCH CASUALTY 1. TRANSFER CASUALTY TO ROLLER TABLE WARNING: DO NOT TOUCH CASUALTY S BARE SKIN 2. CUT OFF ALL INNER CLOTHING EXCEPT MASK 3. RINSE AWAY DIRT, BLOOD, AND DEBRIS 4. CUT OR CUT AROUND BANDAGES UPON COMMAND NOTE: COVER MASK CANISTER WITH HAND TO SHIELD FROM WATER 5. REPLACE BANDAGES OR TOURNIQUETS UPON COMMAND AND RINSE/DECON SKIN AROUND WOUND AS DIRECTED NOTE: REMOVAL AND REPLACEMENT OF IV BAG AND TUBING MAY BE NECESSARY TO REMOVE ALL CLOTHING 6. DECON IV BAG AND TUBING ARE TO BE OPENED SIMULTANEOUSLY 4

5 7. OPEN CASUALTY AIR LOCK DOOR UPON COMMAND AND REMOVE PLASTIC BAG CONTAINING PREVIOUS CASUALTY S MASK 8. TRANSFER CASUALTY TO CASUALTY AIR LOCK THEN CLOSE DOOR AND SIGNAL TO PERSONNEL IN CONTROL AREA AND CPS TP ZONE 9. BAG AND REMOVE ALL CLOTHING AND EQUIPMENT 10. DECON GLOVES, SCISSORS, AND ROLLER TABLE 11. SIGNAL FOR NEXT CASUALTY 7. Location: LHA on ambulatory processing side AMBULATORY DECON PROCEDURES FOR CUTTER LIQUID HAZARD AREA WARNING: NEVER TOUCH DOFFEE'S SKIN OR INNER CLOTHES AND DECON GLOVES AS OFTEN AS POSSIBLE CLOSE DOOR AFTER DOFFEE ENTERS LIQUID HAZARD AREA IN FRONT OF BAG HOLDERS - INSTRUCT DOFFEE TO FACE CUTTER - RELEASE VELCRO ON LEGS AND SLEEVES OF PROTECTIVE OVER GARMENT - UNSNAP COAT RETENTION CORD ON FRONT BOTTOM OF COAT - LOOSEN AND RELEASE BARREL LOCK ON HOOD - RELEASE VELCRO AND UNZIP THE COAT - INSTRUCT DOFFEE TO ABOUT FACE - PLACE HAND ON DOFFEE'S HEAD AND CAREFULLY PULL HOOD INSIDE OUT - GRASP SHOULDERS OF COAT AND REMOVE BY PULLING DOWN AND AWAY IN FRONT OF STOOL - INSTRUCT DOFFEE TO RAISE ARMS - RELEASE VELCRO AT WAIST - UNSNAP AND UNZIP PROTECTIVE TROUSERS - REMOVE SUSPENDERS WITHOUT TOUCHING SHIRT - GRASP AT THE HIPS AND PULL TROUSERS DOWN TO JUST ABOVE DOFFEE'S KNEES WARNING: DOFFEE SHALL NOT TOUCH THE STOOL WITH GLOVES OR TROUSERS DOFFEE SEATED ON STOOL - REMOVE TROUSERS ONE LEG AT A TIME - REMOVE ONE OVERBOOTS - HELP DOFFEE REMOVE RUBBER GLOVES BAG AND REMOVE ALL CLOTHING AND EQUIPMENT DECON GLOVES AND SCISSORS 8. Location: CPS TP zone near CAL CPS TP ZONE WARNING: MEDICAL PERSONNEL MUST WAIT 2 MINUTES BEFORE OPENING CASUALTY AIR LOCK DOOR TO ALLOW CASUALTY AIR LOCK TO PURGE WARNING: ONLY ONE CASUALTY AIR LOCK DOOR MAY BE OPENED AT A TIME 1. PLACE EMPTY PLASTIC BAG OVER MASK AND REMOVE MASK 5

6 2. SECURE PLASTIC BAG WITH TIE AND PLACE ON CASUALTY AIR LOCK FLOOR 3. TRANSFER CASUALTY TO CPS TP ZONE 4. CLOSE CASUALTY AIR LOCK DOOR 9. Location: LHA weather entrance EMERGENCY ACTION PRIORITIES 1. ADMINISTER CHEMICAL ANTIDOTE, IF AVAILABLE 2. CONTROL RESPIRATORY FAILURE (PROVIDE ASSISTED VENTILATION) AND/OR MASSIVE HEMORRHAGE 3. DECON THE CASUALTY 4. ADMINISTER ADDITIONAL EMT FOR SHOCK, WOUNDS, AND ILLNESSES WHICH ARE SO SEVERE THAT DELAY MAY BE LIFE OR LIMB THREATENING 5. BRING THE CASUALTY TO MEDICAL AS SOON AS POSSIBLE 10. Location. VHA on ambulatory processing side AMBULATORY DECON PROCEDURES FOR DOFFEE VAPOR HAZARD AREA IN FRONT OF BAG HOLDERS - REMOVE WORK SHOES - REMOVE INNER CLOTHING EXCEPT MASK AND PULLOVER SHIRTS (TEE SHIRTS, JERSEYS, ETC.) AND COTTON GLOVES - CUT ALL PULLOVER SHIRTS DOWN THE FRONT FROM TOP TO BOTTOM AND REMOVE - REMOVE COTTON GLOVES IN FRONT OF WASHDOWN HOSE STATION - PROCEED INTO AMBULATORY AIR LOCK UPON COMMAND 11. Location: VHA on ambulatory processing side AMBULATORY DECON PROCEDURES FOR CUTTER VAPOR HAZARD AREA CLOSE DOOR AFTER DOFFEE ENTERS VAPOR HAZARD AREA IN FRONT OF WASHDOWN HOSE STATION - INSTRUCT DOFFEE TO COVER MASK CANISTER WITH HAND TO SHIELD FROM WATER - COMPLETELY RINSE FRONT OF DOFFEE FOR 20 SECONDS (NO SCRUBBING REQUIRED) - INSTRUCT DOFFEE TO ABOUT FACE - COMPLETELY RINSE BACK OF DOFFEE FOR 20 SECONDS (NO SCRUBBING REQUIRED) BAG AND REMOVE ALL CLOTHING AND EQUIPMENT DECON GLOVES AND SCISSORS 12. Location AMBULATORY Air Lock AMBULATORY DECON PROCEDURES AMBULATORY AIR LOCK 1. REMOVE PLASTIC BAG CONTAINING PREVIOUS DOFFEE'S MASK AND PLACE IN VHA, THEN CLOSE DOOR 2. WAIT 2 MINUTES TO ALLOW AMBULATORY AIR LOCK TO PURGE 3. PLACE EMPTY PLASTIC BAG OVER HEAD, GRASP MASK BY CANISTER THROUGH BAG, PULL OFF MASK AND LET FALL INTO PLASTIC BAG 4. SECURE PLASTIC BAG WITH TIE AND PLACE ON FLOOR 6

7 5. EXIT AMBULATORY AIR LOCK 6. CLOSE AMBULATORY AIR LOCK DOOR 5. CPS Casualty Decon Station Equipment Inventory IAW QTY S/U S/U S/U S/U S/U Station or Compartment Number Number of items in QTY column are per decon station Ref (a,c) a. Bag, Disposal, 10 gal (1 box = 250 bags) 100 bags per decon station. 100 bags b. Bag, Disposal, 55 gal (1 box = 100 bags) 25 bags per decon station 25 bags c. Brush-Scrub Deck 3 d. Calcium Hypochlorite (HTH) 48 e Can-Ash x Gbg w/o cover (Trash Can 32 Gallon) 5 f. CP-Kit, M291 Decon 2 g. General Purpose Detergent (1 Gallon can) 1 i. Handle, Deck Brush 3 h. Pan, Steam Table (for Scissors) 2 i. Scissors, Bandage 10 j. Soap Bars (per station for 100 personnel processed) 10 k. Towels (per station for 100 personnel processed) 100 l. Tape, Duct (per station) 1 REMARKS: ASSESSOR(S): DATE: 7