Performing Emergency Decontamination Skill Sheet #1 Standard 5.1.2.2, 5.4.1, Task: Correctly perform emergency decontamination of a victim. A.3.3.17.1 Evaluator Instructions: The candidate shall conduct emergency decontamination using the appropriate equipment provided. Performance Outcome: The candidate shall be able to correctly conduct emergency decontamination on a victim who has an unexpected exposure or contamination of product. Candidate Directive: Correctly provide emergency decontamination at a hazardous materials incident. 1. Ensure that you have the appropriate PPE to protect against the chemical threat. 2. Stay clear of the product, and do not make physical contact with it. 3. Make an effort to contain runoff by directing victims out of the hazard zone and into a suitable location for decontamination. 4. Instructor assist victims in removing contaminated clothing. 5. Rinse victims with copious amounts of water. Avoid using water that is too warm or too cold; room-temperature water is best. 6. Provide or obtain medical treatment for victims, and arrange for their transport. Approved By: Evaluator: Candidate Comments: Re-Test
Skill Sheet #2 Donning a Level B Non-encapsulated Chemical-Protective Clothing Ensemble Standard 6.2.4.1 Task: Correctly don a Level B non-encapsulated chemical-protective clothing ensemble. Evaluator Instructions: The candidate shall be provided with the appropriate equipment to don a Level B nonencapsulated chemical-protective clothing ensemble. Performance Outcome: The candidate shall be able to correctly don a Level B non-encapsulated chemical-protective clothing ensemble. Candidate Directive: Correctly don a level B non-encapsulated chemical-protective clothing ensemble. 1. Conduct a pre-entry briefing, medical monitoring, and equipment inspection. 2. Sit down, pull on the suit to waist level; pull on the chemical boots over the top of the chemical suit. Pull the suit boot covers over the tops of the boots. 3. Don the inner gloves. 4. With assistance, complete donning the suit by placing both arms in the suit and pulling the suit over the shoulders. 5. Instruct the assistant to close the chemical suit by closing the zipper and sealing the splash flap. 6. Don the SCBA frame and SCBA face piece, but do not connect the regulator to the face piece. 7. With assistance, pull the hood over the head and SCBA face piece. 8. Place the helmet on the head. 9. Pull the outer gloves over or under the sleeves, depending on the situation. 10. Instruct the assistant to connect the regulator to the SCBA face piece and ensure that the air flow is working correctly. 11. Review hand signals, and indicate that you are okay. Approved By: Evaluator: Re-Test
Skill Sheet #3 Doffing a Level B Non-encapsulated Chemical-Protective Clothing Ensemble Standard 6.2.4.1 Task: Correctly doff a Level B non-encapsulated chemical-protective clothing ensemble. Evaluator Instructions: The candidate shall be provided with the appropriate equipment to doff a Level B nonencapsulated chemical-protective clothing ensemble. Performance Outcome: The candidate shall be able to correctly doff a Level B non-encapsulated chemical-protective clothing ensemble. Candidate Directive: Correctly doff a Level B non-encapsulated chemical-protective clothing ensemble. 1. After completing decontamination, proceed to the clean area for suit doffing. 2. Doff the SCBA frame. Keep the face piece in place while the SCBA frame is held or placed on the ground. 3. Instruct the assistant to open the chemical splash flap and suit zipper. 4. Remove your hands from the outer gloves and arms from the sleeves, and cross your arms in front inside the suit. 5. Instruct the assistant to begin at the head and roll the suit down and away until the suit is below waist level. 6. Sit down and instruct the assistant to complete rolling down the suit to the ankles. Step out of the outer boots and suit. 7. Doff the SCBA face piece and helmet. 8. Carefully peel off the inner gloves and go to the rehabilitation area for medical monitoring, rehydration, and personal decontamination shower. Approved By: Evaluator: Re-Test
Skill Sheet #4 Performing Technical Decontamination on a Responder Standard 3.3.17.4, 6.2.4.1, 6.4.1.2.2, 6.4.4.3 Task: Perform technical decontamination on a responder. Evaluator Instructions: The candidate shall be provided with full personal protective equipment (PPE), a self-contained breathing apparatus (SCBA), and a shower. Performance Outcome: The candidate shall be able to demonstrate and explain how to safely decontaminate gear and equipment. Candidate Directive: Demonstrate how to safely decontaminate gear and equipment. 1. Drop any tools and equipment into a tool drum or onto a designated tarp. 2. Perform gross decontamination, if necessary. 3. Perform technical decontamination. Wash and rinse the responder one to three times. 4. Remove outer hazardous materials protective clothing. 5. Proceed to the rehabilitation area for medical monitoring, rehydration, and personal decontamination shower. Approved By: Evaluator: Re-Test
Performing Mass Decontamination on Ambulatory Victims Standard 6.3.4.2 Skill Sheet #5 Task: Correctly perform mass decontamination of multiple simulated ambulatory victims. Evaluator Instructions: The candidate shall demonstrate the setup and use of mass decontamination on ambulatory victims, using the appropriate equipment. Based on availability of apparatus the set may include the use of a single or multiple fire engines and any other apparatus that may be available by the authority having jurisdiction. Performance Outcome: The candidate shall be able to correctly set up and conduct mass decontamination for ambulatory victims. Candidate Directive: Correctly set up and demonstrate the use of mass decontamination for ambulatory victims, using single or multiple fire engines and any additional apparatus based on locality availability. 1. Ensure you have the appropriate PPE to protect against the chemical threat. 2. Stay clear of the product, and do not make physical contact with it. 3. Direct victims out of the hazard zone and into a suitable location for decontamination. 4. Set up the appropriate type of mass decontamination system based on the type of apparatus, equipment, and/or system available. 5. Instruct victims to remove their contaminated clothing and walk through the decontamination corridor. 6. Flush the contaminated victims with water. (A water temperature of 70 F (21 C) is ideal but may not be possible. Try to avoid using water that is uncomfortably hot or cold.) 7. Direct the contaminated victims to the triage area for medical evaluation, which may include on-scene treatment and/or transport to an appropriate receiving hospital. (Many agencies provide modesty/comfort packages after decontamination that include gowns, booties, towels, and other pertinent items.) Approved By: Evaluator: Re-Test
Skill Sheet #6 Performing Mass Decontamination on Non-ambulatory Victims Standard 6.3.4.2 Task: Correctly perform mass decontamination of multiple simulated non-ambulatory victims. Evaluator Instructions: The candidate shall demonstrate the setup and use of mass decontamination on non-ambulatory victims, using the appropriate equipment. Based on availability of apparatus the set may include the use of a single or multiple fire engines and any other apparatus that may be available by the authority having jurisdiction. Performance Outcome: The candidate shall be able to correctly set up and conduct mass decontamination for nonambulatory victims. Candidate Directive: Correctly set up and demonstrate the use of mass decontamination for non-ambulatory victims, using single or multiple fire engines and any additional apparatus based on locality availability. 1. Set up the appropriate type of mass decontamination system based on the type of apparatus, equipment, and/or system available. 2. Ensure you have the appropriate PPE to protect against the chemical threat. 3. Remove the appropriate amount of the victim s clothing. Do not leave any clothing underneath the victim; these items may wick the contamination to the victim s back and hold it there, potentially worsening the exposure. (Medical trauma scissors are a helpful and rapid way to accomplish this step.) 4. Flush the contaminated victims with water. (A water temperature of 70 F (22 C) is ideal but may not be possible. Try to avoid using water that is uncomfortably hot or cold.) Make sure to rinse well under and around the straps that may be holding the victim to a backboard or other extrication device. Take care to avoid compromising the victim s airway with water during the process. 5. Move the victims through the decontamination corridor and into the triage area for medical evaluation, which may include on-scene treatment and/or transport to an appropriate receiving hospital. In most cases, significant medical treatment should be provided after decontamination, in a designated medical treatment area. Approved By: Evaluator: Re-Test
Skill Sheet #7 Using Damming, Diking, Diverting, Dilution, Absorption, and Retention as defensive actions Standard 5.5.1, 5.5.2, 6.6.4.1 Task: Correctly perform the selected defensive actions. Evaluator Instructions: The candidate shall be able to demonstrate the defensive control activities: Damming, Diking, Diverting, Dilution, Absorption, Retention. Performance Outcome: The candidate shall be able to properly construct the selected defensive control actions as set out in the plan. Candidate Directive: Correctly control a spill using two of the selected defensive control actions below. 1. Damming/Diking/Diverting/Dilution/Absorption/Retention: Choose A, B, C, D, E, F, or G, below: A. Construct a retention B. Construct a dike C. Construct a diversion dam D. Apply absorbent pads, booms, or other absorbent material E. Demonstrate appropriate dilution procedure F. Construct an overflow dam G. Construct and underflow dam H. Operate a remote shutoff valve 2. Determine the status of defensive actions taken to accomplish the response objective. 3. Communicate that status to the Incident Commander through the chain of command. Approved By: Evaluator: Re-Test
Skill Sheet #8 Using Vapor Dispersion to Manage a Hazardous Materials Incident Standard 5.5.1, 5.5.2, 6.6.4.1 Task: Correctly utilize vapor dispersion as a product control solution. Evaluator Instructions: The candidate shall use vapor dispersion as a product control solution. Performance Outcome: The candidate shall be able to correctly use vapor dispersion for product control. Candidate Directive: Correctly control a product release using vapor dispersion. 1. Based on the characteristics of the released material, the size of the release, and the topography, determine the viability of a dispersion operation. 2. Use the appropriate monitoring instrument, such as a combustible gas indicator, photo-ionization detector, or multi-gas meter, to determine the boundaries of a safe work area. 3. Ensure that ignition sources in the area have been removed or controlled. 4. Apply a water spray (from firefighting hose lines) from a distance to disperse vapors. 5. Monitor the environment until the vapors have adequately dispersed. 6. Determine the status of defensive actions taken to accomplish the response objective. 7, Communicate that status to the Incident Commander through the chain of command. Approved By: Evaluator: Re-Test
Skill Sheet #9 Using Vapor Suppression to Manage a Hazardous Materials Incident Standard 6.6.4.1 Task: Safely utilize vapor suppression as a product control solution. Evaluator Instructions: The candidate shall demonstrate the use of vapor suppression as a product control solution. Performance Outcome: The candidate shall be able to safely use vapor suppression as a method of product control. Candidate Directive: Safely control a flammable liquid product release using vapor suppression. 1. Based on the characteristics of the released material, the size of the leak, and the topography, determine the viability of a vapor suppression operation. 2. Use the appropriate instrument to determine the boundaries of a safe work area. 3. Ensure that ignition sources in the area have been removed or safely controlled. 4. Apply appropriate type of foam from a safe distance to suppress vapors. 5. Monitor the environment until the vapors have been adequately suppressed. Approved By: Evaluator: Re-Test
Foam Application Skill Sheet #10 Standard 6.6.4.1 Task: Correctly perform the selected method of applying foam. Evaluator Instructions: The candidate shall demonstrate the selected method of applying foam. Performance Outcome: The candidate shall be able to correctly perform the selected method of applying foam. Candidate Directive: Correctly perform the selected method of applying foam. 1. Candidate will demonstrate the correct technique for applying foam: Choose A, B, or C below: A. Rain-Down method B. Roll-In method C. Bounce-Off method Approved By: Evaluator: Re-Test
Implement the Response Skill Sheet #11 Standard 5.1.2.2 & 5.5.2 Task: Implement the planned response to a HM/WMD incident, and communicate the status of the incident. Evaluator Instructions: The candidate shall verbalize the ability to implement a planned response to a HM/WMD incident and communicate the status. Performance Outcome: The candidate shall be able to correctly verbalize steps involved to implement a planned response to a HM/WMD incident and communicating the status of the incident Candidate Directive: Verbalize the steps to implementing a planned response to a HM/WMD incident and communicate the status, for (evaluator provide chemical name or UN number) 1. Establish scene control procedures and zones 2. Preserve evidence where criminal or terrorist acts are suspected 3. Initiate the ICS system 4. Make proper notifications according to SOP s and the State Plan 5. Terminate the incident by completing the reports and documentation including PPE used. Approved By: Evaluator: Re-Test