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National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System

Weapons of Mass Destruction

Module 4: Standardized Decontamination Procedures

Mod 4-1Version 3

Enhanced Operations

Mod 4-2Version 3

National Urban Search & Rescue Response System


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

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ObjectiveStudents will setup and operate a decontamination corridor

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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

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Decontamination

Prompt, safe, and effective decontamination protects against and

reduces effects of exposure.

Believe it or not, you have a role in this.

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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

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Types of Decontamination

Emergency Gross Technical

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Emergency Decontamination

Fire Hose near point of Entry

Decontamination Foam Distributor

Design system per the mission

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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

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Technical Decon TF Four Step process

Gross Wash Wash & Rinse Doffing of CPC & Respiratory Equipment Personal Shower

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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

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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

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Basic Decontamination Equipment Buckets and brushes Decon solution and containment berms Dedicated water supply Plastic sheeting and chairs

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Basic Decon Equipment Containment vessel for runoff and

pump waste water Appropriate PPE for decon workers

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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

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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)

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Decontamination of TF Members If dealing with known contaminate

Perform personal shower Eliminate possibility of contaminating

BoO Ensure safety of Medical Evaluators

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Decontamination Supervisor Responsible for final walkthrough of

corridor Ensures supplies present Addresses runoff containment Safe and efficient operations

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Medical Decon Liaison Responsible for medical QC Observe the need for medical

intervention Liaison with decon supervisor Positioned to observe all leaving hot

zone

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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.

Mod 4-21Version 3



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

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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

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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

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Standard Decon Equipment Added

Electrical extension cords & water hoses

600-gallon waste bladders

Gross Decon showers Modular Decon Tent

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Additional Decon Equipment Buckets Scrub Brushes Tent tie-down straps or weights Water Supply Soap Plastic sheeting Trash or collection containers

(SCBA’s, CPC)

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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

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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

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Water Run Off FEMA purchased, collapsible berms Sump Pumps Water Bladders Plastic Sheeting

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Cover with Tents

Use tents for privacy and inclement weather

NOTE: Tents, tarps, and plastic sheeting colors may vary

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Cold Weather UseTents 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

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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

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Decon Setup Diagram

SCBA Drop off and rehab

3-KD Canopies 10’ x 20”

SCBA Rinse Barrels

Gross Decon Showers w/1” inlets & 1 WW Pump

Spill blocker dike

Light Light

DOFF Tent

DOFF Tent

Gross Decon

Decon Tent

Redress Male

Redress Female

Three lane modular scrub and rinse tent

Doff Area

Tube LightsSump Pump

Tube light

Personal Shower

Personal Shower

KD Canopy 10’ x 20”

Donning Tent

Tube light

KD Canopy 10’ x 20”

Medical & Rehab Tent

Tube light

GeneratorWater Source

600 gal Waste

Bladder

Water Heaters

Manifold

Light Light

Generator

Warm Water

Cold Water

ElectricalCold waterWarm waterWaste waterTube lightSump pump

Waste barrel

SCBA decon

Tube light

3 gpm ShowerSump Pump

3 gpm ShowerSump Pump

Tube light

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Decon Solution Soap and water in most cases Sandia Foam may be available Hazmat Specialist can arrange for

other solutions if needed

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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

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Step 1. Gross Decon Rinse thoroughly in shower

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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

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Step 2. Decon Wash and Rinse Scrub clean

(helpers on hand) Person spread

arms and legs, rotate for cleaning

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Step 2. Decon Wash and Rinse Wash top down Medical

Specialists assist with victims

Assistants must decon themselves before they leave corridor

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Decon Tent

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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

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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

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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

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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

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Post Decon

Medical Evaluation Rehabilitation Reports and exposure logs Haz Mat tracking Medical reports Documentation is Critical

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Summary Decontamination theory Standard plan Provide protection to all Haz Mat Specialist coordinates decon Emergency decon is four steps Decon layout

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Module 4 Activity: Setup and Operate a DECON Corridor

Mod 4-47Version 3



Activity Layout containment berms Assemble tents and showers Setup and operate water heater Setup and operate space heater Walk through decon process

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Documents

ppe slide

decontamination corridor

decontamination of ppe

mission slide

environment slide

asymptomatic slide

outside slide

decontamination of tf