You approach the scene of a terrorist incident that occurred 2 minutes prior in an enclosed room. Storage tanks of appropriate treatment systems for temporary storage and/or treatment of contaminated wash and rinse solutions. Removal of Contaminated Surfaces Disposal of deeply permeated materials, e.g., clothing, floor mats, and seats. Deposit equipment used on site (tools, sampling devices and containers, monitoring instruments, radios, clipboards, etc.) If the upper plate moves with a velocity of 0.02ft/s0.02 \mathrm{ft} / \mathrm{s}0.02ft/s, at what distance from the bottom plate does the maximum velocity in the gap between the two plates occur? 2. 9. Wash inner gloves with decon solution. Ultraviolet light. After contact with a substance and M9 Chemical Detector Tape, what should be assumed to have occurred if spots or streaks of pink, red-brown, red-purple, or any shade of red are present on the exposed tape? EPRC Clinical Course 8hr I Hate CBT's If Yes, (Continue to box below) Grossly Decontaminate and/or Cover or Wrap Contaminated Areas (End), Sample Decontamination Procedures for Three Typical Levels of Protectiona. In addition to routine decontamination procedures, emergency decontamination procedures must be established. __________ occurs outside of the incident area when people come in contact with a contaminated person or object. The Mask Only command is given when Riot Control Agents (RCAs) are being employed, and no chemical-biological (CB) threat exists. Each category is discussed below. Administer the ATNAA. The MOPP chemical protective ensemble components are donned in a set order depending on the MOPP level. 5. What is the correct procedure for donning the M50 Joint-Service General Purpose Mask (JSGPM)? Solidification. 9. If you are capable of injecting yourself with an ATNAA during self-aid, you do not need the CANA. The door is open; many victims are lying . Which of the following is correct when it comes to MOPP? During hot weather operations, a cool down station may be set up within this area. DAOD 8006-1, Chemical, Biological, Radiological and Nuclear Defence There are 4 main categories of physical and chemical means of decontamination: (1) heat; (2) liquid disinfection; (3) vapors and gases; and (4) radiation. While decontamination is performed to protect health and safety, it can pose hazards under certain circumstances. Each procedure should be performed at a separate station in order to prevent cross contamination. Brucellosis is typically presents as a non-specific flu-like illness. Hospital Patient Decontamination | ASPR TRACIE Place laser and/or sunlight outserts in outsert pocket. Physical Removal 1. Which of the bacterial diseases produces a non-specific illness that may produce a prolonged disability but is rarely fatal? A patient presents to the emergency room all exhibiting the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. The most commonly recommended SPI consists of three HI-6/atropine auto-injectors, one diazepam auto-injector, two Reactive Skin Decontamination Lotion pouches, as well as a seven-day supply of pyridostigmine bromide or a supply of antibiotics, for each CAF member. Concentration. Snap barrel locks under the chin Rinse off using copious amounts of water. (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.) A patient presents to the emergency room all exhuming the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. There is no reliable test to immediately determine how effective decontamination is. Scope: CBRN Mass Casualty Decontamination Course training will focus on providing the skills and knowledge's required to prepare for and respond to a Weapons of Mass Destruction (WMD) incident, as part of the state/federal emergency management response system. Use remote sampling, handling, and container-opening techniques (e.g., drum grapplers, pneumatic impact wrenches). Also, all spent solutions and wash water should be collected and disposed of properly. Large galvanized tubs, stock tanks, or children's wading pools to hold wash and rinse solutions. Consult specialists if necessary. the potential for, and location of, exposure based on assigned worker duties, activities, and functions. Consult specialists if necessary.(End). Volatile liquids. Based on the information would you suspect chickenpox or smallpox? 4. Pulmonary (choking) agents primarily enter the victim by what means? Immediately flush eyes with water. If symptoms appear, use ATNAA. __________ occurs when people comes in direct contact with a harmful agent at or near an incident. 5. He states he was splashed with a large quantity of liquid and is now exhibiting symptoms of vomiting, diarrhea, difficulty breathing, body twitching, and is generally very weak. He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. Human decontamination - Wikipedia 14. Five major factors affect the extent of permeation: All personnel, clothing, equipment, and samples leaving the contaminated area of a site (generally referred to as the Exclusion Zone) must be decontaminated to remove any harmful chemicals or infectious organisms that may have adhered to them. In addition, (care must be taken in selecting, using, and disposing of any organic solvents that may be flammable or potentially toxic. (End), (Initial box on left side) Accident/Injury Event. Disinfection Methods | Disinfection & Sterilization Guidelines Don the mitt and pick up sorbent pack 3. Select the Avoid touching face with fingers. Drains or pumps for collection of contaminated wash and rinse solutions. A patient presents to the hospital. 8. A patient who works at an insecticide manufacturing plant is admitted to the emergency room. Which of the following cell types are least sensitive to ionizing radiation damage? They should only be used for decontamination in extreme cases where other cleaning agents will not remove the contaminant. Await further guidance. Jko Cbrn Pretest Answers c. 2-3 Long-Handled. Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days? 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. Separate flow patterns and stations should be provided to isolate workers from different contamination zones containing incompatible wastes. Eliminate leaks by making minor strap adjustments. 5. Rinse off decon solution using copious amounts of water. Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days? The presence of radiological contamination can be readily confirmed by which of the following methods? Cover equipment and tools with a strippable coating which can be removed during decontamination. Mark the contaminated area before supplementing the alarm over the radio. For example, contaminants such as glues, cements, resins, and muds have much greater adhesive properties than elemental mercury and consequently, are difficult to remove by physical means. aSource: Excerpted from Field Standard Operating Procedures for the Decontamination of Response Personnel {FSOP 7}. Contamination of victims/casualties must be considered as part of the initial assessment and an effective method for rescue, decontamination and medical treatment must be provided. With assistance of helper, remove splash suit. Because of the potential hazards, decontamination using chemicals should be done only if recommended by an industrial hygienist or other qualified health professional. 2. courtney_phipps5. Which type of anthrax is responsible for the patient's symptoms? radiological material. Collection containers, such as drums or suitably lined trash cans, for storing disposable clothing and heavily contaminated personal protective clothing or equipment that must be discarded. Household detergents are among the most common surfactants. As a result some support vehicles, crew-served weapons, barrier material, and ammunition were exposed to chemical-warfare hazards. What types of CBRNE agents are man-made and act rapidly, burn and blister skin, mucous membranes, airways and gastrointestinal systems? 8. What is the best decontamination method for biological agents? Emergency Preparedness and Response Course- CBRN for Medical - Quizlet Scrub outer boots, outer gloves and chemical-resistant splash suit with decon solution or detergent and water. 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. Amyl nitrite, sodium nitrite, sodium thiosulfate Which of the following is considered a pulmonary (choking) agent? Skin may also be tested using wipe samples. Remove boot covers and deposit in container with plastic liner. Treatment of patients suffering from pulmonary agent exposure should focus on? Repeat as many times as necessary. Immediately mask the casualty. How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? Grasp the head harness tab and pull the head harness over your head Use the M291 decontamination kit to absorb the agent. Emergency and Technical Decontamination for Hazmat and Terrorism 4. Use tepid decontamination water. EPA Office of Emergency and Remedial Response. Decontamination will be conducted in the _____ hazard zone, Type of decontamination that is carried out by a unit to reduce contamination equal to natural background or to the, _____ occurs outside of the incident area when people come in contact with a contaminated person or object, _____ occurs when people comes in direct contact with a harmful agent at or near an incident. 3. What is the correct procedure for doffing the M50 Joint-Service General Purpose Mask (JSGPM)? These cleaning solutions normally utilize one or more of the following methods: Dissolving contaminants. How is the victim of nerve agent exposure presenting with convulsions classified? It is reported that the smell of bitter almonds is in the air. Patient presents with 5-day-old blisters/rash mostly on the arm, face and hands. A patient is exhibiting the following symptoms: Fever, Cough, Dyspnea, Prominent gastrointestinal symptoms, Absence of buboes. Wash with decon solution that will not harm the skin. Sterilization: Cleaning | FAQs | Infection Control | Division of Oral However, not all contaminants leave visible traces; many contaminants can permeate clothing and are not easily observed. The brucellae are highly infectious via the aerosol route and brucellosis is associated with a high mortality rate. Properly stowing the AAL, accessories and mask. The amount, location, and containment of contaminants. Patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or _____________________________. Remove mitt for decom kit Rinse with water. Extend both arms horizontally sideways with clenched fists facing up. What toxin do you suspect and how do you treat it? Appropriate equipment and clothing for protecting decontamination personnel should be selected by a qualified health and safety expert. Chemical disinfectants are a practical means of inactivating infectious agents. A group of victims has been admitted to your triage unit. When giving the visual CBRN alarm hand and arm signal, what is the proper way to extend your arms and position your hands? Wash splash suit, gloves, and safety boots. 2. 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. Decontamination Equipment. Wash patient with their clothing still on. Operational reactive skin decontamination lotion (RSDL), allows you to completely decontaminate your skin through physical removal and _____? 2. Remove safety boots and deposit in container with plastic liner. If an emergency due to a heat-related illness develops, protective clothing should be removed from the victim as soon as possible to reduce the heat stress. Worker's air tank is exchanged. If the total blood volume of the individual is 5.2 L, how many grams of total blood cholesterol does the individual's body contain? For this reason, disposable PPE is recommended for use with infectious agents. Repeat as many times as necessary. Which of the following statements are correct regarding biological weapon characteristics? Take a deep breath and hold it. PDF Decontamination of Equipment Used in the Area of Operations (AO Wash chemical-resistant splash suit, SCBA, gloves and safety boots. CBRNE - Chemical, Biological, Radiological, Nuclear, and Explosives The pH of the solution was 4.93 at 25.0 \degreeC. In general, all fasteners should be used (i.e., zippers fully closed, all buttons used, all snaps closed, etc.) They inhibit the enzyme Acetylcholinesterase (AChE) allowing Acetylcholine (ACh) to accumulate. CBRN Response Enterprise CRE Mass Casualty Decontamination Course If contaminated materials are not being removed or are penetrating protective clothing, the decontamination program must be revised. 5. Treat all life-threatening injuries first, Patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or _____, _____ damage brings death very quickly so that the consequences of exposure to other systems do not have time to express themselves, What phase is characterized by improvement of symptoms but becomes shorter with increasing doses. If Yes, (Arrow to second decision diamond to the right) Contaminants Extremely Hazardous? General principle [ edit ] Decontamination of humans is usually done by a three-step procedure, separated by sex: removal of clothing, washing, and reclothing. Used in life-threatening situations, the goal is to remove contaminant as quickly as possible. Fully Encapsulating Suit and Hard Hat Removal. Unmasking Procedures Without the M256-Series Chemical Detector Kit. 7. Contaminants can be located either on the surface of personal protective equipment or permeated into the PPE material. If symptoms persist, seek assistance. Open sorbent pack Use all means of CB detection to check your surrounding area for the presence of contamination. 2. All equipment used for decontamination must be decontaminated and/or disposed of properly. The procedures given are for the maximum and minimum amount of decontamination used for each level of protection. 18. Stow clear outsert and clear outsert pouch. Decontamination will be conducted in the __________ hazard zone. Air Tanks or Masks and Cartridges Depending Upon Level, d. 2-3 Long-Handled, Soft-Bristled Scrub Brushes. National Strategy for Chemical, Biological, Radiological, Nuclear, and CBRN Flashcards | Quizlet Emergency preparedness and response course- CBRN for medical - Quizlet Lab decontamination tools and practices - Medical Laboratory Observer You are under overhead cover to prevent further contamination. Which of the following is considered a pulmonary (choking) agent? 4. Deposit in container with plastic liner. The methods available for protecting workers during decontamination. If No, (Arrow to box below) Decontaminate as much as possible. You can wash your hands, face, and parts of your body that were uncovered at a sink or faucet. Methods of Decontamination Neutralization- Adding other chemicals to the contaminating agent to make that agent less toxic or non-toxic. You are going to be a passenger in a vehicle providing security support to a convoy and need to change your M50 mask waist carry to shoulder carry configuration. The sequence of stations is called the decontamination line. A metallic taste in the mouth, epigastric distress, and possible nausea and vomiting are ingestion symptoms for which chemical agent? What is the (O) set identifier used for in a CBRN message report? Wash encapsulating suit and boots using scrub brush and decon solution or detergent/water. Which uses radioactive isotopes? The fluid moves between the plates under the action of a pressure gradient, and the upper plate moves with a velocity UUU while the bottom plate is fixed. Multiple rinses with clean solutions remove more contaminants than a single rinse with the same volume of solution. These types of weapons have the ability to create both mass casualties as well as mass disruption of society. During a personal wipe down, which of the following is the best standard decontaminant for equipment exposed to a hazardous chemical agent? Worker returns to duty. Adhesive qualities vary greatly with the specific contaminants and the temperature. Pull hood over FPM Remove any liquid nerve agent. 3. Long-handled brushes for general exterior cleaning. At a hazardous waste site, decontamination facilities should be located in the Contamination Reduction Zone (CRZ), i.e., the area between the Exclusion Zone (the contaminated area) and the Support Zone (the clean area) as shown in 3. Rinsing. Encase the source of contaminants, e.g., with plastic sheeting or overpacks. Which of the following is not a consideration during treatment of the victims? Deposit in container with plastic liner. Establish methods and procedures to minimize worker contact with contaminants during removal of personal protective clothing and equipment (PPE). Wash and rinse buckets for use in the decontamination of operator areas inside vehicles and equipment. Describe how amino acids join to form a peptide bond . The chapter does not cover decontamination of radioactively contaminated personnel or equipment. Pose a direct health hazard to workers (e.g., vapors from chemical decontamination solutions may be hazardous if inhaled, or they may be flammable). Volatile liquid contaminants can be removed from protective clothing or equipment by evaporation followed by a water rinse. Stow audio equipment in main stowage area. NBC Warning Signals. The atmosphere pressure is 1.00 atm. What type of biological toxin is predominantly derived from the bean of the castor plant? Determine the number and layout of decontamination stations. Another series of arrows pointing downward go to another rectangle, the Remove SCBA final decon area. 6. You approach the scene of a terrorist incident that occurred 2 minutes prior in an enclosed room. If contaminants that have permeated a material are not removed by decontamination, they may continue to permeate to either surface of the material where they can cause an unexpected exposure.
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