1. CBRNE Training Academy Safety and Response

2. Lecture Goals Explain the first steps in confronting a hazardous event Introduce the concept of notification Describe zones of control Explain the first steps in confronting a hazardous event Introduce the concept of notification Describe zones of control

3. S-I-NS-I-N S-I-NS-I-N Awareness and recognition leads to SIN –Safety –Isolation –Notification What to do when something happens Awareness and recognition leads to SIN –Safety –Isolation –Notification What to do when something happens

4. Always count to TEN T ake your time E valuate your surroundings/situation N ever rush in, or get in over your head T ake your time E valuate your surroundings/situation N ever rush in, or get in over your head

5. S AFETY Once you have identified that a problem has occurred... PROTECT YOURSELF Only if you are safe can you ensure the safety of others Once you have identified that a problem has occurred... PROTECT YOURSELF Only if you are safe can you ensure the safety of others

6. I SOLATE To separate from everything else –Close a door, close a window –Cover a spill –Set up a barrier –Keep people from entering a building –Establish a decontamination area To separate from everything else –Close a door, close a window –Cover a spill –Set up a barrier –Keep people from entering a building –Establish a decontamination area

7. Clean and Dirty Warm is dirty Cold is clean Warm is dirty Cold is clean

8. I SOLATE Keep clean from getting dirty –Establish perimeters and control zones Can range from basic to complex Keep clean from getting dirty –Establish perimeters and control zones Can range from basic to complex

9. Cold zone Support zone –“Green Zone” –No contamination Support zone –“Green Zone” –No contamination

10. Warm zone Contamination zone –“Reduction zone”, “Yellow zone” –Secondary contamination Contamination zone –“Reduction zone”, “Yellow zone” –Secondary contamination

11. Hot zone Exclusion zone –“Red Zone” –Primary release / contamination Exclusion zone –“Red Zone” –Primary release / contamination

12. I SOLATE Security is the key to isolation Impede entry into hospital –Barricades –Locked entryways –Close fire doors / internal barriers –Post guards Control access while protecting staff Security is the key to isolation Impede entry into hospital –Barricades –Locked entryways –Close fire doors / internal barriers –Post guards Control access while protecting staff

13. I SOLATE Inhibit contamination –Cohort contaminated patients –Prevent contact with non-contaminated –Isolate to one area of hospital Inhibit contamination –Cohort contaminated patients –Prevent contact with non-contaminated –Isolate to one area of hospital

14. I SOLATE Water purification –Is it safe to drink the water? Ventilation system –Is it safe to breathe the air Waste disposal –What do I do with all this trash? Water purification –Is it safe to drink the water? Ventilation system –Is it safe to breathe the air Waste disposal –What do I do with all this trash?

15. N OTIFY Who you gonna call? Follow the chain of command Your immediate supervisor is your best contact Activate the hospital plan for events Who you gonna call? Follow the chain of command Your immediate supervisor is your best contact Activate the hospital plan for events

16. N OTIFY Other contacts include... –Your administrator –The hospital HazMat person –911 –Poison Control –Publicly Owned Treatment Works (POTW - waste water management) –National Response Center –FBI These contacts are not for everyone Other contacts include... –Your administrator –The hospital HazMat person –911 –Poison Control –Publicly Owned Treatment Works (POTW - waste water management) –National Response Center –FBI These contacts are not for everyone

17. Remember... Awareness leads to SIN Always count to TEN Awareness leads to SIN Always count to TEN

18. Questions?