The performance-level model of hospital decontamination preparedness

Authors

  • Scot Phelps, JD, MPH
  • Garrett Doering, MS

DOI:

https://doi.org/10.5055/ajdm.2008.0021

Keywords:

hospital, decontamination, CBRNE, WMD, performance-based, standards

Abstract

Objective: Describe a multilevel model of decontamination capacity for hospitals.
Design: Descriptive model.
Setting: Acute care hospitals with decontamination responsibilities.
Patients, Participants: None.
Interventions: None.
Main Outcome Measure(s): None
Results: This multilevel model of defining decontamination capacity would allow more realistic assessment of current capacity, allow for fluctuating service levels depending on time of day, incorporate realistic ramp-up and ramp-down of decontamination services, allow for a defined fall-back decontamination model should decontamination processes fail, allow hospitals to define long-term decontamination service level goals, and allow better understanding of when and why to focus on low-risk/low-resource patients rather than high-risk/high-resource patients.
Conclusions: This multiple-level model would allow for more realistic and effective hospital-based decontamination service models and should become part of the national decontamination paradigm.

Author Biographies

Scot Phelps, JD, MPH

Paramedic, CEM/CBCP/MEP, Associate Professor of Emergency Management, Department of Public Health, School of Health and Human Services, Southern Connecticut State University, New Haven, Connecticut.

Garrett Doering, MS

Paramedic, CEM/MEP, Lecturer, Center for Disaster Medicine, New York Medical College School of Public Health, Valhalla, New York.

References

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Committee on R&D Needs for Improving Civilian Medical Response to Chemical and Biological Terrorism Incidents, Health Science Policy Program, Institute of Medicine and Board on Environmental Studies and Toxicology, Commission on Life Sciences, National Research Council. Chemical & Biological Terrorism: Research & Development to Improve Civilian Medical Response.Washington DC: National Academy Press, 1999. Chapter 7. Available at http:// books.nap.edu/html/terrorism/ch7.html. Accessed April 2, 2007.

Smithson AE, Levy L-A: Ataxia: The Chemical and Biological Terrorism Threat and the US Response.Washington DC:The Henry L. Stimson Center, 2007: 92. Available at www.stimson.org/pub. cfm?id=12. Accessed April 2, 2007.

See, e.g., Development of Models for Emergency Preparedness, Personal Protective Equipment, Decontamination, Isolation/ Quarantine, and Laboratory Capacity. Agency for Healthcare Research and Quality. 2005. Chapter 2. Available at www.ahrq.gov/ research/devmodels/devmodel2.htm. Accessed March 17, 2007.

Lake WA, Fedele PD, Marshall SM: Guidelines for Mass Casualty Decontamination During a Terrorist Chemical Agent Incident. US Army Solider and Biological Chemical Command. 2000.Available at www.esd.uga.edu/hart/Web%20Page/Publications/Mass%20Cas. %20Decon.pdf. Accessed December 27, 2007.

US Army Solider and Biological Chemical Command. Guidelines for Cold Weather Mass Decontamination During a Terrorist Chemical Agent Incident. US Army Solider and Biological Chemical Command. 2002. Available at www.ecbc.army.mil/downloads/cwirp/ECBC_cwirp_cold_weather_mass_decon.pdf. Accessed December 27, 2007.

Occupational Health & Safety Administration. OSHA Best Practices for Hospital-Based First Receivers of Victims from Mass Casualty Incidents Involving the Release of Hazardous Substances. Occupational Health & Safety Administration. January 2005. Available at www.osha.gov/dts/osta/bestpractices/html/hospital_firstreceivers.html. Accessed December 27, 2007.

Oak Ridge National Lab, Chemical Stockpile Emergency Preparedness Program, Personal Protective Equipment, Integrated Responder Training. Available at http://emc.ornl.gov/EMCWeb/ EMC/CSEPP_Slides/PPE_Slides.ppt#315,48,Clothing-Limited Stay Times. Accessed April 2, 2007.

Chris H: Hazardous Materials Response and Operations, Chapter 1. Stamford, CT: Thomson Delmar Learning, 2000: 9.

Published

05/01/2008

How to Cite

Phelps, JD, MPH, S., and G. Doering, MS. “The Performance-Level Model of Hospital Decontamination Preparedness”. American Journal of Disaster Medicine, vol. 3, no. 3, May 2008, pp. 157-63, doi:10.5055/ajdm.2008.0021.

Issue

Section

Articles