Osha's Best Practices: A Case Study

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Based upon OSHA’s Best Practices for Hospital-Based First Receivers(OSHA 3249-08N 2006) and ATSDR’s Managing Hazardous Materials Incidents(HSEES 2001), PPE recommended for hospital first receivers is Level C+ (Level C with additional respiratory protection), and consists of;
1) A powered air-purifying respirator (PAPR) with chemical cartridges,
2) A chemically resistant suit,
3) Double gloves, and,
4) Chemically resistant boots. Training of Hospital Personnel The training indicated for hospital first receivers depends on the individuals' roles and functions, the zones in which they work, and the likelihood that they will encounter contaminated victims. The following levels of training are directed toward specific employee roles and responsibilities, methods used to recognize specific types of emergencies and information and
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This will entail buy in from the Hospitals leadership to carry this out. Summary: Hospital Decontamination Plans and teams are an essential part of an overall strategy to protect employees, victims, visitors, victims, and the facility from secondary contamination carried to the hospital by people contaminated with hazardous substances seeking medical aid. Having a decontamination plan helps to reduce “potential liability of the hospital by meeting their Emergency Medical Treatment & Labor Act (EMTALA), Centers for Medicare and Medicaid Services (CMS, The Joint Commission (TJC) and other accreditation agencies requirements and standards”. (Medscape, 2011) This builds for a stronger response effort from the community working towards the common goal within the Incident Command

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