Prepare healthcare workers to choose, don and doff the right PPE ensemble when treating contaminated patients during a mass casualty event.
Self Protection Training VideoIt describes how to select the proper type of Personal Protective Equipment (PPE) to use during a mass casualty situation in order to protect healthcare workers from exposure to contaminated patients. It explains about the different choices in PPE and the issues involved in selecting the correct ensemble.Topics covered include:How exposure occursUsing respiratory protectionProper donning and doffing of PPEStandards for protective clothingEPA levels of protectionAvoiding heat injury while using PPE
Hospital first receivers, emergency department staff, decontamination teams and EMS personnel need self protection PPE training for mass casualty events. These workers may treat patients contaminated with hazardous agents. The 29-minute English video covers exposure routes, respirators, donning and doffing, protective clothing standards and EPA protection levels.
Hospital first receivers fall under OSHA's PPE standard (29 CFR 1910.132) and respiratory protection standard (29 CFR 1910.134). Hospitals that receive contaminated patients during an emergency are also subject to the emergency response provisions of HAZWOPER, 29 CFR 1910.120(q). Training should match each worker's role.
The EPA levels of protection range from Level A to Level D. Level A is a fully encapsulating vapor-tight suit with SCBA. Level B pairs SCBA with splash-resistant clothing. Level C uses an air-purifying respirator and chemical-resistant clothing. Level D is a standard work uniform with minimal protection.
The safest way to remove contaminated PPE is to follow a set doffing sequence, ideally with a trained observer. Remove the most contaminated items first and avoid touching skin with outer surfaces. Clean hands after removing gloves. Rushed or careless doffing is a common way responders contaminate themselves.
Workers in chemical protective suits avoid heat illness by limiting suit time, resting in cool areas on a schedule, and drinking water often. Supervisors should watch for dizziness, headache, confusion and heavy sweating. Impermeable suits trap body heat, so heat stress can develop quickly even indoors.
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