Development and Implementation of a Multidisciplinary Emergency Department Hazmat Team

2.50
Hdl Handle:
http://hdl.handle.net/10755/162923
Type:
Presentation
Title:
Development and Implementation of a Multidisciplinary Emergency Department Hazmat Team
Abstract:
Development and Implementation of a Multidisciplinary Emergency Department Hazmat Team
Conference Sponsor:Emergency Nurses Association
Conference Year:2006
Author:Streets, Kara W., RN, MS, CEN
P.I. Institution Name:Christiana Care Health System
Title:Patient Care Coordinator
Contact Address:4755 Ogletown-Stanton Road, PO Box 600, Newark, DE, 19718, USA
Contact Telephone:(302) 733-1700
Co-Authors:Deborah A. Johnson, RN, BSN, CEN
Clinical Topic: Chemical and radiological contamination on an isolated patient basis can be handled efficiently and effectively at the majority of emergency departments (ED). However, with the current looming threat of terrorism and the nationwide push for emergency preparedness, being able to handle one patient is meaningless. Therefore, the objectives of this project were to combine the medical expertise of the emergency department staff with the field expertise of the local fire and safety personnel to decontaminate multiple contaminated patients while simultaneously assessing and managing their medical status, while isolating them from non-contaminated patients and staff. Implementation: Development of the multidisciplinary hazmat team at this East Coast, Level I trauma center began in 2000 and required staff who were willing to be available 24 hours a day, 7 days a week. The team members (47) included ED registered nurses, emergency care technicians, clerical staff, constables, industrial hygiene specialists, and fire/safety personnel. All team members received Hazardous Materials Technicians certification. Furthermore, nursing staff received additional training that led to certification as Advanced Hazmat Life Support Providers. The total development and implementation time was approximately four months. Yearly and bi-yearly drills maintain team proficiency with mass casualty decontamination equipment. Outcomes: The implementation of a multidisciplinary Hazmat Team has afforded this institution many benefits. The refined skills and education possessed by the team have resulted in state certification of our institution as a chemical and radiological decontamination site. The team is available at any time via pager to provide specialized care to patients with hazardous material exposures. Team size and diversity of shifts worked increases the potential for at least one "hazmat specialist" to be on site for immediate response. The nursing staff on the Hazmat Team provides yearly in-services to the ED staff regarding procedures for chemically, radiologically, and biologically contaminated patients. Recommendations: Utilizing a multidisciplinary concept in forming the team assured the availability of having a "hazmat specialist" on duty within the hospital at any given time. Adding pager availability increased the amount of "hazmat specialists" capable of responding to any incident. The primary response areas of this team are the hospital campuses; however, the team has the qualifications to respond to areas within the surrounding community. Continuous advanced education (involving decontamination and treatment of the contaminated patient along with participation in mass casualty hazardous materials drills to allow the team to review, refine, and increase its efficiency with decontamination procedures) is essential to the level of effectiveness and efficiently displayed by the team.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment and Implementation of a Multidisciplinary Emergency Department Hazmat Teamen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162923-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of a Multidisciplinary Emergency Department Hazmat Team</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Streets, Kara W., RN, MS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Christiana Care Health System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Patient Care Coordinator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">4755 Ogletown-Stanton Road, PO Box 600, Newark, DE, 19718, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(302) 733-1700</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kstreetsedrn@earthlink.net, kstreets@christianacar</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Deborah A. Johnson, RN, BSN, CEN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Chemical and radiological contamination on an isolated patient basis can be handled efficiently and effectively at the majority of emergency departments (ED). However, with the current looming threat of terrorism and the nationwide push for emergency preparedness, being able to handle one patient is meaningless. Therefore, the objectives of this project were to combine the medical expertise of the emergency department staff with the field expertise of the local fire and safety personnel to decontaminate multiple contaminated patients while simultaneously assessing and managing their medical status, while isolating them from non-contaminated patients and staff. Implementation: Development of the multidisciplinary hazmat team at this East Coast, Level I trauma center began in 2000 and required staff who were willing to be available 24 hours a day, 7 days a week. The team members (47) included ED registered nurses, emergency care technicians, clerical staff, constables, industrial hygiene specialists, and fire/safety personnel. All team members received Hazardous Materials Technicians certification. Furthermore, nursing staff received additional training that led to certification as Advanced Hazmat Life Support Providers. The total development and implementation time was approximately four months. Yearly and bi-yearly drills maintain team proficiency with mass casualty decontamination equipment. Outcomes: The implementation of a multidisciplinary Hazmat Team has afforded this institution many benefits. The refined skills and education possessed by the team have resulted in state certification of our institution as a chemical and radiological decontamination site. The team is available at any time via pager to provide specialized care to patients with hazardous material exposures. Team size and diversity of shifts worked increases the potential for at least one &quot;hazmat specialist&quot; to be on site for immediate response. The nursing staff on the Hazmat Team provides yearly in-services to the ED staff regarding procedures for chemically, radiologically, and biologically contaminated patients. Recommendations: Utilizing a multidisciplinary concept in forming the team assured the availability of having a &quot;hazmat specialist&quot; on duty within the hospital at any given time. Adding pager availability increased the amount of &quot;hazmat specialists&quot; capable of responding to any incident. The primary response areas of this team are the hospital campuses; however, the team has the qualifications to respond to areas within the surrounding community. Continuous advanced education (involving decontamination and treatment of the contaminated patient along with participation in mass casualty hazardous materials drills to allow the team to review, refine, and increase its efficiency with decontamination procedures) is essential to the level of effectiveness and efficiently displayed by the team.</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:29Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:29Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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