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Wed, 6 Feb 2002 19:23:14 -0500

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Michael,

In our community and surrounding communities that encompass both Level 1 and
Level 2 capable hospitals, the consensus has been that the HazMat teams
would be tied up at the incident itself.  

--Same consensus here.  Me, I think that reflects a flaw in the "plan" part
of the disaster plan.  Mr. Popular, me.

... and more often than not, the hospital must depend on some level of
"protection" for it's staff and patients. 

-- Again: a realistic and fully integrated plan should dedicate proper
resources to protecting the hospital. 

Then, you must deal with the regulatory bodies that require healthcare
facilities to maintain a degree of preparedness in dealing with HazMat
incidents while OSHA requires employees "to be trained to perform their
anticipated job duties without endangering themselves or others."
Furthermore the Joint Commission states that hospital personnel "...must
have received at least the same degree of training as required for those who
respond to HazMat incidents."  They further indicate that the training
should address "hazard operation, identification, medical monitoring,
environmental surveillance, selection, use and decontamination of PPE."  The
level of training for PPE are most commonly recommended as level C or B,
unless the agent is unknown, in witch case level A is recommended.  Then you
must look at cost associated with the purchase and staff training (which is
highlighted above).  OSHA currently requires training for levels A through
D.

--Sad, isn't it: my only comfort is that I appear to be ever so slightly
smarter than a federal agency.  Sigh.

 In summary...and after running my mouth enough for the day...AGREED!

--Thanks.  Appears I wasn't alone after all.  Maybe a bunch of us should get
together and shake things up.  Where does one go to introduce a new
paradigm?

Pret Bjorn, RN
Rabble-Rouser

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<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002>Michael,</SPAN></FONT></DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2><EM>In our community and surrounding communities 
  that encompass both Level 1 and Level 2 capable hospitals, the consensus has 
  been that the HazMat teams would be tied up at the incident itself.&nbsp; 
  </EM></FONT></DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002>--Same consensus here.&nbsp; Me, I think that 
  reflects a flaw in the "plan" part of the disaster plan.&nbsp; Mr. Popular, 
  me.</SPAN></FONT></DIV>
  <DIV><FONT face=Arial size=2><SPAN 
  class=220100100-07022002></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT size=2><FONT face=Arial><EM><SPAN 
  class=220100100-07022002>...&nbsp;</SPAN>and more often than not, the 
  hospital&nbsp;must depend on some level of "protection" for it's staff and 
  patients. </EM></FONT></FONT></DIV>
  <DIV><SPAN class=220100100-07022002></SPAN><FONT size=2><FONT 
  color=#800000><FONT face=Arial><SPAN 
  class=220100100-07022002>&nbsp;</SPAN></FONT></FONT></FONT></DIV>
  <DIV><FONT size=2><FONT color=#800000><FONT face=Arial><SPAN 
  class=220100100-07022002>--&nbsp;</SPAN>A<SPAN class=220100100-07022002>gain: 
  a realistic and fully integrated plan should dedicate proper resources to 
  protecting the hospital.&nbsp;</SPAN></FONT></FONT></FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2><EM>Then, you must deal with the regulatory 
  bodies that require healthcare facilities to maintain a degree of preparedness 
  in dealing with HazMat incidents while OSHA requires employees "to be trained 
  to perform their anticipated job duties without endangering themselves or 
  others."&nbsp; Furthermore the Joint Commission states that hospital personnel 
  "...must have received at least the same degree of training as required for 
  those who respond to HazMat incidents."&nbsp; They further indicate that the 
  training should address "hazard operation, identification, medical monitoring, 
  environmental surveillance, selection, use and decontamination of PPE."&nbsp; 
  The level of training for PPE are most commonly recommended as level C or B, 
  unless the agent is unknown, in witch case level A is recommended.&nbsp; Then 
  you must look at cost associated with the purchase and staff training (which 
  is highlighted above).&nbsp; OSHA currently requires training for levels A 
  through D.</EM></FONT></DIV>
  <DIV>
  <DIV><FONT size=2><FONT face=Arial><SPAN class=220100100-07022002><FONT 
  color=#800000></FONT></SPAN></FONT></FONT>&nbsp;</DIV>
  <DIV><FONT size=2><FONT face=Arial><SPAN class=220100100-07022002><FONT 
  color=#800000>--Sad, isn't it: my only comfort is that I appear to be ever so 
  slightly smarter than a federal agency.&nbsp; 
  Sigh.</FONT></SPAN></FONT></FONT></DIV>
  <DIV><FONT size=2><FONT face=Arial><SPAN 
  class=220100100-07022002>&nbsp;</SPAN></FONT></FONT></DIV>
  <DIV><FONT size=2><FONT face=Arial><EM><SPAN 
  class=220100100-07022002>&nbsp;</SPAN>In summary...and after running my mouth 
  enough for the day...AGREED!</EM></FONT></FONT></DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002>--Thanks.&nbsp; Appears I wasn't alone after 
  all.&nbsp; Maybe a bunch of us should get together and shake things up.&nbsp; 
  Where does one go to introduce&nbsp;a new paradigm?</SPAN></FONT></DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN class=220100100-07022002>Pret 
  Bjorn, RN</SPAN></FONT></DIV>
  <DIV><FONT color=#800000 face=Arial size=2><SPAN 
  class=220100100-07022002>Rabble-Rouser</SPAN></FONT></DIV></DIV></BLOCKQUOTE></BODY></HTML>

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