Emergency services staff

General chemical awareness and safety should be an integral part of the basic training of all emergency service staff and more specific courses provided for those who are expected to carry out specific tasks. Specific courses should include a realistic understanding of risk, risk-assessment and personal protection and consist mainly of realistic practice to ensure familiarity with equipment and build confidence. Effective response plans should also be translated into operational protocols and role-specific action cards. 

Logistical Support and Facilities. The only specific requirements for the threat category IV are for survey and cleanup equipment such as dosimeters, survey and contamination meters, protective gear, decontamination supplies, and recovery tools at the national level. In several areas, particularly those in which the risk of a transportation accident is high, local response services are equipped with dosimeters and survey meters. If so, training (and periodic refresher training) must be provided, equipment must be periodically verified and calibrated, and the emergency services staff must be provided with valid procedures. 

Provisions for primary and emergency communications (internal, e.g. with staff, emergency personnel, and external, e.g. with the press, emergency services, hospital, employees relatives, telephone links and radios) require careful assessment. If there is a flammable hazard on site, radios may need to be intrinsically safe or flameproof. 

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If the spill is large, the staff must be evacuated and the emergency services called. All these procedures must be fully documented and the staff trained in their implementation. 

Hospitals can counteract this problem by means of setting up so-called emergency service laboratories, which would ensure a short response time thanks to considerable work put in by the medical staff. However, transport... 

Establish a rapid access integrated communications system with law enforcement, transport, on call medical/nursing/support staff, and emergency services. 

Security services will be provided for applications to apply appropriate business rules for access control of records based on the identity, roles, and purposes (i.e., business functions), in addition to distributed security services for authentication, authorization, confidentiality, integrity and nonrepudiation, to protect the best interests of stakeholders. Later in this book we will discuss the notion of a stakeholder in healthcare. It suffices here to say that these are the people legitimately involved in healthcare such as the patient, physician, and emergency medical staff. In some definitions stakeholders are the only people who can access the patient record. There are usually a special provisionings for the emergency care staff to access the patient data without an explicit informed consent in the event that the patient is unconscious. 

Staff at Forsmark Nuclear Power Station in Sweden detected radioactive contamination on clothes of staff. Non-essential staff evacuated and emergency services alerted. Reactor shutdown. Swedes noted figures from automatic recorders and other sources. Decided line of contamination lay through Lithuania in direction of the Ukraine... 

CHEMTREC s Emergency Services specialists are people with extensive experience in civilian and military emergency response. The current staff of 14 Emergency Services specialists includes active and retired firefighters, former U.S. Coast Guard personnel, retired military explosive ordnance disposal personnel, and a chemist. 

CHEMTREC s Hazardous Materials Exercise Scenario form, which is included at the end of this chapter, asks for the basic details about the exercise (who, what, where, and when) and a local contact person. The expected time of the drill must be included, as well as the time that participants are expected to call CHEMTREC. Because an emergency services specialist is assigned to each exercise, it is very important that an accurate time be given for an incoming call. If a call does not come in to the center at the indicated time, the staff person will attempt to reach the drill coordinator. If CHEMTREC is unable to participate for any reason, every effort will be made to contact the coordinator in advance. 

Note fire and emergency services need to train their own staff in the very real experience of confined fire, heat and smoke. They have access to facilities that enable this training, which is considered a vital part of fire safety training. Your local fire and emergency service should be able to offer or assist in aity fire safety training required. 

Arrangements for training staff in the duties that they will be expected to perform, including where necessary co-ordination with emergency services... 

Employees > Agency staff > Contractors > Members of the public >- Emergency services >- Visitors. 

The Heaith and Safety (First-Aid) Regulations 1981 require the employer or responsible person to provide adequate and appropriate equipment, facilities and personnel to enable first aid to be given to employees if they are injured or become ill at work. Employers should make an assessment of their first aid needs in terms of the equipment and staff required and arrangements for liaising with emergency services. The assessment should include consideration of the following factors ... 

The overall damage survey is typically carried out as part of the immediate response by emergency services personnel and local authority staff, as referred to under Rapid Physical Impact Assessment above. 

The Public Health Service in England defines them as all incidents representing an acute event in which there is, or could be, exposure of the public to chemical substances which cause, or have the potential to cause, iU health . All incidents with an ofif-site impact, as well as on-site incidents where members of the public are affected, are included in this definition and, for the purposes of the definition, hospital staff and emergency services personnel should be regarded as members of the public. 

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