Minimum protection measures and emergency decontamination The measures indicated below follow the CRN section of the Plan for managing hospital resource shortages and exceptional public health situations, which provides for activation of the “White plan” and the RN medical care procedure: Hospital Victim Assembly Area (HVAA), Hospital Decontamination Unit (HDU), patient care sectors. • Detect an unusual RN event through the questionnaire. • Alert via predetermined channels the Director and the entities tasked with the security of the facility, the regionally competent Emergency Medical Service (SAMU) and the Regional Health Agency. • Protect its infrastructure, personnel, patients and visitors (closing and securing of access points, doors and windows, protection of potentially exposed personnel, signposting of the victim reception channels and assembly areas). • Direct the persons who self-present at the facility to a predefined zone and enable them to undress themselves under the supervision of trained personnel and place their clothing in a sealed plastic bag (emergency decontamination). IMPLEMENTATION PRINCIPLES 1. The measures must be in conformity with the role of the healthcare facility planned for in the Orsan plan, and its CRN plan in particular. 2. The measures must be scaled according to the capacities of the facility, its proximity to the identified risks or sensitive sites, and the health area it serves. 3. The facility must be capable of activating the monitoring of its access points (facility security plan) without delay and of implementing its decontamination means or line very rapidly. i Absolute urgencies from prehospital screening Entry in SI-VIC software Absolute urgencies URGENCIES TREATMENT ZONE MEDICAL AND RADIOLOGICAL TRIAGE Relative urgencies Surgical treatment of wounds Radiobiological assessment LESIONAL ASSESSMENT Triage DETECTION HOSPITAL DECONTAMINATION UNIT (HDU) MEDICAL MANAGEMENT HVAA Secretariat Victim traceability (SI-VIC software) – 1 – Emergency decontamination by undressing – 2 – Stabilisation of lesions and vital functions – 3 – Internal contamination treatment – 4 – Full decontamination – 1 – Undressing – 2 – Full decontamination – 3 – Check – 4 – Redressing Decontaminated victims Self-presenting potentially contaminated persons Self-presenting potentially contaminated persons + - Non-contaminated victims Non-decontaminated EUs HVAA: Hospital Victim Assembly Area REGULATORY FRAMEWORK Arrangements specific to healthcare facilities 10 SHEET DIAGRAM No. 5 Ideal model of a reception setup in a 1st line healthcare facility (general diagram) 38 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY
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