SEE SHEET 6 90 MEDICAL RESPONSE IN NUCLEAR OR RADIOLOGICAL EMERGENCY ACTION TO TAKE IN A 1ST LINE HEALTHCARE FACILITY Protecting the healthcare facility personnel 30SHEET The personnel must be protected. This sheet details the personal protective equipment and gives practical advice to facilitate personnel dressing and undressing. Responders • Personnel of the RRH RN and the other 1st line healthcare facilities • Radiation protection experts + The protective equipment IF THE VICTIMS HAVE UNDERGONE FULL DECONTAMINATION INTERVENTION CONTEXT EQUIPMENT Contact with previously decontaminated victims (full decontamination in the field) Usual work clothes. Gloves and surgical mask recommended (the risks of contamination and irradiation are inexistent or very low). Surgical treatment of Relative Urgencies (RU) after full decontamination Usual work clothes (the risk of contamination of the personnel and the facilities is very low). All the responders must be listed and be subject to specific follow-up by the occupational health service. IF THE VICTIMS HAVE NOT UNDERGONE FULL DECONTAMINATION INTERVENTION CONTEXT EQUIPMENT Intervention at the Hospital Victim Assembly Area (HVAA) after confirmation that there is no chemical contamination Protective clothing and Personal Protective Equipment (PPE) for all the personnel: non-woven coverall, FFP3 mask or, failing this, FFP2 mask, surgical cap, safety glasses, overshoes or overboots. Intervention with individual victims given medical care and not decontaminated in the field Absolute Urgency (AU) treatment zone (admission after undressing) The personnel must wear PPE: non-woven coverall, FFP3 mask or, failing this, FFP2 mask, surgical cap, safety glasses overshoes or overboots (the risk of contamination of the personnel and facilities is low but not zero). Intervention in the Hospital Decontamination Unit (HDU) receiving the RUs Decontamination clothing and PPE for chemical risks (impermeable light decontamination coverall, mask with multipurpose cartridge). The non-woven coverall and FFP3 mask cannot be used because spattering and vapour would saturate the FFP3 mask. Operating theatre before full decontamination for the AUs Appropriate protective garments (PPE) for the operating theatre: • for the theatre nurses and the anaesthesia team: non-woven garment type 5-6, overboots and FFP3 mask or, failing this, FFP2 mask; • for the surgical team: surgical clothing with reinforced protection (orthopaedic s gown), overboots and FFP3 mask or, failing this, FFP2 mask, safety glasses; • if possible use long-sleeved surgical gloves (used in obstetrics department), double pair of gloves.
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