Protecting healthcare workers who respond to emergencies involving hazardous substances is critical. Healthcare workers responding to emergencies may be exposed to chemical, biological, physical, or radioactive hazards. Hospitals providing emergency response services must be prepared to carry out their missions without jeopardizing the safety and health of their own and other employees. Of special concern are the situations where contaminated patients arrive at the hospital for triage (sorting) or definitive treatment following a major incident. Employers are responsible for providing a safe and healthful workplace for their employees. OSHA's role is to assure the safety and health of America's working men and women by setting and enforcing standards; providing training, outreach and education; establishing partnerships; and encouraging continual improvement in workplace safety and health. This informational booklet provides a general overview of a particular topic related to OSHA standards. It does not alter or determine compliance responsibilities in OSHA standards or the Occupational Safety and Health Act of 1970. U.S. Department of Labor Occupational Safety and Health Administration OSHA 3152-3R 2008

Hospital Emergency Response Teams aims to provide authoritative training for hospital personnel in the emergency department, as well community-level medical service personnel, assisting them in times of disaster and emergency. Comprised of six chapters, the book covers various aspects of emergency response. Some of the aspects are the National Incident Management System (NIMS) implementation activities for hospitals and health care systems and the Hospital Incident Command System (HICS) IV missions. The book also explains the implementation issues, requirements, and timelines in establishing an internal HICS IV program. It presents the assessment of likely mass casualty events and potential hospital impact. The book also features appendices for emergency response team checklists, PPE donning and doffing guide, ambulatory and non-ambulatory decontamination setup, ETA exercises, and ETA drills.The book is intended to provide understanding of emergency response to first emergency medicine professionals, first responders, security staff, community-level disaster planners, and public health and disaster management researchers. Common sense approach shows what really works, not what is theoretically achievable Forms, checklists, and guidelines can be used to develop concrete response plans, validate existing operations, or simply expand knowledge base The latest from OSHA, Joint Commission and NIMS (National Incident Management System) Cross-disciplinary author team ensures material is appropriate for all member of this important collaboration

In the event of a disaster or public health emergency, individual agencies and hospitals cannot always effectively act alone. In order to provide a collaborative, comprehensive system of planning and response a Healthcare Emergency Response Coalition (HERC) is needed. This book introduces the concept of a HERC and demonstrates why and how a HERC is among the most effective tools for health emergency response and preparedness. Establishing a Healthcare Emergency Response Coalition addresses all matters related to instituting and developing a successful HERC. This Guide is based on Palm Beach County's experiences during the formation and implementation of their tried and tested HERC_now a national model_and can serve to direct your community in establishing its own HERC. It addresses the most fundamental questions of starting a HERC, such as - What is a HERC? - Why do we need a HERC? - How do we start a HERC - How should a HERC be structured? It also provides guidance for developing and sustaining a successful HERC by outlining the steps and activities needed to begin and providing a list of policies and procedures that can be implemented and resources that can be consulted. This information can be applied and customized to any community's specific needs and resources to implement a program that will address any size disaster or healthcare emergency that presents itself. This book provides myriad benefits to everyone invested in emergency preparedness for a community, from health officials and emergency response teams to government officials and fire and police departments, along with anyone else involved with preparing his or her community for disasters and public health emergencies.

Recent research underscores a serious lack of preparedness among hospitals nationwide and a dearth of credible educational programs and resources on hospital emergency preparedness. As the only resource of its kind, Health Care Emergency Management: Principles and Practice specifically addresses hospital and health system preparedness in the face of a large scale disaster or other emergency. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.