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Decontamination

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Nursing Management of Pediatric Disaster
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Abstract

HAZMAT (hazardous materials) events can cause an influx of patients, including children, directly to the hospital. The ability of health care facilities to care for a large number of casualties including children following a HAZMAT event should be part of all hospitals’ plans. It is critical for hospitals to have the capacity to safely care for casualties while maintaining a safe working environment and preventing secondary contamination. Key components of pediatric decontamination are similar to that of an adult; however, the application is more challenging. Processes vary based on children’s ages and developmental level. Special considerations such as keeping families together, processes for unaccompanied minors, and physiological vulnerabilities should be implemented in the decontamination process. Health care facility guidance, integrating children into disaster plans, communication considerations, specialized equipment, and recommended training are presented.

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References

  • Allen GM, et al. Principles of disaster planning for the pediatric population. Prehospital Disast Med. 2007;22(6):537–40.

    Article  Google Scholar 

  • American Academy of Pediatrics. Children and disasters: disaster preparedness to meet children’s needs. 2019. Available from https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Children-and-Disasters/Pages/Decontamination.aspx. Accessed 11 May 2019.

  • Authority C.E.M.S. Hospital incident command system—job action sheets 2014.

    Google Scholar 

  • Bowden VR, Greenberg CS. Children and their families: the continuum of care. Philadelphia, PA: Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  • Chilcott RP, et al. Evaluation of US Federal Guidelines (Primary Response Incident Scene Management [PRISM]) for mass decontamination of casualties during the initial operational response to a chemical incident. Ann Emerg Med. 2019;73(6):671–84.

    Article  Google Scholar 

  • Chur-Hansen A. Preferences for female and male nurses: the role of age, gender and previous experience–year 2000 compared with 1984. J Adv Nurs. 2002;37(2):192–8.

    Article  Google Scholar 

  • Cibulsky S, et al. Patient decontamination in a mass chemical exposure incident: National Planning Guidance for Communities. Washington, DC: US Department of Homeland Security and US Department of Health and Human Services; 2014.

    Google Scholar 

  • Eisenkraft A, et al. What can we learn on medical preparedness from the use of chemical agents against civilians in Syria? Am J Emerg Med. 2014;32(2):186.

    Article  Google Scholar 

  • Falkenrath RA, Newman RD, Thayer BA. America’s Achilles’ heel: nuclear, biological, and chemical terrorism and covert attack. Cambridge, MA: MIT Press; 1998.

    Google Scholar 

  • Fire Department Mass Decon. [Internet]. 2011. Available from https://www.foap.com/photos/fire-department-mass-decon-dd4a29f2-46db-4173-856c-d5fbb01a9308. Accessed 30 Sept 2019.

  • Foresman-Capuzzi J, Eckenrode P. When Mr Yuck meets Mr Bubble: a primer on pediatric decontamination. J Emerg Nursing. 2012;38(5):490–2.

    Article  Google Scholar 

  • Freyberg CW, et al. Disaster preparedness: hospital decontamination and the pediatric patient—guidelines for hospitals and emergency planners. Prehosp Disaster Med. 2008;23(2):166–73.

    Article  Google Scholar 

  • Gurwitch RH, et al. When disaster strikes: responding to the needs of children. Prehosp Disast Med. 2004;19(1):21–8.

    Article  Google Scholar 

  • Harvard School of Public Health. Hospital decontamination self-assessment tool. Commonwealth of Massachusetts Department of Public Health—Office of Emergency Preparedness and Emergency Management. Boston, MA: Harvard School of Public Health; 2014.

    Google Scholar 

  • Heon D, Foltin GL. Principles of pediatric decontamination. Clin Pediat Emerg Med. 2009;10(3):186–94.

    Article  Google Scholar 

  • Hick JL, et al. Protective equipment for health care facility decontamination personnel: regulations, risks, and recommendations. Ann Emerg Med. 2003a;42(3):370–80.

    Article  Google Scholar 

  • Holland MG, Cawthon D. Personal protective equipment and decontamination of adults and children. Emergency Medicine Clinics. 2015;33(1):51–68.

    Article  Google Scholar 

  • Horton DK, Berkowitz Z, Kaye WE. Secondary contamination of ED personnel from hazardous materials events, 1995–2001. Am J Emerg Med. 2003;21(3):199–204.

    Article  Google Scholar 

  • Jorgensen AM, Mendoza GJ, Henderson JL. Emergency preparedness and disaster response core competency set for perinatal and neonatal nurses. J Obst Gynecol Neonat Nurs. 2010;39(4):450–67.

    Article  Google Scholar 

  • Kar N. Psychological impact of disasters on children: review of assessment and interventions. World J Pediatr. 2009;5(1):5–11.

    Article  Google Scholar 

  • Lynch EL, Thomas TL. Pediatric considerations in chemical exposures: are we prepared? Pediat Emerg Care. 2004;20(3):198–208.

    Article  Google Scholar 

  • Novak C, Gill P. Pediatric vital signs reference sheet. 2018. Available from http://pedscases.com/pediatric-vital-signs-reference-chart. Accessed 31 May 2019.

  • Occupational Health and Safety Administration. OSHA best practices for hospital-based first receivers of victims from mass casualty incidents involving the release of hazardous substances. Washington, DC: Occupational Health and Safety Administration; 2005.

    Google Scholar 

  • Okumura T, et al. Report on 640 victims of the Tokyo subway sarin attack. Ann Emerg Med. 1996;28(2):129–35.

    Article  CAS  Google Scholar 

  • Raber E, et al. How clean is clean enough? Recent developments in response to threats posed by chemical and biological warfare agents. Int J Environ Health Res. 2004;14(1):31–41.

    Article  CAS  Google Scholar 

  • Schreiber M. The PsySTART rapid mental health triage and incident management system. Irvine: Center for Disaster Medical Sciences, University of California; 2010.

    Google Scholar 

  • Siegel D, Strauss-Riggs K, Needle S. Prioritization of pediatric chemical, biological, radiologic, nuclear, and explosive disaster preparedness education and training needs. Clin Pediatr Emerg Med. 2014;15(4):309–17.

    Article  Google Scholar 

  • Teague DC. Mass casualties in the Oklahoma City bombing. Clin Orthop Relat Res. 2004;422:77–81.

    Article  Google Scholar 

  • Timm N, Reeves S. A mass casualty incident involving children and chemical decontamination. Disast Manag Resp. 2007;5(2):49–55.

    Google Scholar 

  • Toxidrome. (n.d.) Mosby’s medical dictionary 2009.

    Google Scholar 

  • United States Department of Health and Human Services Security. National disaster recovery framework. 2nd ed. Washington, DC: United States Department of Health and Human Services Security; 2016.

    Google Scholar 

  • USAMRIID. Medical management of biological casualties handbook. 7th ed. Fort Detrick, MD: USAMRIID; 2011.

    Google Scholar 

  • Veenema TG, editor. Disaster nursing and emergency preparedness. 4th ed. New York, NY: Springer Publishing Company, LLC; 2019.

    Google Scholar 

  • Zhao X, Dughly O, Simpson J. Decontamination of the pediatric patient. Curr Opin Pediatr. 2016;28(3):305–9.

    Article  CAS  Google Scholar 

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Correspondence to Katherine Meyer .

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Meyer, K. (2020). Decontamination. In: Goodhue, C., Blake, N. (eds) Nursing Management of Pediatric Disaster. Springer, Cham. https://doi.org/10.1007/978-3-030-43428-1_9

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  • DOI: https://doi.org/10.1007/978-3-030-43428-1_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43427-4

  • Online ISBN: 978-3-030-43428-1

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