OPS Manual - Special Ops / Chem Pack Procedures

Question 0

The above listed personnel/positions can authorize breaking the CHEMPACK container seal and use of the packaged products if it is determined that an accidental or intentional nerve agent release is beyond local emergency response capabilities and meets at least one of the following requirements:

Answer 0

1. A nerve agent and/or organophosphate/pesticide must be suspected as being responsible
2. The medical security of the community is threatened
3. The release puts multiple lives at a risk

Question 1

Authority to Activate (Open & Distribute) CHEMPACK Material

​The following personnel/positions are authorized to activate CHEMPACK caches:

Answer 1

1. SDFD Shift Commander or Duty Chief
2. DEA Registrant Designee of the CHEMPACK participant (City Medical Director)
3. San Diego County Public Health Officer or designee

Question 2

“Custody Transfer”

Only personnel authorized by the _______________________ and/or the _______________ shall transport and transfer custody of CHEMPACK materials from a storage location to an emergency scene or hospital.

Answer 2

DEA Registrant (City Medical Director)

Shift Commander

Question 3

The Incident Commander (IC) determines the event will require large quantities of nerve agent antidote and requests ___ to access CHEMPACK

Answer 3

ECDC

Question 4

Return of CHEMPACK Materiel to Cache Locations:

Unused materiel shall be returned to ___________________?

Answer 4

original CHEMPACK storage locations

Question 5

There are two types of CHEMPACK containers: What are they?

Answer 5

EMS and a Hospital Container.

Question 6

The EMS container is for what? Limitations?

Answer 6

These containers are designed for pre-hospital emergency responders.

Mostly auto-injectors

Some multi-dose vials for variable dosing with elderly or pediatric patients are included in the inventory.

Question 7

When an IC activates the CHEMPACK, who does ECDC notify?

Answer 7

• Shift Commander
• Duty Chief
• Duty Medical Support (DMS)
• County HHSA Division of EMS Duty Officer
• CHEMPACK DEA Registrant Designee (City Medical Director)

Question 8

________ shall be responsible to ensure that the EMS Battalion Chief is notified?

Answer 8

DMS

Question 9

_________________ will request to arrange for transportation of requested CHEMPACK contents to the incident location

Answer 9

Shift Commander

Question 10

Materials being delivered to SDFD incidents should be delivered to and physically received by ______________________?

Answer 10

The IC or his/her designee.

Question 11

How is the transfer of the CHEMPACK documented?

Answer 11

CHEMPACK Controlled Substance Transfer Form shall be competed in every instance CHEMPACK controlled substances are administered and/or transferred.

**chain of custody purposes

Question 12

Blank CHEMPACK Controlled Substance Transfer Forms are kept at ________________________________?

Answer 12

CHEMPACK storage locations.

Question 13

Completed forms should be submitted to the ______________ for file and a copy forwarded to _____________________?

Answer 13

Medical Director

The County EMS

Question 14

Once a CHEMPACK has been opened due to an incident or compromised, who needs to be notified?

Answer 14

ECDC must contact the CHEMPACK project personnel at County HHSA EMS, ASAP.

Question 15

Documentation of use or compromise:

In order to document use of CHEMPACK materials, a _____________________________ shall be completed in every instance CHEMPACK assets are accessed for emergency operations.

Answer 15

Post Incident Procedure Documentation Form

Question 16

Blank Post Incident Procedure Documentation Forms are kept at ______________________?

Answer 16

CHEMPACK Storage Locations

Question 17

Unused materiel shall be returned to ____________________________________?

Answer 17

original CHEMPACK storage locations.