Phx Fire Vol 2 (Deck 12) Flashcards

203.06A - 204.03A

1
Q

203.06A

A

Medical Safety Officer

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2
Q

Purpose of the MSO position.

A

Enhance medical wellness issues associated with the workforce, provide strategic information related to triage, Tx, and TRx of FFs, and enhance the Command Team at multiple-casualty WMD incidents.

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3
Q

Objectives of the MSO?

A

Responding to specialty alarms, multi-alarms, and long-term campaign events, working in the Rehab Sector, and assisting the Command Team in working through the strategic/tactical priorities of rapidly escalating incidents.

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4
Q

Functions of the MSO.

A

Providing clinical level info to enhance decisions concerning FF medical safety, providing real-time monitoring of FFs, clinically directing medical Tx, triage, and release of FFs at the scene, and acting as a coordinator/controller for specialty hospital care.

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5
Q

How does the MSO benefit SOPs?

A

Providing strategic information related to FF medical safety, enhancing the Command Team at multiple-casualty WMD incidents, and coordinating specialty hospital care and follow-up care for FFs.

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6
Q

Role of the MSO in coordinating specialty hospital care.

A

Through Occ Health with Banner Poison Control Center, as well as Health Center follow-up care for FFs.

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7
Q

MSO provides real-time monitoring of FFs.

A

By modifying work/rest cycles.

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8
Q

How does the MSO assist the Command Team?

A

Working through the strategic/tactical priorities of rapidly escalating incidents.

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9
Q

Role of the MSO.

A

Demonstrating basic radio order model protocols, knowledge of the START system through drills and simulation, and deploying to multi-alarms/multi-hazard/WMD incidents.

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10
Q

What equip does the MSO need to have?

A

Text pager, identification vest/PPE, laptop for on-scene access to medical records, radio/cellular phone, staff vehicle, and associated medical equipment.

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11
Q

How does the MSO contribute to FF wellness?

A

Decreasing risk factors for FF deaths related to cardiac emergencies, serious heat-related injuries, lost time for industrial injuries, and by quickly identifying trends in civilian or FF illness during suspected mass casualty incidents.

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12
Q

Behavioral outcomes expected from the MSO.

A

Decreasing risk factors for FF deaths and injuries, quick identification of trends in civilian or FF illness during MCIs, and providing consistent and valuable statistical info for better management decisions and funding opportunities.

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13
Q

Scope of haz mat incidents covered in SOPS.

A

Fires, spills, transportation accidents, chemical reactions, explosions, and similar events involving hazards like toxicity, flammability, radiological exposure, corrosives, explosives, and chemical reactions.

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14
Q

204.01

A

Hazardous Materials

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15
Q

Role of Dispatch in handling haz mat incidents?

A

Gathers info about the incident, including material name, amount and size of containers, problem description, dangerous properties of the materials, and the number of persons injured or exposed.

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16
Q

How does the Vol 2 emphasize the importance of safety precautions (haz mat)?

A

Use of full protective clothing, SCBA, and special protective clothing, as well as the application of all SOPs on a continuing basis.

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17
Q

Purpose of SOPs for haz mat incidents.

A

General framework for handling such incidents, emphasizing the need for safety precautions and dispatch protocols, but does not address specific tactics or control measures for particular incidents.

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18
Q

Responsibilities of the Dispatch Center in handling haz mat incidents.

A

Dispatches appropriate hazardous materials assignment companies and informs units of prevailing wind speed and direction.

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19
Q

Actions of first arriving officer at a haz mat incident?

A

Establish Command, begin a size-up, and consciously avoid committing to a dangerous situation.

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20
Q

How should Command establish staging for other responding units at a haz mat incident?

A

Consider establishing Level II staging whenever possible, ensuring staged companies are in a safe location and using reference materials to establish a safe distance for staging.

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21
Q

Define size-up in the context of haz mat incidents.

A

Making a careful assessment before making a commitment, considering the need for immediate action, and conducting a risk/benefit analysis.

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22
Q

Objective of the size-up in haz mat incidents.

A

Identify the nature and severity of the immediate problem and to gather sufficient information to formulate a valid action plan.

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23
Q

How should companies and personnel approach evaluating risks in haz mat incidents?

A

Proceed with caution, avoid premature commitment to potentially hazardous locations, and keep uncommitted companies at a safe distance.

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24
Q

Primary objective in identifying haz mat involved in a situation.

A

Identify the type of materials involved and the hazards presented before formulating a plan of action.

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25
Q

What factors should be considered when identifying a hazardous area?

A

Potential danger, materials involved, time of day, wind and weather conditions, location of the incident, and degree of risk to unprotected personnel.

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26
Q

What sources of information can be used to identify haz mat in a situation?

A

Labels, markers, DOT identification numbers, NFPA diamond or shipping papers, pre-fire plans, personnel at the scene, reference materials carried on apparatus, and assistance from state agencies, fire department specialists, and manufacturers of materials.

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27
Q

Approach to evacuating /rescuing persons in critical danger in a haz mat incident.

A

Immediate action to evacuate and/or rescue persons in critical danger, if possible, providing for the safety of rescuers first.

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28
Q

Components of the action plan for dealing with haz mat incidents.

A

Must provide for safety of fire personnel, evacuation if necessary, control of the situation, stabilization of haz mat, and disposal or removal of hazardous material.

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29
Q

2 wo initial zones associated with a haz mat incident scene?

A

Limited access zone
Evacuation zone.

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30
Q

How does the strategic plan for haz mat incidents address the handling of materials escaping from protective containers?

A

Methods to control the flow or release, get the hazardous material back into a safe container, neutralize it, allow it to dissipate safely, or coordinate proper disposal.

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31
Q

General policy regarding the response of the Haz Mat Team to situations requiring private contractor clean-up.

A

Will respond to any situation where a private contractor is required to clean up haz mat.

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32
Q

What should the specific action plan for haz mat incidents identify?

A

Identify the method of hazard control and the resources necessary to accomplish this goal. It may also involve selecting a method due to resource unavailability or adopting a holding action to wait for needed equipment or supplies.

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33
Q

Describe the Limited Access Zone (LAZ) in haz mat ops.

A

Area where personnel are at immediate risk from hazardous conditions, controlled by the FD, and access is strictly regulated.

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34
Q

Responsibilities of establishing a safe perimeter around a hazardous area?

A

Identifying the area with Hazard Zone tape, requesting adequate assistance to maintain the perimeter, and coordinating with the Hazard Sector to determine the required level of protection for personnel.

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35
Q

Define the Evacuation Zone (EZ) in the context of haz mat incidents.

A

Larger area surrounding the LAZ with a lesser risk to personnel, where civilians would be removed, and the limits are enforced by the PD based on distances and directions established in consultation with Command.

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36
Q

How is the restriction of personnel access into the LAZ managed in haz mat incidents?

A

Not only for FD personnel but also for others like police, press, employees, tow truck drivers, and ambulance personnel, with Command being responsible for everyone’s safety.

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37
Q

Key responsibilities of Lobby Control Sector in the context of LAZ?

A

Controlling access, maintaining an awareness of personnel working in the area, and collecting/returning accountability passports of all companies entering/leaving the controlled area.

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38
Q

Responsibility of Command in haz mat incidents.

A

Safety of all potentially endangered citizens.

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39
Q

What are the hot, warm, and cold zones?

A

Defined and established to manage the different levels of contamination and risk.

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40
Q

How can non-FD personnel be utilized in haz mat incidents?

A

Evaluate hazards and perform certain functions within their area of expertise.

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41
Q

Role of FD personnel when non-FD personnel are outfitted with protective equipment.

A

Closely monitor and/or accompany such personnel for safety.

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42
Q

3 levels of evacuation in haz mat incidents.

A

Site Evacuation, Intermediate Level Evacuation, and Large Scale Evacuation, each requiring different resource commitments.

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43
Q

What is involved in a Site Evacuation during a haz mat?

A

Small number of citizens, typically including workers at the site and persons from adjacent occupancies or areas. Holding times are short, generally less than an hour or two.

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44
Q

How does an Intermediate Level Evacuation differ from a Site Evacuation?

A

Involves larger numbers of citizens and/or affects a larger area, affecting off-site homes/businesses and normally involving fewer than 100 persons. Completion times will be somewhat longer, and collecting, documenting, and controlling the evacuees becomes more difficult.

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45
Q

Characteristics of a Large Scale Evacuation in haz mat?

A

May involve thousands of citizens and could require evacuees to be out of their homes/businesses for many hours/days. Completion time frames will be extended, and evacuation shelters will need to be located, opened, and managed.

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46
Q

Purpose of SOPs for Haz Mat Evacuation.

A

Identify the method and resources required to execute a small to large scale evacuation in the event of an incident involving haz mat.

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47
Q

204.01A

A

Hazardous Materials Evacuation

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48
Q

Describe the time factor considerations in haz mat evacuation.

A

Sspeed of the developing hazard and the distance between occupancies, dictate the speed and resources required for evacuation.

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49
Q

Factors to consider when evaluating the need for evacuation in haz mat?

A

Product toxicity, concentrations, length of time exposed, weather conditions, wind direction, distances from the site, evacuation risk to the public, shelter locations, TRx needs, and population concentrations.

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50
Q

Decision-making process for initiating evacuations in haz mat incidents.

A

Considered quickly and early, as delays can expose greater numbers of the public to the hazardous product. Once the hazard has been identified and verified, the process of deciding who, when, and how to evacuate should proceed quickly.

51
Q

How does the speed of the developing hazard impact the evacuation process in haz mat incidents?

A

A rapidly developing moving toxic cloud demands a more immediate size-up and quick decision making, often with less information than a slow-moving event. Immediate evacuation will require more resources than a slower developing event.

52
Q

In-place sheltering in the decision-making process for haz mat evacuation.

A

May provide adequate protection and should be a serious consideration in the decision-making process for evacuation.

53
Q

Potential risks associated with delays in initiating evacuations during haz mat incidents?

A

Can expose greater numbers of the public to the hazardous product, potentially increasing the health risk and resource requirements for evacuation.

54
Q

Relationship of time required for evacuation and the number of people to be evacuated.

A

The more people to be evacuated and the distance between the occupancies to be evacuated, the more time required for evacuation. Greater numbers needing evacuation will also require a greater resource commitment.

55
Q

Circumstances under which in-place sheltering can be considered during a haz mat incident.

A

When the haz mat has a low or moderate health risk, is dissipating from its container, leaks can be controlled rapidly, exposure is expected to be short-term and of low health risk, and the public can be adequately protected by staying indoors.

56
Q

Key considerations for Command in providing instructions to the affected public during in-place sheltering?

A

Instruct the public to stay indoors, shut down evaporative cooling systems, and seal their buildings for protective measures.

57
Q

Expansion of IC Organization and the Sections/Branches to be considered during a large scale incident.

A

To include Sections/Branches such as Public Information, Geographic Sectors, Police Liaison, Staging, TRx, Police Resource, Shelter, Other Agency Liaison, Operations, Administrative, Planning, Logistics, and Evacuation.

58
Q

How should Command respond once evacuation is determined to be necessary during a haz mat incident?

A

Call adequate resources to the scene, notify appropriate agencies to respond, and consider establishing a central staging area for all responding agencies.

59
Q

Purpose of the Evacuation Branch/Sector within the expanded IC Organization.

A

Effectively manage the evacuation process during a large scale haz mat incident.

60
Q

Command’s responsibilities in a haz mat evacuation scenario.

A

Rapidly sizing up the situation, determining evacuation perimeters, establishing shelter sites, ordering evacuation, providing necessary resources, establishing police liaison, alerting other appropriate agencies, expanding the command organization, establishing an evacuation plan, monitoring and revising the evacuation process, evacuating persons from the area of greatest danger first, assigning specific areas to evacuate, providing TRx for evacuees, and providing continuing command of the evacuation.

61
Q

PD’s responsibilities in a haz mat evacuation process?

A

Providing ranking officers to the IC post and the Evacuation Sector/Evacuations Branch, a communication system for police resources, police resources needed for evacuation, traffic control and routing, perimeter security, and evacuation zone security.

62
Q

Dispatch responsibilities in a haz mat evacuation scenario.

A

Dispatching appropriate resources as requested, notifying appropriate fire and city officials, notifying support agencies as requested, notifying the Administrative Duty Officer and providing a status report, initiating recall of additional dispatch personnel, and notifying hospitals in the area of evacuation and providing status updates.

63
Q

How does the command organization determine the number and location of shelter sites in a haz mat evacuation?

A

The command organization uses the CAD INFO SHELTERS or the Red Disaster Ops Manual for shelters and maps to determine the number and location of shelter sites and communicates these locations to the command organization.

64
Q

Process of assigning specific areas to evacuate in a haz mat evacuation scenario.

A

Assigned in order to avoid duplication or missed areas, using the FD map book with either page numbers or hydrant zone numbers as grids.

65
Q

PIO responsibilities during a haz mat evacuation.

A

Notifying the news media, providing status reports and updates, and giving consistent and accurate evacuation instructions as provided by Command or the Evacuation Branch/Sector.

66
Q

Red Cross responsibilities during a haz mat evacuation?

A

Opening and managing shelters once long-term sheltering is identified, requiring early notification and up to 3 hours to get adequate personnel, equipment, and supplies to the shelter sites.

67
Q

How are evacuation branches/sectors established during a haz mat evacuation?

A

With separate radio channels on large-scale evacuations, and various sub-level sectors reporting to the Evacuation Branch.

67
Q

Responsibilities of Evacuation Branch/Sector during a haz mat evacuation?

A

Obtaining resources needed to evacuate, obtaining a ranking police officer for liaison, establishing sectors as needed, providing sectors with shelter locations and instructions, and evacuating those at greatest risk first.

68
Q

Role of police officers in a haz mat evacuation.

A

Large commitment of police officers is required to accomplish an evacuation, and the Evacuation Branch officer must obtain a ranking police officer at his/her location in order to closely coordinate evacuation efforts.

69
Q

Process of evacuating individuals during a haz mat evacuation.

A

Greatest risk are evacuated first, followed by the greatest concentrated areas, and consideration is given to individual sectors for large population occupancies such as multi-story buildings, large apartment complexes, and schools.

70
Q

Role of the media during a haz mat evacuation?

A

Utilized to coordinate evacuation notices, provide consistent and accurate evacuation instructions, and disseminate status reports and updates as necessary.

71
Q

On-site notification process for haz mat evacuation.

A

Using sirens, air horns, and PA systems for rapid alert, as well as door-to-door evacuations with specific instructions and items to take.

72
Q

Methods of persuasion to encourage citizens to leave during a haz mat evacuation?

A

Being in uniform, wearing a helmet, and wearing SCBA and facepiece when advising citizens to leave.

73
Q

How should door-to-door notification for haz mat evacuation be conducted?

A

In uniform, with a helmet, and by providing specific instructions to evacuate and items to take.

74
Q

Notification method for rapid evacuation when door-to-door notification is impossible.

A

3 five-second blasts of the siren, followed by standard evacuation instructions over the PA system, and proceeding slowly to maximize notification.

75
Q

What should be included in face-to-face notification during a haz mat evacuation?

A

Informing individuals of the haz mat incident, the danger they are in, the need to leave immediately, the shelter location, the evacuation route, and offering TRx if needed.

76
Q

204.01B

A

Hazardous Materials Decontamination

77
Q

204.01C

A

Hazardous Materials Special Considerations

78
Q

204.02

A

Mercury Releases

79
Q

Purpose of SOPs for mercury releases.

A

Establish and document guidelines for handling mercury releases at commercial facilities or in residential settings, including apartments.

80
Q

3 types of mercury?

A

Elemental mercury, inorganic mercury, and organic mercury.

81
Q

Symptoms of initial toxic exposure to elemental mercury?

A

Fever, chills, dyspnea, and headache within several hours.

82
Q

Initial actions required upon arrival at a commercial facility with a mercury release.

A

Contacting the responsible party, determining the amount of mercury released, securing the source if possible, and determining the size of the affected area.

83
Q

Most common sources of inorganic mercury?

A

Scientific instruments, electrical equipment, felt making, and the manufacturing of caustic soda and disc batteries (watches).

84
Q

Symptoms associated with organic mercury exposure .

A

Hearing defects and loss of concentration, commonly found in mining, smelting, or refining operations.

85
Q

What are the acute effects of inorganic mercury exposure as described in the standard operating procedure

A

Burning mouth, sore throat, nausea, vomiting, and severe gingivitis.

86
Q

Upon arrival at a commercial facility with a mercury release?

A

Contact the responsible party, determine the amount of mercury released, secure the source if possible, and determine the size of the affected area.

87
Q

Responsibilities of the FD in the event of a mercury release.

A

Evacuating the affected area, isolating it using line tape, denying entry, and requesting the Prevention Haz Mat specialist and on-duty Special Ops personnel.

88
Q

Restrictions for members in dealing with a reported mercury spill?

A

Not enter the reported spill area unless for rescue or Tx, should not attempt to clean up any amount of mercury released, and should not take possession of the mercury except in specific exceptions.

89
Q

Responsibilities of Fire Prevention in handling a mercury release incident.

A

Respond to document the need for a contractor with appropriate equipment, advise the responsible party of suitable contractors, and ensure all necessary notifications are made.

90
Q

How should on-duty Special Ops Personnel contribute to managing a mercury release incident?

A

Verify that all safety procedures are employed at the incident location and report to the IC.

91
Q

Do members have any exceptions for taking possession of mercury?

A

Yes, when a resident brings it to the fire station, but not if it is generated from a commercial business.

92
Q

Actions that members should NOT take in the event of a mercury release.

A

Attempt to clean up any amount of mercury released, should not enter the reported spill area unless for rescue or treatment, and should not TRx any quantity of mercury or any other haz mat.

93
Q

Responsibilities of the responsible party in the event of a mercury release.

A

Required to contact and employ a contractor for cleanup, determine contaminated persons, and make appropriate contacts for the situation.

94
Q

Actions for known or suspected contaminated persons during a mercury release?

A

Isolate them until proven otherwise through appropriate meter readings, and the contractor may require decontamination or clean clothing.

95
Q

Handling of known/suspected contaminated clothing, shoes, and misc. items during a mercury release.

A

The contractor, not the FD, determines when removal and confiscation of contaminated items may be necessary, and items should be placed in a plastic bag with the owner’s name tag.

96
Q

How is a mercury release in a residence classified according to the AZ DEQ?

A

Household hazardous waste.

97
Q

Do the FD decon procedures need to be initiated in the event of a mercury release in a residence?

A

Yes, based on meter readings, decon may be required, at which time the FD decon procedures shall be initiated.

98
Q

SOPs for responding to a mercury release in a residence.

A

FD Ops Personnel and Prevention Personnel are involved in responding to a mercury release, including evaluating the hazard, educating the homeowner/occupant, and recommending cleanup procedures.

99
Q

Responsibilities of Fire Prevention Personnel in the event of a mercury release in a residence?

A

Explain the hazards to the homeowner/occupant, recommend hiring a contractor for cleanup, provide information on companies with proper testing equipment, and offer financial options like homeowners insurance.

100
Q

How should the FD respond to a report of a mercury release in a residence?

A

Page Fire Prevention and Special Ops personnel, recommend restricting access to the affected area, and initiate decon procedures when necessary.

101
Q

Exemption from cleanup requirements for a mercury release in a residence.

A

If the release is small and contained, it may be exempt from cleanup requirements, but response, hazard evaluation, and homeowner/occupant education are still necessary.

102
Q

Role of Special Ops Personnel in responding to a mercury release in a residence?

A

Assist in evaluating the hazards, verify decontamination procedures, and ensure proper follow-up by the FD.

103
Q

Responsibilities of the FD during radiological emergencies according to the provided content.

A

Rescue, Tx, fire control/extinguishment, control of contamination spread, and alerting responsible experts/agencies. Actual clean-up and overhaul operations are not normally a FD responsibility.

104
Q

Role of the Dispatch in a radiological incident?

A

Dispatch either a 2n1 assignment or a 1st Alarm assignment, with the Haz Mat Team to any incident reported to involve radiological materials. Dispatch will also advise responding units of the prevailing wind direction.

105
Q

How should Command handle direct radiation exposure and contamination at the scene of a radiological incident?

A

Consider both direct radiation exposure and contamination. If there is no life hazard, rescue situation, or fire, there is no reason to risk exposure of FD personnel. First arriving units should secure a perimeter, evaluate the situation, and wait for the arrival of the Haz Mat Team.

106
Q

Limited Access Zone procedures in the context of a radiological incident.

A

Shall be implemented to minimize the exposure and contain the spread of contamination. The entry of personnel shall be limited to the absolute minimum number and time required for the urgent situation, and these personnel will use full protective clothing and SCBA.

107
Q

What agencies or experts should Dispatch notify when a radiological incident is confirmed?

A

Arizona Radiation Regulatory Agency, D.P.S.–C.V.S.S. unit, Phx FD personnel with advanced radiological training, and Maricopa County Civil Defense on request from Command.

108
Q

204.03

A

Radiological Hazards

109
Q

Purpose of Hazard Zone tape in the context of radiological hazards.

A

Used to define an area where readings of 2MR/hr are detectable, considering potential downwind spread of contamination. Haz Mat Team personnel determine readings and define the LAZ.

110
Q

Tactical considerations for incidents involving fire in the context of radiological hazards?

A

Initiating normal tactical FF operations, approaching from upwind, avoiding ventilation, minimizing water use, controlling water runoff, minimizing personnel exposure, and using full protective clothing with SCBA.

111
Q

How should rescue/EMS incidents be handled in the context of radiological hazards?

A

Quickly removing PTs, Tx them for medical problems/injuries, alerting hospitals to prepare for contaminated patients, using full protective clothing and SCBA, and decontaminating vehicles used for transport.

112
Q

Unique hazard associated with nuclear weapons in transit.

A

Contain considerable amounts of high explosives, which may be shock sensitive and can detonate easily. If a nuclear weapon involves fire, immediate evacuation of the area of 2,000 feet in all directions is necessary, with checking of all downwind areas for contamination.

113
Q

What must be established within the perimeter of the Hot Zone in the context of radiological hazards?

A

Decon Area must be established within the perimeter of the Hot Zone, adjacent to the Lobby Control point. All personnel and equipment leaving the Hot Zone must be checked for radioactive contamination by qualified personnel before leaving.

114
Q

How should PTs requiring Tx, who cannot immediately be decon, be handled in the context of radiological hazards?

A

Placed in an isolated Tx Area, away from other patients and inside the Hot Zone perimeter.

115
Q

Key considerations for incidents involving fire in the context of radiological hazards?

A

Approaching from upwind, not ventilating, minimizing water use, controlling water runoff, minimizing personnel exposure, and using full protective clothing with SCBA.

116
Q

Precautions to be taken when Tx contaminated patients in a radiological hazard situation.

A

Placed in one Tx Area, Tx personnel should use protective gear, bandage open wounds, remove outer clothing, place a clean bag over the patient’s scalp hair, wipe skin contamination, mark hot spots, and wrap PTs in blankets before TRx.

117
Q

Steps to be followed before TRx contaminated PTs to hospitals or rescues?

A

Must be alerted early, and all contaminated PTs should be sent to a single hospital or as few as possible. Large numbers of contaminated PTs should be placed in each rescue to minimize contamination spread, and the reuse of contaminated rescues for TRx should be considered.

118
Q

Role of SCBA or dust-filtering type masks in Tx contaminated PTs in a radiological hazard situation.

A

Use SCBA or dust-filtering type masks to protect themselves from inhaling or ingesting airborne contamination.

119
Q

How should open wounds be handled when Tx contaminated PTs in a radiological hazard situation?

A

Bandaged as quickly as possible to prevent wound contamination.

120
Q

Process for removing contamination from a PTs body in a radiological hazard situation.

A

On skin, can be removed by carefully peeling or cutting outer clothing, wiping with a moist cloth or tape, and marking hot spots that cannot be removed by wiping.

121
Q

Purpose of SOPs for Radiological Hazards.

A

Provide guidelines and protocols for handling radiological hazards in the specified region.

122
Q

204.03A

A

Radiological Decontamination