Updated: 4 October 2010

CPS CASUALTY DECONTAMINATION STATION CHECK SHEET

USS ______

REF:

a)NSTM 470

b)AEL 2-77004290 for CPS Casualty Decontamination Station Equipment

c)NAVSEA Drawing 804-6983509 for CPS Casualty Decontamination Stations

CPS CASUALTY DECONTAMINATION STATION

IAW / S/U / S/U / S/U / S/U / S/U
Station or Compartment Number
1. Control Area (CA) / Ref (a,b,c)
a. Is one portable lantern installed in the CA?
b. Is hands free capable intercom installed (weather tight enclosure, if located in weather)?
c. Do washdown hose stations have a selectable feature in the CA, either fresh water or seawater? Primary supply, min press = 25 psi, max press = 40 psi.
d. Is label installed at the weather entrance: "CASUALTY DECONTAMINATION STATION ENTRANCE FOR RECOVERY FROM CBR ATTACK, ENTER UPON COMMAND"
e. Are labels installed at the proper quick disconnect fittings located at the CA: "FRESH WATER SUPPLY FOR FLUSHING THE WASHDOWN HOSE STATIONS" AND "SEAWATER SUPPLY FOR PERSONNEL DECONTAMINATION"
f. Are labels installed at the appropriate intercom units: "HANDS FREE CAPABILITY PROVIDED"
2. Liquid Hazard Area (LHA) / Ref (a,b,c)
a. Are route markers installed in weather areas to indicate the most direct route to the nearest access opening of the decontamination station?
b. Decontamination station entrance marker is installed at each entrance door?
c. A label plate reading “ACCESS TO DECONTAMINATION STATION” is installed on the weather door access?
d. Door to Liquid Hazard Area operates properly and does not require adjustment
e. Are two portable lanterns installed in the LHA near OVHD, one at each end of the roller table?
f. Is hands free capable intercom installed?
g. Is washdown hose station installed and hose of sufficient length (minimum length of 12 ft., but shall be of sufficient length to reach 1 ft. past the far side the roller tables. At least one of the hoses shall be of sufficient length to reach to all interior areas of the CAL. At least one of the hoses shall be of sufficient length to reach to all interior areas of the AAL)?
h. Is Stainless Steel deck grating installed covering the entire deck w/exception of Roller Table deck track and support?
i. Are three 5 in. dia. vents, w/splash shields, located on the bottom entrance face of the LHA?
j. Are labels installed at the appropriate intercom units: "HANDS FREE CAPABILITY PROVIDED"
k. Are the LHA roller table, VHA roller table, and CAL roller table
the same height and level?
l. Are the top of the roller table tracks level with the top of the grating in the LHA and VHA?
m. Are the LHA roller table, VHA roller table, and CAL roller table centered along the same centerline? Do all rollers operate freely?
n. Are two 2” Deck drains installed and operational?
3. Vapor Hazard Area (VHA) / Ref (a,b,c)
a. Are two portable lanterns installed in the VHA, near OVHD, one at each end of the roller table?
b. Is hands free capable intercom installed?
c. Is Washdown hose station installed and hose of sufficient length (minimum length of 12 ft., but shall be of sufficient length to reach 1 ft. past the far side the roller tables. At least one of the hoses shall be of sufficient length to reach to all interior areas of the CAL. At least one of the hoses shall be of sufficient length to reach to all interior areas of the AAL)?
d. Is Stainless Steel deck grating installed covering the entire deck w/exception of Roller Table deck track and support?
e. Are three 5 in. Dia vents, w/splash shields, located on the top entrance face of the VHA?
f. Are labels installed at the appropriate intercom units: "HANDS FREE CAPABILITY PROVIDED"
g. Are the LHA roller table, VHA roller table, and CAL roller table
the same height and level? Are the top of the roller table tracks level with the top of the grating in the LHA and VHA?
h. Are the LHA roller table, VHA roller table, and CAL roller table centered along the same centerline? Do all rollers operate freely?
i. Are two 2” Deck drains installed and operational?
4. Ambulatory Air Lock (AAL) / Ref (a,b,c)
a. Is one portable lantern installed in the AAL?
b. Is hands free capable intercom installed?
c. Is Stainless Steel deck grating installed covering the entire deck w/exception of Roller Table deck track and support?
d. Is one 6 in. Dia vent located on the top exit face of the AAL?
e. Is one 6 in. Dia vent, w/splash shield, located on the bottom entrance face of the AAL?
f. Is label installed on the inboard side of the door leading from the CPS TP zone to the AAL: "NO ENTRY EXCEPT AS DIRECTED DURING CONTAMINATION RECOVERY OR EXERCISE"
g. Is label installed on the inboard side of the door leading from the CPS TP zone to the AAL: "DO NOT BLOCK CASUALTY DECONTAMINATION STATION EXIT"
h. Are labels installed at the appropriate intercom units: "HANDS FREE CAPABILITY PROVIDED"
i. Is one 2” Deck drain installed and operational?
5. Casualty Air Lock (CAL) / Ref (a,b,c)
a. Is one portable lantern installed in the CAL?
b. Is hands free capable intercom installed?
c. Are two 4.5 in. Dia vents located on the top exit face of the CAL?
d. Are two 4.5 in. Dia vents located on the bottom entrance face of the CAL?
e. Is label installed on the inboard side of the door leading from the CPS TP zone to the CAL: "DO NOT BLOCK CASUALTY DECONTAMINATION STATION EXIT"
f. Are labels installed at the appropriate intercom units: "HANDS FREE CAPABILITY PROVIDED"
g. Are the LHA roller table, VHA roller table, and CAL roller table the same height and level?
h. Are the top of the roller table tracks level with the top of the grating in the LHA and VHA?
i. Are the LHA roller table, VHA roller table, and CAL roller table centered along the same centerline? Do all rollers operate freely?
j. Is one 2” Deck drain installed and operational?
6. Casualty Decon Station Labeling / Ref (c)
a. The following 12 labels shall be located where specified:
1. Location: LHA Weather entrance on casualty processing side:
CASUALTY DECON PROCEDURES
CONTAMINATED TRIAGE AREA
1. REMOVE ALL BATTLE DRESS ITEMS
2. REMOVE ALL ORDNANCE AND WEAPONS TO DESIGNATED AREA
3. REMOVE ATROPINE INJECTOR, 2-PAM CHLORIDE INJECTOR, AND NAPP TO DESIGNATED AREA
4. TRIAGE CASUALTIES
5. DECON MASK AND RUBBER GLOVES USING DECON KIT FOR CHEMICAL HAZARD OR HTH SOLUTION FOR BIOLOGICAL HAZARD
6. DECON OVERBOOTS USING HTH SOLUTION
WARNING: NO TWO CASUALTY DECON STATION DOORS
ARE TO BE OPENED SIMULTANEOUSLY
7. TRANSFER CASUALTY TO LIQUID HAZARD AREA UPON COMMAND THEN CLOSE DOOR
2. Location: LHA weather entrance on ambulatory processing side
AMBULATORY DECON
PROCEDURES
CONTAMINATED TRIAGE AREA
1. REMOVE ALL BATTLE DRESS ITEMS
2. REMOVE ALL ORDNANCE AND WEAPONS TO DESIGNATED AREA
3. REMOVE ATROPINE INJECTOR, 2-PAM CHLORIDE INJECTOR, AND NAPP AND CAREFULLY DECON OUTSIDE SURFACES
WARNING: ALWAYS PLACE TWO FINGERS ON THE FRONT
VOICEMITTER WHEN PERFORMING BUDDY SYSTEM PROCEDURES
TO PREVENT BREAKING MASK SEAL
WARNING: DO NOT REMOVE MASK
OUTSERT WHEN DECONING MASK
4. PERFORM BUDDY SYSTEM TO DECON MASKS AND GLOVES USING DECON KIT
- DECON FINGER TIPS AND THEN DECON EXPOSED AREAS OF BUDDY'S MASK
- DECON GLOVES COMPLETELY AND DO NOT TOUCH ANY CONTAMINATED SURFACE (INCLUDING THE JSLIST) INSIDE OUR OUTSIDE THE DECON STATION
- BUDDY REPEATS STEP 4
WARNING: NO TWO CASUALTY DECON STATION DOORS
ARE TO BE OPENED SIMULTANEOUSLY
5. ENTER LIQUID HAZARD AREA UPON COMMAND
3. Location: Control Area (CA)
AIR LOCK PURGE TIMES
CASUALTY AIR LOCK TIME: 2 MINUTES
AMBULATORY AIR LOCK TIME: 2 MINUTES
4. Location: LHA on casualty processing side
CASUALTY DECON PROCEDURES
LIQUID HAZARD AREA
  1. TRANSFER CASUALTY FROM LITTER TO ROLLER TABLE WITH HEAD TOWARDS VAPOR HAZARD AREA
WARNING: DO NOT TOUCH CASUALTY’S BARE SKIN
NOR CHARCOAL LINING SIDE OF OUTER CLOTHING
NOTE: CUT OFF OUTER LAYER OF CLOTHING IF
CASUALTY IS NOT WEARING PROTECTIVE EQUIPMENT
2. CUT OFF OUTER TROUSER AND PEEL AWAY FROM INNER CLOTHING AND SKIN
3. PULL OFF OR CUT OFF OVERBOOTS
4. CUT OFF OUTER COAT AND PEEL AWAY FROM INNER CLOTHING AND SKIN
5. PULL OFF RUBBER GLOVES
6. CUT OFF HOOD
7. GRASP OUTER CLOTHING AND PULL FLAT UNDER CASUALTY
NOTE: OUTER CLOTHING WILL FALL OFF ROLLER TABLE INTO LIQUID HAZARD AREA WHILE CASUALTY IS TRANSFERRED TO
VAPOR HAZARD AREA
WARNING: NO TWO CASUALTY DECON STATION
DOORS ARE TO BE OPENED SIMULTANEOUSLY
8. TRANSFER CASUALTY TO VAPOR HAZARD AREA UPON COMMAND THEN CLOSE DOOR
9. BAG AND REMOVE ALL CLOTHING AND EQUIPMENT
10. DECON GLOVES, SCISSORS, AND ROLLER TABLE
11. SIGNAL FOR NEXT CASUALTY
5. Location: LHA on ambulatory processing side
AMBULATORY DECON
PROCEDURES FOR DOFFEE
LIQUID HAZARD AREA
ENTRANCE
- STEP INTO BOOTWASH UPON COMMAND AND SCRUB BOOTS FOR 10 SECONDS IN FRONT OF BAG HOLDERS
- UNBUCKLE SUSPENDERS THRU COAT (DO NOT REACH INSIDE COAT)
- FOLLOW VERBAL INSTRUCTIONS FROM CUTTER
- PLACE TWO FINGERS ON FRONT VOICEMITTER WHEN CUTTER IS OPERATING NEAR MASK IN FRONT OF STOOL
- FOLLOW VERBAL INSTRUCTIONS FROM CUTTER
- PLACE TWO FINGERS ON FRONT VOICEMITTER WHEN CUTTER IS OPERATING NEAR MASK
WARNING: NO TWO CASUALTY DECON STATION
DOORS ARE TO BE OPENED SIMULTANEOUSLY SEATED ON STOOL
- FOLLOW VERBAL INSTRUCTIONS FROM CUTTER
- REMOVE RUBBER GLOVES (ASSISTED BY CUTTER)
- PROCEED INTO VAPOR HAZARD AREA UPON COMMAND”
6. Location: VHA on casualty processing side
CASUALTY DECON PROCEDURES
VAPOR HAZARD AREA
WARNING: ONLY VHA PERSONNEL MAY TOUCH CASUALTY
1. TRANSFER CASUALTY TO ROLLER TABLE WARNING: DO NOT TOUCH CASUALTY’S BARE SKIN
2. CUT OFF ALL INNER CLOTHING EXCEPT MASK
3. RINSE AWAY DIRT, BLOOD, AND DEBRIS
4. CUT OR CUT AROUND BANDAGES UPON COMMAND
NOTE: COVER MASK CANISTER WITH HAND TO SHIELD FROM WATER
5. REPLACE BANDAGES OR TOURNIQUETS UPON COMMAND AND RINSE/DECON SKIN AROUND WOUND AS DIRECTED
NOTE: REMOVAL AND REPLACEMENT OF IV BAG AND TUBING MAY BE NECESSARY TO REMOVE ALL CLOTHING
6. DECON IV BAG AND TUBING WARNING: NO TWO CASUALTY DECON STATION DOORS ARE TO BE OPENED SIMULTANEOUSLY
7. OPEN CASUALTY AIR LOCK DOOR UPON COMMAND AND REMOVE PLASTIC BAG CONTAINING PREVIOUS CASUALTY’S MASK
8. TRANSFER CASUALTY TO CASUALTY AIR LOCK THEN CLOSE DOOR AND SIGNAL TO PERSONNEL IN CONTROL AREA AND CPS TP ZONE
9. BAG AND REMOVE ALL CLOTHING AND EQUIPMENT
10. DECON GLOVES, SCISSORS, AND ROLLER TABLE
11. SIGNAL FOR NEXT CASUALTY
7. Location: LHA on ambulatory processing side
AMBULATORY DECON
PROCEDURES FOR CUTTER
LIQUID HAZARD AREA
WARNING: NEVER TOUCH DOFFEE'S SKIN OR INNER CLOTHES
AND DECON GLOVES AS OFTEN AS POSSIBLE
WARNING: NO TWO CASUALTY DECON STATION DOORS
ARE TO BE OPENED SIMULTANEOUSLY
CLOSE DOOR AFTER DOFFEE ENTERS LIQUID HAZARD AREA
IN FRONT OF BAG HOLDERS
- INSTRUCT DOFFEE TO FACE CUTTER
- RELEASE VELCRO ON LEGS AND SLEEVES OF PROTECTIVE OVER GARMENT
- UNSNAP COAT RETENTION CORD ON FRONT BOTTOM OF COAT
- LOOSEN AND RELEASE BARREL LOCK ON HOOD
- RELEASE VELCRO AND UNZIP THE COAT
- INSTRUCT DOFFEE TO ABOUT FACE
- PLACE HANDON DOFFEE'S HEAD AND CAREFULLY PULL HOOD INSIDE OUT
- GRASP SHOULDERS OF COAT AND REMOVE BY PULLING DOWN AND AWAY
IN FRONT OF STOOL
- INSTRUCT DOFFEE TO RAISE ARMS
- RELEASE VELCRO AT WAIST
- UNSNAP AND UNZIP PROTECTIVE TROUSERS
- REMOVE SUSPENDERS WITHOUT TOUCHING SHIRT
- GRASP AT THE HIPS AND PULL TROUSERS DOWN TO JUST ABOVE DOFFEE'S KNEES
WARNING: DOFFEE SHALL NOT TOUCH THE STOOL
WITH GLOVES OR TROUSERS
DOFFEE SEATED ON STOOL
- REMOVE TROUSERS ONE LEG AT A TIME
- REMOVE ONE OVERBOOTS
- HELP DOFFEE REMOVE RUBBER GLOVES
BAG AND REMOVE ALL CLOTHING AND EQUIPMENT
DECON GLOVES AND SCISSORS
8. Location: CPS TP zone near CAL
CASUALTY DECON PROCEDURES
CPS TP ZONE
WARNING: NO TWO CASUALTY DECON STATION DOORS
ARE TO BE OPENED SIMULTANEOUSLY
WARNING: MEDICAL PERSONNEL MUST WAIT 2 MINUTES
BEFORE OPENING CASUALTY AIR LOCK DOOR
TO ALLOW CASUALTY AIR LOCK TO PURGE
WARNING: ONLY ONE CASUALTY AIR LOCK
DOOR MAY BE OPENED AT A TIME
1. PLACE EMPTY PLASTIC BAG OVER MASK AND REMOVE MASK
2. SECURE PLASTIC BAG WITH TIE AND PLACE ON CASUALTY AIR LOCK FLOOR
3. TRANSFER CASUALTY TO CPS TP ZONE
4. CLOSE CASUALTY AIR LOCK DOOR
9. Location: LHA weather entrance
CASUALTY DECON PROCEDURES
EMERGENCY ACTION PRIORITIES
1. ADMINISTER CHEMICAL ANTIDOTE, IF AVAILABLE
2. CONTROL RESPIRATORY FAILURE (PROVIDE ASSISTED VENTILATION) AND/OR MASSIVE HEMORRHAGE
3. DECON THE CASUALTY
4. ADMINISTER ADDITIONAL EMT FOR SHOCK, WOUNDS, AND ILLNESSES WHICH ARE SO SEVERE THAT DELAY MAY BE LIFE OR LIMB THREATENING
5. BRING THE CASUALTY TO MEDICAL AS SOON AS POSSIBLE
10. Location. VHA on ambulatory processing side
AMBULATORY DECON PROCEDURES
FOR DOFFEE VAPOR HAZARD AREA
IN FRONT OF BAG HOLDERS
- REMOVE WORK SHOES
- REMOVE INNER CLOTHING EXCEPT MASK AND PULLOVER SHIRTS (TEE SHIRTS, JERSEYS, ETC.)
AND COTTON GLOVES
- CUT ALL PULLOVER SHIRTS DOWN THE FRONT FROM TOP TO BOTTOM AND REMOVE
- REMOVE COTTON GLOVES
WARNING: NO TWO CASUALTY DECON STATION DOORS
ARE TO BE OPENED SIMULTANEOUSLY
IN FRONT OF WASHDOWN HOSE STATION
- FOLLOW VERBAL INSTRUCTIONS FROM CUTTER
- PROCEED INTO AMBULATORY AIR LOCK UPON COMMAND
11. Location: VHA on ambulatory processing side
AMBULATORY DECON PROCEDURES
FOR CUTTER VAPOR HAZARD AREA
WARNING: NO TWO CASUALTY DECON STATION DOORS
ARE TO BE OPENED SIMULTANEOUSLY
CLOSE DOOR AFTER DOFFEE ENTERS VAPOR HAZARD AREA
IN FRONT OF WASHDOWN HOSE STATION
- INSTRUCT DOFFEE TO COVER MASK CANISTER WITH HAND TO SHIELD FROM WATER
- COMPLETELY RINSE FRONT OF DOFFEE FOR 20 SECONDS (NO SCRUBBING REQUIRED)
- INSTRUCT DOFFEE TO ABOUT FACE
- COMPLETELY RINSE BACK OF DOFFEE FOR 20 SECONDS (NO SCRUBBING REQUIRED)
BAG AND REMOVE ALL CLOTHING AND EQUIPMENT DECON GLOVES AND SCISSORS
12. Location AMBULATORY Air Lock
AMBULATORY DECON PROCEDURES
AMBULATORY AIR LOCK
1. REMOVE PLASTIC BAG CONTAINING PREVIOUS DOFFEE'S MASK AND PLACE IN VHA, THEN CLOSE DOOR
2. WAIT 2 MINUTES TO ALLOW AMBULATORY AIR LOCK TO PURGE
3. PLACE EMPTY PLASTIC BAG OVER HEAD, GRASP MASK BY CANISTER THROUGH BAG, PULL OFF
MASK AND LET FALL INTO PLASTIC BAG
4. SECURE PLASTIC BAG WITH TIE AND PLACE ON FLOOR
WARNING: NO TWO CASUALTY DECON STATION DOORS
ARE TO BE OPENED SIMULTANEOUSLY
5. EXIT AMBULATORY AIR LOCK
6. CLOSE AMBULATORY AIR LOCK DOOR
5. CPS Casualty Decon Station Equipment Inventory / IAW / QTY / S/U / S/U / S/U / S/U / S/U
Station or Compartment Number
Number of items in “QTY” column are per decon station / Ref (a,c)
a. Bag, Disposal, 10 gal (1 box = 250 bags) 100 bags per decon station. / 100 bags
b. Bag, Disposal, 55 gal (1 box = 100 bags) 25 bags per decon station / 25 bags
c. Brush-Scrub Deck / 3
d. Calcium Hypochlorite (HTH) / 48
e Can-Ash x Gbg w/o cover (Trash Can 32 Gallon) / 5
f. CP-Kit, M291 Decon / 2
g. General Purpose Detergent (1 Gallon can) / 1
i. Handle, Deck Brush / 3
h. Pan, Steam Table (for Scissors) / 2
i. Scissors, Bandage / 10
j. Soap Bars (per station for 100 personnel processed) / 10
k. Towels (per station for 100 personnel processed) / 100
l. Tape, Duct (per station) / 1
REMARKS:

ASSESSOR(S):______DATE: ______

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