[MCOH-EH] Decon Team - medical clearance

[Kris Arnold]

Dr. Ramirez,

Although the jobs are not exactly the same, the safety sensitive nature of
decon work and the physiological stresses of being in the suits may make it
worth your while to look at the ACOEM Guidance for Medical Evaluation of
Law Enforcement Officers (http://www.acoem.org/Login.aspx) or the NFPA
standard 1582 for firefighters (
http://www.nfpa.org/codes-and-standards/document-information-pages?mode=code&code=1582&tab=nextedition).
 Unfortunately, the ACOEM document costs 50USD for a subscription.

As noted, neither of these documents was designed for exactly your
population, but many of the principles are the same as a safety sensitive
job in adverse conditions and these will help you think of issues you may
want to address.

By way of disclaimer, I am a member of the ACOEM task group developing the
LEO guidances.  I am not a member of the 1582 development committee.

Good luck.

Kris Arnold, MD, MPH, FACEP




On Mon, May 12, 2014 at 6:51 PM, Angelique Ramirez <
ANGELIQUE.RAMIREZ at phhs.org> wrote:

>  We have 120 staff who are members of our hospital decon team … they
> participate in training, drills, and actual events involving suiting up –
> events have lasted anywhere from 1-2 hours to 7-8 hours.  Occupational
> Health has not previously be involved with the team … the disaster
> preparedness team has asked for our help in updating protocols from initial
> medical clearance prior to being on the team to the medical monitoring at
> the time of an event and medical surveillance over time.
>
>
>
> If anyone has any procedures/protocols that they would be willing to share
> or practical lessons learned from experience I’d be grateful – thanks.
>
>
>
> Angelique Ramirez, MD
>
> Medical Director, Occupational Health Services
>
> Parkland Health & Hospital System
>
> 5201 Harry Hines Blvd.
>
> Dallas, TX 75235
>
> 214-590-4842 - office
>
> angelique.ramirez at phhs.org
>
>
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