Home Interviews THMG029 – Decontamination, Part VI: Hospital Decon with Tony Egan

THMG029 – Decontamination, Part VI: Hospital Decon with Tony Egan


In this episode, we discuss hospital decon with special guest Tony Egan. Tony has an impressive resume and is an expert on emergency management in the hospital setting. We’ll talk about transporting a patient from the ambulance through the hospital.

Complete Show Notes

6:35 Introduction to Tony Egan

  • Has his EMT, RN, and is a training manager for a major hospital conglomerate
  • He’s also a New York City firefighter with his Hazardous Materials Tech II
  • Also a CDP instructor, New York state SESMO instructor for incident command 300, and a RN with an NY5 DMAT

8:00 Hazmat’s Relationship with Hospitals

  • Always keep in mind that the human body can be a hot zone – this is a big part of the post-hazmat role
  • Hospitals have to determine how to give contaminated patients the best possible care before, during, and after the incident
  • Pre-planning is essential, no matter your setting – urban, rural, etc. – figure out what’s going on in your community (training, location of hospitals, etc.)
  • Go into hospitals and introduce yourself to the emergency preparedness coordinator – discuss what you think your role is and what their expectations are of you
  • You should also lay out your game plan, SOPs, and what your expectations of the hospital are
  • Figure out what the hospital staff is trained to do – do they know how to put on PPE, etc.?
  • Offer to do joint trainings where you share your knowledge and they share their knowledge
  • Look into any available state and federal trainings that are available
  • Check out their equipment to figure out what they’re capable of and who they can treat – not everyone knows how to treat patients who were contaminated

16:00 Liaisons Between Hospitals and Hazmat Teams

  • Hospital instant command structure – the number one place where they can support hazmat personnel is medical care
  • Rural areas have minimal amounts of equipment, but hospitals are mandated to have certain pieces of equipment
  • Hospitals are great places for hazmat teams to play – radiation sources and chemicals everywhere
  • Some hospitals believe the fire department is going to take care of everything – this is often true in large, metropolitan areas
  • Who’s in charge once hazmat is on hospital grounds? This needs to be addressed beforehand to avoid confusion
  • It’s important for personnel on every level to be in the hospital and understand the relationship between hospitals and hazmat – you need to know how to do things and understand what hospital employees are saying to you

23:55 More on Hospitals and Decontamination

  • Hospitals are great places for hazmat teams to play and learn – always use any functionalities and capabilities they offer you
  • However, they’re also great places for bad things to happen – especially true during overnight hours if accidents happen on second or third shifts
  • Hospitals can also be dangerous because doctors and scientists are doing experiments
  • Reverse isolation – where victim is wrapped in blankets, rags, etc. to isolate them from everyone else until you get to the hospital
  • Code Decon – this is paged throughout the hospital; anyone who can handle decon is required to come down to the emergency room
  • Early notification of hospitals allows them to be prepared to handle non-ambulatory decon – they have time to put on PPE, set up decon areas, etc.
  • All hospitals are mandated to have a decon team in place and to have a set of emergency procedures in place for decon

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Author: The Hazmat Guys