ࡱ> xzw !bjbjcTcT .v>>EEEEEYYYY,,YF2tU1W1W1W1W1W1W13\6W1EvvvW1EEl1N(((v"EEU1(vU1((5/0UY/A11F2/6@6(06E0Xr(W1W1:F2vvvv6 : MEDICAL/TECHNICAL SPECIALIST RADIOLOGICAL Mission: Advise the Incident Commander or Operations Section Chief, as assigned, on issues related to specific radiological incidents and emergency response. In conjunction with the Medical Care Branch Director, organize and prepare the Emergency Department to receive radiation exposure casualties in a manner consistent with hospital procedures and best practices to preserve the operational integrity of the Emergency Department. Date: Start: End: Position Assigned to: Initial: Position Reports to: Signature: Hospital Command Center (HCC) Location: Telephone: Fax: Other Contact Info: Radio Title:  Immediate (Operational Period 0-2 Hours)TimeInitialReceive appointment and briefing from the Incident Commander.Read this entire Job Action Sheet and review incident management team chart (HICS Form 207). Put on position identification.Notify your usual supervisor of your HICS assignment.Document all key activities, actions, and decisions in an Operational Log (HICS Form 214) on a continual basis.Request staffing assistance from the Labor Pool and Credentialing Unit Leader to assist with rapid research as needed to determine hazard and safety information critical to treatment and decontamination concerns for the victims and personnel.Verify from the ED Attending and report to the Incident Commander the following information from the scene: Number and condition of both uncontaminated and contaminated patients Type and amount of radioactive isotopes involved Type of radiation incident: External radiation exposure only External contamination only External contamination with internal exposure Time incident occurred Medical problems present besides radionuclide contamination Measures taken at the incident site (e.g., air monitors, fixed radiation monitors, nasal smear counts, and skin contamination levels) Potential for industrial, biological, or chemical material exposures expected in addition to radionuclide.Direct the preparation of the emergency department for the arrival of victims using PPE dress-out for radiological decontamination responseDesignate a person with a survey meter at the entrance of the decontamination room to monitor personnel and equipment leaving the radiation decontamination room.Participate in briefings and meetings and contribute to the Incident Action Plan, as requested. Verify with the Safety Officer and the Security Branch Director that all access to the ED has been secured to prevent media or other non-authorized people from entering into the treatment area during treatment or the decontamination process.Ensure the monitoring and surveying of hospital staff providing patient decontamination and care from the arrival of the patient through the decontamination and care process, and post-event monitoring of all personnel after care is provided.Document all communications (internal and external) on an Incident Message Form (HICS Form 213). Provide a copy of the Incident Message Form to the Documentation Unit. Intermediate (Operational Period 2-12 Hours)TimeInitialMeet regularly with the Incident Commander or Operations Section Chief and Branch Directors to update current situation and conditions. Continue to ensure appropriate decontamination processes including: Monitoring patients and decontamination team during and after the care of the patient(s). Surveying of the contaminated areas, patients and exposed personnel. Collecting samples for subsequent analysis. Collecting and managing any radioactive wastes (solid and liquid) generated during the decontamination process. Evaluating staff dosimeters and ensuring proper follow-up if indicated.EEnsure use of all safety practices and procedures.Prepare and maintain records and reports.  Extended (Operational Period Beyond 12 Hours)TimeInitialIn collaboration with the Operations Sections HazMat Branch Director, oversee final personnel clearance checks and report clearance to the ED attending, Medical Care Branch Director, Employee Health and Well-Being Unit Leader and Operations Section Chief: Ambulance and attendants Route from ambulance entrance to radiation decontamination room Radiation decontamination room Patient(s) and staffDirect monitoring of facility decontamination processes as needed, in collaboration with the HazMat Branch Director.Ensure your physical readiness through proper nutrition, water intake, rest, and stress management techniques.Observe all staff and volunteers for signs of stress and inappropriate behavior. Report concerns to the Employee Health & Well-Being Unit Leader. Provide for staff rest periods and relief.Upon shift change, brief replacement on the status of all ongoing operations, issues and other relevant incident information. Demobilization/System RecoveryTimeInitialEnsure analysis of all specimens taken from potentially contaminated items or water.Ensure staff and Employee Health and Well-Being Unit Leader is aware of any significant information resulting from exposure to radiation and recommendations for follow up care and monitoring.Ensure the Security Officer has custody of all suspected contaminated evidence for release to proper (verified) authority in a proper container, properly sealed.Ensure return/retrieval of equipment and supplies and return all assigned incident command equipment.Upon deactivation of your position, ensure all documentation and Operational Logs (HICS Form 214) are submitted to the Operations Section Chief or Incident Commander, as appropriate. Upon deactivation of your position, brief the Incident Commander or Operations Section Chief, as appropriate, on current problems, outstanding issues, and follow-up requirements.Submit comments to the Incident Commander or Operations Section Chief, as appropriate for discussion and possible inclusion in the after-action report; topics include: Review of pertinent position descriptions and operational checklists Recommendations for procedure changes Section accomplishments and issuesParticipate in stress management and after-action debriefings. Participate in other briefings and meetings as required. Documents/ToolsIncident Action Plan HICS Form 207 Incident Management Team Chart HICS Form 213 Incident Message Form HICS Form 214 Operational Log Hospital emergency operations plan Hospital organization chart Hospital telephone directory Radio/satellite phone ,-56=AT~  u  5 F G ĵo_Qhu#hW5CJ^JaJhN ahW5@CJ^JaJhu#hW5@CJ^JaJh>hWCJ^JaJh>hW5@CJ^JaJh>hW@CJ^JaJhWCJ^JaJhphW@CJ^JaJhO)zhWCJ^JaJhWCJ^JaJhW5CJ^JaJh6AhW;CJaJhW@ OJQJ^JaJ,-  G  a  $dd$Ifgd>l  $dd$Ifgd>l  x$X@dd$Ifgd>l @ $XXXXXdd$Ifgd>l gdW 8^8`gdW $ !$a$gdWgdW tt $$Ifa$gdW $IfgdWgdWqkd$$Ifl3"h% t062H2 s44 layt> $ % & kbVV $$Ifa$gdW $IfgdWkd$$Ifl4FW3"r t06    2H2 s4 la $ & ' T l , - P Q S T \ e k F G I J ,-HIijٿ٦wjjjjjjjjh="hWCJ^JaJh#8hW^Jh#8hW@CJ^JaJh#8hWCJ^JaJhWCJ^JaJhVJhWCJ^JaJhW@CJ^JaJh,n8hW@CJ^JaJhWCJ]^JaJh="hW^Jh="hW@CJ^JaJh="hWCJ]^JaJ)& ' mdXX $$Ifa$gdW $IfgdWkd[$$IflFW3"r t06    2H2 s4 la mdXX $$Ifa$gdW $IfgdWkd$$$IflFW3"r t06    2H2 s4 la Q R S mdXX $$Ifa$gdW $IfgdWkd$$IflFW3"r t06    2H2 s4 laS T G H I mdXX $$Ifa$gdW $IfgdWkd$$IflFW3"r t06    2H2 s4 laI J -IjmdWWWJJJ & F$IfgdW & F$IfgdW $IfgdWkd$$IflFW3"r t06    2H2 s4 laTK $IfgdWkdH$$IflFW3"r t06    2H2 s4 la $$Ifa$gdW & F$IfgdW$NOSTabno~,./T6Fz|}&()*ĵџhShWCJaJ hW^JhW@CJ^JaJhl{hWCJ^JaJh#8hW^Jh#8hW@CJ^JaJh#8hWCJ^JaJh="hW^Jh="hW@CJ^JaJhWCJ^JaJh="hWCJ^JaJ3,-.aX $IfgdWkd$$IflFW3"r t06    2H2 s4 la $$Ifa$gdW./mdXX $$Ifa$gdW $IfgdWkd$$IflFW3"r t06    2H2 s4 lah_SS $$Ifa$gdW $IfgdWkd$$IflFW3"q t06    2H2 s4 lagz{|mdXX $$Ifa$gdW $IfgdWkdv$$IflFW3"r t06    2H2 s4 la|}&m"J$EƀIfgdWkd? $$IflFW3"r t06    2H2 s4 la&'()kd $$IflFW3"r t06    2H2 s4 laM$$EƀIfa$gdW)*W\deQkd $$Ifl4FW3"r~ t06    2H2 s4 la $$Ifa$gdW $IfgdWgdW*Wde!"#Q^_egh,=JKcef  ǻǻǻǻǻǻǻǻǻǻǻǻhf hW5CJ^JaJhf hW5@CJ^JaJhW5@CJ^JaJhShWCJaJ hW^JhW@CJ^JaJhWCJ^JaJhu#hW5CJ^JaJhf hW5@CJ^JaJhu#hW5@CJ^JaJ06qmdWWWWWK $$Ifa$gdW & F$IfgdW $IfgdWkd $$IflFW3"r~ t06    2H2 s4 laaX $IfgdWkd $$IflFW3"r~ t06    2H2 s4 la $$Ifa$gdW !mdXX $$Ifa$gdW $IfgdWkdK $$IflFW3"r~ t06    2H2 s4 la!"#QV^mh_SS $$Ifa$gdW $IfgdWgdWkd$$IflFW3"r~ t06    2H2 s4 la^_`ykbUUUUII $$Ifa$gdW & F$IfgdW $IfgdWkd$$Ifl4FW3"r~ t06    2H2 s4 laefgmdXX $$Ifa$gdW $IfgdWkd$$IflFW3"r~ t06    2H2 s4 laghmdXX $$Ifa$gdW $IfgdWkd$$IflFW3"r~ t06    2H2 s4 lamdXX $$Ifa$gdW $IfgdWkdI$$IflFW3"r~ t06    2H2 s4 lamdXX $$Ifa$gdW $IfgdWkd$$IflFW3"r~ t06    2H2 s4 la=BJmh_SS $$Ifa$gdW $IfgdWgdWkd$$IflFW3"r~ t06    2H2 s4 laJKkbVV $$Ifa$gdW $IfgdWkd$$Ifl4FW3"r t06    2H2 s4 lacdemdXX $$Ifa$gdW $IfgdWkd~$$IflFW3"r t06    2H2 s4 laef  mdXX $$Ifa$gdW $IfgdWkdG$$IflFW3"r t06    2H2 s4 la  qmd $IfgdWkd$$IflFW3"r t06    2H2 s4 la <qst,-/0<   !$!6!7!Y!!!!!׿锇釔锇wokh>/HhWCJaJh#(hW6@CJ^JaJhFhWCJ^JaJh(ThWCJ^JaJhf hW5CJ^JaJhf hW5@CJ^JaJhShWCJaJhr2hWCJ^JaJ hW^JhW@CJ^JaJhWCJ^JaJhvhWCJ^JaJ&qrstkd$$IflFW3"r t06    2H2 s4 laM$$Eƀ jIfa$gdWt-./0Xkd$$IflFW3"r t06    2H2 s4 la $$Ifa$gdW $IfgdW mdWWW & F$IfgdW $IfgdWkdk$$IflFW3"r t06    2H2 s4 la    kd4$$IflFW3"r t06    2H2 s4 laM$$Eƀ jIfa$gdW XSgdWkd$$IflFW3"r t06    2H2 s4 la $$Ifa$gdW $IfgdW !F555 & F !$IfgdWmkd$$Ifl43" t062H2 s4 laJ$Eƀ jIfgdW!7!Z!v!!!!!!upngdWlkd$$Ifl3" t062H2 s4 la & F !$IfgdW & F$IfgdW,1h/ =!"#$% $$If!vh5"#v":V l t065h%2H2 syt>$$If!vh555#v#v#v:V l4 t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5q552H2 s4g$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r55/ 2H2 s4$$If!vh555#v#v#v:V l4 t06,5r5~5/ 2H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l4 t06,5r5~5/ 2H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l t06,5r5~52H2 s4$$If!vh555#v#v#v:V l4 t06,5r55/ 2H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r552H2 s4$$If!vh555#v#v#v:V l t06,5r55/ 2H2 s4$$If!vh5"#v":V l4 t06,5/ 2H2 s4$$If!vh5"#v":V l t065/ 2H2 s4^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH H`H WNormal CJOJQJ_HaJmH sH tH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List `$` ;Envelope Address!@ &+D/^@ ^J4@4 WHeader  !@>@@ WTitle$a$5@CJOJQJj@#j W Table Grid7:V06U@16 p Hyperlink >*B*phPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  v * !$3 & S I .|&)!^gJe qt  !! !"#%&'()*+,-./012456789:8@0(  B S  ?5j5!54#5Q5$5ܙ$5!55N$554"555J5$K5dK--GGPX_`s++O      44OW^^cd:R  ? *urn:schemas-microsoft-com:office:smarttags stockticker9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity= *urn:schemas-microsoft-com:office:smarttags PlaceName= *urn:schemas-microsoft-com:office:smarttags PlaceType* isiresearchsoft-com/cwywcitation } MS7Y$7Y$7Yb{xn!P@Eg DThCl ]nP"Y`)yunXhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH ]b{hC!@Eg )yuY`                                                               Bl,>1DVG>/Hp z;zpWo(T@`@UnknownCheryl Starlingrhennrhennrhenn20080428T075412446&rhennG* Times New Roman5Symbol3. * Arial?= * Courier New;WingdingsACambria Math"qh2fǂF . .!r42qHX ?z2!xx+MEDICAL/TECHNICAL SPECIALIST  RADIOLOGICAL mvaligoskyrhenn(       Oh+'0 $0 P \ ht|,MEDICAL/TECHNICAL SPECIALIST RADIOLOGICAL mvaligoskyNormalrhenn5Microsoft Office Word@Ik@3h@S՜.+,0( hp  Medical College of Ohio.  ,MEDICAL/TECHNICAL SPECIALIST RADIOLOGICAL Title  !"#$%&'()*+,-./0123456789:;=>?@ABCDEFGHIJLMNOPQRSTUVWXYZ[\]^_`abcdefhijklmnpqrstuvyRoot Entry FаV{Data <'1TableK"7WordDocument.vSummaryInformation(gDocumentSummaryInformation8oCompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q