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Annual Refresher Training

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					Annual Refresher Training
     Blood-borne Pathogens,
      Hazardous Materials,
    Right-to-Know, and SCBA
Blood-borne Pathogens
   Awareness & Prevention
     Captain Chris Clark
 Blood-borne Pathogens
• Training is a Federal OSHA
  requirement under 29 CFR
  1910.1030
• New Jersey PEOSHA has adopted
  the Federal standards by reference
• A copy of the standard and the EFD
  Blood-borne Pathogen Procedure
  are available for review
   Eastampton Fire-Rescue Department Annual Refresher Training
             Epidemiology
• The study of contagious diseases
 including but not limited to the
 following:
  – HIV/AIDS Affects the immune system
  – Hepatitis B Affects the liver
  – Hepatitis C Affects the liver
• Currently a vaccine is only
 available for Hepatitis B
   Eastampton Fire-Rescue Department Annual Refresher Training
 Modes of Transmission
• Open wounds (i.e. blood to blood)
• Other bodily fluids, including mucous
  membrane (e.g. eyes, nose, mouth)
• Skin penetrations from needle sticks
• Exposure potentials exist during
  MVAs, fires & motor vehicle rescues,
  and when assisting the squad with
  patient care

   Eastampton Fire-Rescue Department Annual Refresher Training
  Methods of Prevention
• Hepatitis B immunizations
  – 3 shots over 6 months
  – Shots have proven relatively safe
  – Effective for at least 10 years based
    upon latest study performed in Japan
  – Immunizations are provided at no
    cost by the employer, the Board of
    Fire Commissioners

   Eastampton Fire-Rescue Department Annual Refresher Training
  Methods of Prevention
• Universal Precautions
  – Turnout gear
  – Latex gloves
  – Pocket mask
  – Safety glasses




   Eastampton Fire-Rescue Department Annual Refresher Training
  Methods of Prevention
• Proper hygiene/decontamination
  – Proper doffing of contaminated gear
  – Glove removal
  – Use and disposal of red bags
  – Decontamination of
    equipment & gear
  – Proper hand washing


   Eastampton Fire-Rescue Department Annual Refresher Training
Post Exposure Procedures
•   Notify Chief, Safety Officer, OIC
•   Seek immediate medical treatment
•   Follow-up care will be provided
•   The Safety Officer
    will conduct an
    investigation using
    the protocols in
    our procedures
     Eastampton Fire-Rescue Department Annual Refresher Training
   Any Questions?
 Blood-borne Pathogens
      Awareness & Prevention

Eastampton Fire-Rescue Department
Hazardous Materials
  Right to Know, Awareness
   & Operational Refresher
   Asst. Chief Philip Polios
       Routes of Exposure
• Dermal contact
    local effect
•   Dermal absorption
    systemic effect
•   Inhalation
•   Ingestion
•   Injection

     Eastampton Fire-Rescue Department Annual Refresher Training
Potential Station Hazards
• Carbon Monoxide from
  vehicle exhaust
• Fuels – gasoline, diesel,
  miscellaneous lubricants
• Compressed air cylinders

 Material Safety Data Sheets
 (MSDS) are available
   Eastampton Fire-Rescue Department Annual Refresher Training
Potential Incident Hazards
• Fire and products of combustion
 CO, Phosgene, Hydrogen Cyanide, etc.
• Gases and vapors:
  – Carbon Monoxide (CO)
  – Natural Gas (Methane – CH4)
  – Hydrogen Sulfide (H2S)
  – Propane (C2H6)
  – Chlorine (Cl2)
• Fuel spills: gasoline or diesel
   Eastampton Fire-Rescue Department Annual Refresher Training
Potential Incident Hazards
• Chemical Spills: acids, caustics,
 solvents, & other toxic substances
• Compressed Gases
 (Hazardous or Non-hazardous)
• BLEVE – Boiling Liquid
 Expanding Vapor Explosion
• Confined Spaces
 (Hazardous or O2-deficient)
• Electrical Hazards
   Eastampton Fire-Rescue Department Annual Refresher Training
Informational Resources
• Vehicle placards
• Manifests or shipping papers
• Package labels
• RTK Reports
• Emergency Response
  Guidebook
• Chemtrec
• Observe physical
  characteristics
    Eastampton Fire-Rescue Department Annual Refresher Training
Informational Resources
• NFPA or HMIS (Hazardous
 Materials Information System)
 labeling systems
 – Red = Flammability
 – Blue = Health
 – Yellow = Reactivity
 – White = Other hazards
   or special handling
 – Scale: 0 (No Hazard)
   to 4 (Extreme Hazard)
   Eastampton Fire-Rescue Department Annual Refresher Training
  Department Resources
• PPE
• Binoculars in 3412 & 3421
• Gas Detectors (O2, LEL, CO)
  in 3412, 3421 & 3422
• Thermal Imaging Camera
  in 3412 & 3421
• Temperature sensors (heat guns)
  in 3411, 3412, 3421 & 3400
• Oil dry, shovels, and brooms
   Eastampton Fire-Rescue Department Annual Refresher Training
       External Resources
•   Local, County and State OEM
•   County Hazardous Materials Team
•   MAFB Hazardous Materials Team
•   NJDEP Emergency Response
•   NJDOT Emergency Response
•   NJ State Police Bomb Squad
•   Private contractors: HMTTC, Clean
    Harbors, and Clean Venture
     Eastampton Fire-Rescue Department Annual Refresher Training
General Response Guidelines
 • Don appropriate PPE.
   Note: Turnout gear is not a
   universal chemical
   protective barrier.
 • Stage uphill and upwind
 • Cautiously approach the scene
   and identify the substance(s).
   If possible use binoculars
    Eastampton Fire-Rescue Department Annual Refresher Training
General Response Guidelines
 • Monitor air quality with gas detector
 • Establish Hot, Warm,
   and Cold Zones
 • Secure the scene, and
   evacuate if necessary
 • Eliminate sources
   of ignition

    Eastampton Fire-Rescue Department Annual Refresher Training
General Response Guidelines
 • Safely isolate, contain, cleanup of
   small petroleum spills or disperse
   the substance - Dam, Dike, Divert
 • Operate in defensive mode only
  Department Technicians: Johnson,
  Pasierb, Polios - need 4 to operate
  Cleanup of large spills is the
  responsibility of the owner
  or transporter
    Eastampton Fire-Rescue Department Annual Refresher Training
General Response Guidelines
 • Set up decontamination area
   in Warm Zone
 • Utilize Emergency Response
   Guidebook as a guide for
   response actions
 • Petroleum vapors (such as
   gasoline, fuel oil, propane)
   settle in low lying areas.
    Eastampton Fire-Rescue Department Annual Refresher Training
ERG
1075 Propane




    Eastampton Fire-Rescue Department Annual Refresher Training
 Notification Procedures
• Ask Central to notify and/or request
 assistance of the following: (as appropriate)
  – County Health Department - Primary
  – County Haz Mat Team
  – MAFB Haz Mat Team
  – NJDEP @ (1-877-WARNDEP)
  – Mutual Aid (e.g. Foam, Cascade)
  – PSE&G
  – Responsible party (e.g. trucking
    company or private contractors)
    Eastampton Fire-Rescue Department Annual Refresher Training
         Other Concerns
• Weather (e.g. temperature,
  humidity, precipitation,
  wind speed and direction)
• Topography
• Exposures
• Storm sewers, streams, and other
  environmentally sensitive areas

   Eastampton Fire-Rescue Department Annual Refresher Training
         Common Errors
• Failure to notify authorities
  in a timely fashion
• Failure to heed the
  advice of HazMat
  response experts
• Improper Decontamination,
  including location and extent
  (i.e. personal hygiene,
   routes of entry, etc.)
   Eastampton Fire-Rescue Department Annual Refresher Training
         Common Errors
• Getting in over their heads
  (Call for help)
• Not properly employing
  the Incident Command
  System, specifically,
  failure to implement
  a unified command
 (HazMat incidents without fire fall under
 the Office of Emergency Management,
 and ultimately, the NJ State Police)
   Eastampton Fire-Rescue Department Annual Refresher Training
  Bathroom Break

   Hazardous Materials
       Right to Go & Refresher

Eastampton Fire-Rescue Department
 Response to CO Alarms
• Zero gas detector in fresh air
  while en route or upon arrival
• Interview occupants upon arrival to
  verify CO detector activation,
  location of detector, duration of
  alarm, & any medical symptoms
• Remember 2 in-2 out rule!

   Eastampton Fire-Rescue Department Annual Refresher Training
 Response to CO Alarms
• Take reading at entrance to
  building in appropriate PPE
• 1st - check oxygen (O2).
  If less than 19.5% O2 don SCBA
• 2nd - check lower explosive limit
  (LEL). If greater than 10%,
  evacuate - do not use radios


   Eastampton Fire-Rescue Department Annual Refresher Training
 Response to CO Alarms
• 3rd - check carbon monoxide (CO).
  If greater than 35 ppm don SCBA
• Attempt to locate the source
  before ventilating building
• If source/potential source located,
  shut down unit, and notify utility or
  have occupant call contractor
• Ventilate building and inform
  occupant of findings
   Eastampton Fire-Rescue Department Annual Refresher Training
Proper Handling of Gasoline
 • Place safety can on
   ground prior to filling
   to avoid the build up
   of static electricity
 • Fill fuel tanks of
   power tools outdoors,
   especially if tools
   are still hot

    Eastampton Fire-Rescue Department Annual Refresher Training
 Response to Terrorism
WMD: Weapons of Mass Destruction
 – Type of devices: B-NICE
    • Biological
    • Nuclear
    • Incendiary
    • Chemical
    • Explosive

   Eastampton Fire-Rescue Department Annual Refresher Training
  Response to Terrorism
Potential Targets
• Places of large assembly
• Government buildings
• Religious buildings
• Infrastructure Facilities
  (water & wastewater treatment
  plants, transportation, utilities)

   Eastampton Fire-Rescue Department Annual Refresher Training
  Response to Terrorism
Potential Targets
• High hazard industries
• Places of historical or
  cultural significance
• Emotional targets
  (schools, hospitals)



   Eastampton Fire-Rescue Department Annual Refresher Training
 Response to Terrorism
• Warning signs
  – Homeland Security
    Alert Level
  – Location (prev. slides)
  – Timed for
    maximize impact
  – Large number of victims
    for no apparent reason


   Eastampton Fire-Rescue Department Annual Refresher Training
  Response to Terrorism
• Response is similar to hazardous
  materials incidents, except first
  responders may be targets as well.
• Be alert for secondary devices.
• Time, Distance, & Shielding
• Terrorism is a criminal act,
  therefore, law enforcement
  has the lead - protect evidence.
   Eastampton Fire-Rescue Department Annual Refresher Training
   Any Questions?
   Hazardous Materials
     Right to Know, Awareness,
     and Operational Refresher
Eastampton Fire-Rescue Department
  SCBA Refresher
Respiratory Protection Program
  Personnel Accountability
   Firefighter Brian Naulty
        SCBA Refresher
• When do we wear an SCBA?
 – Entering an IDLH atmosphere
    • Structure fires
    • HazMat incidents
    • Vehicle fires
    • Dumpster fires
 – Overhaul
 – Alarm Systems
 – When directed to do so by an officer
  Eastampton Fire-Rescue Department Annual Refresher Training
         SCBA Refresher
• When don’t we wear an SCBA?
 – Brush/Woods/Vegetation fires *
 – Rescues *
   unless you are manning a hand line
 – Assist EMS *
 – Other non-fire, non-fumes incidents *

 * Unless directed to wear SCBA, or
   unless you choose to wear SCBA
   Eastampton Fire-Rescue Department Annual Refresher Training
    Parts of Scott 50 SCBA
• Carbon fiber cylinder
• High pressure hose &
    reducer regulator
•   Low pressure hose &
    face piece regulator
•   Motion sensor and alarm
•   Low air sensors and alarms
•   Air pressure gauge &
    operation buttons
     Eastampton Fire-Rescue Department Annual Refresher Training
   Proper Use of SCBA
• Safety and operational
  check of SCBA
• Donning and use
  of SCBA
• Cleaning mask
  and SCBA
• Changing and
  recharging cylinders
   Eastampton Fire-Rescue Department Annual Refresher Training
 PEOSHA Requirements
• Respiratory Protection Program
 EFD Policy requires:
  – 2 in + 2 out (min. 4 certified FF)
    Two out must be “ready” to
    respond with PPE and SCBA
  – Communications
    visual for interior team members,
    visual or radio with exterior Command
  – From an operational standpoint,
    we must have a fifth firefighter
    before initiating interior fire attack
    (joint pump ops/command)
   Eastampton Fire-Rescue Department Annual Refresher Training
Personnel Accountability
• EFD SOG #8
 Personnel Accountability System
 – Crew Integrity - No Freelancing!
    • 2 or 3 FF Crews
    • Crew Leader and Radio
    • Remain Together/In and Out
 – Accountability
    • 1st Tag - Apparatus, 2nd Tag - Entry
    • Use PASS devices
    • PAR: Personnel Accountability Reports
  Eastampton Fire-Rescue Department Annual Refresher Training
Thermal Imaging Cameras
• Cameras on 3412, 3421
  Crews on these Engines
  MUST bring Camera to
  scene of structure incidents
• R.I.T. should have TIC
• Remember Basics if TIC Fails
  – Follow a systematic search pattern
  – Stay low and in contact with a wall
  – Use your sense of touch

   Eastampton Fire-Rescue Department Annual Refresher Training
    Exterior Operations
• Use TIC for Size Up!




• Scan MVA Scenes for Victims
   Eastampton Fire-Rescue Department Annual Refresher Training
    Exterior Operations
• Hazardous Materials Incidents




   Eastampton Fire-Rescue Department Annual Refresher Training
    Interior Operations
• Extending the area of a search
  – Hand tools
  – Physical Contact
  – Search Rope
• How to follow
  a hose line
• Use of wedges
• Creating an emergency exit
   Eastampton Fire-Rescue Department Annual Refresher Training
Effective Communication
   You are the chief airplane washer
   at the company hangar.
   One day, you...
1. Hook a high-pressure hose up
   to the soap suds machine.
2. Turn the machine "on".
3. Receive an emergency call and
   have to leave work to go home.
   Eastampton Fire-Rescue Department Annual Refresher Training
Effective Communication
4. As you depart for home, you yell
   to Don, your assistant,
             "Don, turn it off."
5. Assistant Don thinks he hears,
             "Don’t turn it off."
  He shrugs,
  and leaves the area right after you.
   Eastampton Fire-Rescue Department Annual Refresher Training
What we have here is a failure to
Eastampton Fire-Rescue Department Annual Refresher Training
Effective Communication
In every situation,
make sure everyone has
a clear understanding
of what you are
communicating!
Otherwise, someone will
find themselves in over
their head!
  Eastampton Fire-Rescue Department Annual Refresher Training
   Any Questions?
      SCBA Refresher
    Respiratory Protection Program
      Personnel Accountability
Eastampton Fire-Rescue Department

				
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