Chemical, Biological, Radiological, Nuclear or Explosive Event Preparing for a Biological Incident

Form Template

Have all clinical staff and physicians been trained to recognize the signs and symptoms of Class A agents?

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In the event of a Class A agent being identified, is there a process to advise Public Health Authorities? Are the facility’s policies and procedures congruent with the local Public Health Unit and mutually supportive? When developing plans, facilities should anticipate: Victims will arrive with little or no warning to the facility. Information regarding the hazardous agent(s) will not be available immediately. A large number of victims will be self-referred (as many as 80 percent of the total number of victims). Victims will not necessarily have been decontaminated prior to arriving at the facility. A high percentage of people arriving at the facility will have little or no actual exposure and this eventuality should be considered in decontamination plans. Most victims will go to the healthcare facility closest to the site where the emergency occurred. Victims will attempt to use other entrances in addition to the emergency department (ED). The Chemical, Biological, Radiological, Nuclear or Explosive Event Preparing for a Biological Incident mobile app allows you to replace your paper checklist with a smartphone or tablet. The mobile form includes fields to document items such as the name of the healthcare facility, facility address, name and title of person completing, contact information and required actions. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your decontamination records. You can also use the App Builder to personalize and customize this mobile form.

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