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Thursday
Mar012018

VHF - 8 Security Personnel

Following the VHF Dress-Out protocol (see VHF-4) security personnel need to follow this directive if they intend to secure sick individuals due to pandemic infection spread. These individuals shall be part of the VHF Team as these protocols are accepted by the medical facility. They shall be responsible for the facility security operation as these CDC protocols are chosen in the name of public health.

The first step in hospital management is to assess and decide IF the receiving facility IS going to treat these patients AND secure the public health throughout the situation. The hospital needs to decide ahead of time IF they shall direct patient care on behalf of CDC security guidelines. This is a tough decision, as the hospital security team will become federal law enforcement by proxy throughout the life of the incident. Hospital coordinators need to carefully decide how they plan to deliver this service. If they decide to protect the general health of the public during a VHF incident, The Security Team needs to join the VHF Team.

The first step is to appreciate the fact that the security team member is solely activated to secure terrified patients to the facilities treatment area. Additionally, they shall be responsible to seal this area from the rest of the hospital facility. In their capacity they must be aware of the disease potential and be trained in the VHF Dress-Out protocol. The ability for them to contract this disease while securing patients is the same risk as patient caregivers. Once this has been accomplished, they shall follow the VHF Dress-Out protocol before patients arrive at the hospital.

The security team will need to come up with directives as to which areas in the hospital need separation from the treatment area. The patient/health-care worker through ways must be separated to prevent the contaminated patient from accessing them. This will isolate those health care workers involved in this response from contaminating the rest of the facility. Once these passages have been identified they will need to be sealed off with a minimum of 6 mil visqueen in addition to secured doorways. These doorways should be covered with the visqueen and taped shut at the edges to secure the visqueen. The interior edges facing the contaminated treatment area should be sprayed with the 10% blech spray solution and repeated to keep these edges moist. Periodic re-spraying shall be necessary by the security team member.

A minimum of one security team member must remain at these locations throughout the incident event. This means rotation of personnel for rest breaks and shift replacement will need to be accounted for. VHF patients when first exposed are well enough to act on the terror of impending death to their person. Once the severity of their disease becomes realized by them they may panic and attempt to escape. They must NOT access any uncontaminated areas of the facility otherwise contamination of this lethal agent shall spread. Within hours of symptoms, the patient soon becomes too ill to attempt an escape and is permanently ambulatory. They will not be able to run or move due to the illness after a period of time. This time period may vary from patient-to-patient.

If the patient does escape the treatment area and attempt to run out of the facility, or towards an unknown place of safety due to hysteria, they must be physically captured by the security team before they break through your secured visqueen boundaries. They then must be restrained and returned to the treatment area.

After this has been accomplished by the security team, the officer must go through the full decontamination protocol set down for the rest of the health-care team.

The final step before returning to the security post is for the officer to redress in appropriate CPC before resuming his/her post. This needs to occur for each attempted escape of any individual contaminated with the VHF virus. Back-up considerations to a patient break-out should be considered as varying layers of hospital facility VHF treatment boundaries. If a patient does escape, there should be a second secured access barrier. If not, the waste removal team can mobilize as an expanded site decontamination team and spray down the affected area with the 10% bleach solution.

As you can imagine, the planning for various security breaches can account for a large amount of planning between hospital treatment and the security detail.

Haz Mat Mike

 

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