HOSPITALS

• An Alternative Health Care Facility: Concept of Operations for the Off-Site Triage, Treatment, and Transportation Center Mass Casualty Care Strategy for a Chemical Terrorism Incident
  (U.S. Army Soldier and Biological Chemical Command)
  This guide was written to assist planners, administrators, responders, medical professionals, public health and emergency management personnel to better prepare and provide for mass casualty care. Updated December 2003. NOTE: Adobe Acrobat version 5 or higher required to download this document.
  http://www.edgewood.army.mil/hld/cwirp/cwirp_concept_ops_ost3c_download.htm
• Bioterrorism Preparedness and Response
  (Los Angeles County Department of Health Services)
  Contains information on agents of bioterrorism and treatment guidelines for hospitals and clinicians, aka the Zebra packet.
  http://labt.org/
• Center for Biopreparedness Education
  (Center for Biopreparedness Education, State of Nebraska)
  This site contains BT links for hospitals, as well as for specific disciplines, e.g. veterinarians, nurses, infection control officers, public health workers, mental health providers, law enforcement workers, and physicians in a variety of roles.
  http://www.bioprepare.org
• Emergency Preparedness
  (New Jersey Hospital Association)
  Primarily intended for use by NJHA members, this site provides a vast array of information useful to hospitals – news, guidelines, checklists, etc.
  http://www.njha.com/ep/
• Emergency Preparedness Resource Center
  (Greater New York Hospital Association)
  Good list of resources that include guidelines and protocols that have templates which can be downloaded. The site also includes PDF copies of documents and PowerPoint presentations. The topics range from practical plans and strategies for response in an actual attack to committee testimony which addresses various aspects of terrorism planning.
  http://www.gnyha.org/eprc/general/
• Emergency Preparedness and Response
  (OSHA)
  OSHA’s Web page, containing links to all content published.
  http://www.osha.gov/SLTC/emergencypreparedness/
• Emergency Preparedness and Response Training Necessary for Hospital Physicians/Nurses That May Treat Contaminated Patients
  (OSHA)
  Outlines OSHA standards and provides links to documents.
  http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=INTERPRETATIONS&p_id=22710
• Guideline for Environmental Infection Control in Healthcare Facilities
  (CDC)
  Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Web and downloadable PDF versions available.
  http://www.cdc.gov/ncidod/dhqp/gl_environinfection.html
• Guidelines for Protecting the Health and Safety of Health Care Workers
  (U.S. Department of Health and Human Services)
  Recommendations for control of safety hazards, disposal of hazardous materials, and much more!
  http://www.cdc.gov/niosh/hcwold0.html
• Hazardous Materials Medical Management Protocols, 2nd edition
  (California Emergency Medical Services Authority)
  Basic decontamination protocols, prehospital care, emergency services, and more in this 126 page guide. The basic information is still valid, although the issue date is 1991.
  http://www.emsa.cahwnet.gov/aboutemsa/emsa231.pdf
• Health Resources/Public Health Emergencies/Bioterrorism
  (Medical Society of the State of New York)
  This is a health-care response site containing various links to information on substances and response protocols.
  http://www.bcnny.com/index.jsp
• Hospital Preparedness for Mass Casualties, Final Report
  (American Hospital Association)
  Download a copy of the 32 page WORD document.
  http://www.hospitalconnect.com/ahapolicyforum/resources/disaster.html
• JCAHO Standards for WMD
  (JCAHO)
  Download the WORD transcript file.
  http://www.emforum.org/vforum/001122.htm

JCAHO Standards Revisions for 2001, Emergency Management
JCAHO Standards Revisions for 2000, Implementing Emergency Drills (Hospitals)

• Management of the Contaminated Patient – Use of a Decon Resource Team
  (Haz Mat for Health Care)
  Presents cost-effective solutions to management and training issues in a PDF document.
  http://www.hazmatforhealthcare.org/download/pdf/mod_01_pdf/2.4_Management_of_the_Contaminated_Patient.pdf
• Managing Hazardous Materials Incidents II: Hospital Emergency Departments
  (U.S. Department of Human Services)
  This guide for emergency department personnel is designed to familiarize readers with the concepts, terminology, and key considerations that affect the management of incidents of chemical contamination. It has been developed not only to present uniform guidance for emergency care of chemically contaminated patients, but also to provide basic information critical to advance planning and implementation of emergency medical services' (EMS) strategies. It is intended to illustrate the characteristics of hazardous materials incidents that mandate modifications to traditional emergency response and the preparatory actions that should be taken to respond effectively to hazardous materials incidents.
  http://aepo-xdv-www.epo.cdc.gov/wonder/prevguid/p0000019/p0000019.asp
• A Mass Casualty Care Strategy for Biological Terrorism Incidents
  (Department of Defense)
  Includes information on mass prophylaxis and community outreach.
  http://www.gnyha.org/eprc/general/guidelines/MassCasualtyStrategy.pdf
• Quick Primer for Clinicians on Detecting Public Health Emergencies
  (Medical Society of the State of New York)
  Every physician needs to be attuned to general features of public health emergencies, know how to report them, and where to get more information when the need arises, for we are all now on the front lines for potential major medical events--whether perpetrated by mosquitoes, defective water/sewage systems, natural disasters, collisions, terrorists, or other calamities.
  http://mssny.org/mssnyip.cfm?c=i&nm=Emergency_Primer