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NYC Healthcare Preparedness for Radiological Casualties: Addressing Training and Detection Gaps
Katherine Uraneck, MDSr. Medical Coordinator
Healthcare Readiness UnitOffice of Emergency Preparedness & ResponseNYC Department of Health & Mental Hygiene
Identifying the Gaps 2004-2005 Conducted site visits to
40/69 NYC Hospitals Less than 17% of NYC hospitals were
had equipment to detect radiation contamination in emergency department
Only 50% of hospitals had written plan for radiation incidents
No identifiable training for hospital staff on responding to a radiation incident available at that time
NYC Hospital Resources 65 Hospitals ~21,000 Staffed Beds, 83% occupied ~1,700 ICU Beds, 65% occupied ~230 Pediatric ICU Beds 71 certified burn beds 3,300 hospital
admissions/day
NYC Radiation IncidentPreparedness Projects
Hospital Radiation Response Working Group 2006-2008
Hospital Radiation Equipment & Training Project 2006- present
EMS Radiation Equipment Project 2006-present
Hospital Radiation Detection Drills 2010
NYC Hospital Radiation Response Working Group
2 year working group developed NYC specific guidance on hospital response to contaminating radiation incidents
Available at: http://www.nyc.gov/health/bhpp
NYC Hospital Radiation Detection Project
52 NYC hospitals currently participating Equipment distributed:
Personal digital dosimeters, survey meters, and radiation area monitors
Guidance provided on developing a response protocol & plan
Training provided to all hospitals Conducted drills of 13/52 hospitals
during 2010
Radiation Equipment Training
Provided Basic and Advanced training on equipment
Over 500 hospital personnel trained at basic level
Radiation Safety Officers provided with advanced training
All training materials, presentations, handouts, tests, available for download and modification http://www.nyc.gov/html/doh/html/bhpp/bhpp-train-cbrne-rad.shtml
Additional Training Efforts Radiation Response Symposium for
Radiation Safety Officers 2008 and 2009
Partnered with REAC/TS for medical management training in 2008
Lessons Learned Hospital and healthcare facilities
have limited radiation detection equipment, training or plans,
Focus on staff safety to encourage participation,
Involve Hospital Radiation Safety Officers early,
Lessons Learned If you put up radiation detection
equipment, you will detect radiation – have your own response protocols in place,
Radiation equipment skills are perishable – create easy drills or quick reviews for staff to conduct biannually, and
As training on equipment increases, staff anxiety decreases.