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WS/T 680-2020 English PDF

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WS/T 680-2020: (Guidelines for the protection of health emergency response personnel for sudden poisoning incidents)
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Basic data

Standard ID: WS/T 680-2020 (WS/T680-2020)
Description (Translated English): (Guidelines for the protection of health emergency response personnel for sudden poisoning incidents)
Sector / Industry: Health Industry Standard (Recommended)
Classification of Chinese Standard: C70
Word Count Estimation: 27,220
Date of Issue: 2020-06-10
Date of Implementation: 2020-12-01
Regulation (derived from): State-health communication (2020) No. 10
Issuing agency(ies): National Health Commission

WS/T 680-2020: (Guidelines for the protection of health emergency response personnel for sudden poisoning incidents)


---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Guidelines of personal protection for health emergency disposal personnel in responding to poisoning incidents ICS 11.020 C 70 WS People's Republic of China Health Industry Standard Guidelines for the protection of health emergency response personnel for sudden poisoning incidents 2020-06-10 released 2020-12-01 implementation Issued by the National Health Commission of the People's Republic of China

Foreword

This standard was drafted in accordance with the rules given in GB/T 1.1-2009. Drafting organizations of this standard. Occupational Health and Poisoning Control Institute, Chinese Center for Disease Control and Prevention, Chinese People's Liberation Army Chongqing Occupational Disease Prevention and Control Hospital, Beijing Center for Disease Control and Prevention, Shenzhen Occupational Disease Prevention and Control Hospital, Xinjiang Uygur Autonomous Region Disease Prevention Control Center, Beijing First Aid Center, Shijiazhuang First Aid Center. Drafters of this standard. Zhou Jing, Ding Songtao, Lang Nan, Yuan Yuan, Sun Chengye, Zhang Hongshun, Li Ying, Wang Dong, Guo Xiang, Wang Shisong, Jin Yan, Fan Da, Jia Chaoyun, Wang Rugang, Li Ming. Guidelines for the protection of health emergency response personnel for sudden poisoning incidents

1 Scope

This standard specifies the methods for the risk classification, field division and classification protection of sudden poisoning incidents, as well as individual protection decision-making and management. Management requirements. This standard is applicable to disease prevention and control institutions, medical institutions and personnel at all levels and various types involved in the emergency response to sudden poisoning incidents. And manage personal protective equipment.

2 Normative references

The following documents are indispensable for the application of this document. For dated reference documents, only the dated version applies to this document. For undated references, the latest version (including all amendments) applies to this document. GB/T 18664 Selection, use and maintenance of respiratory protective equipment GB 20592 chemical classification, warning label and warning statement safety regulations acute toxicity GB/T 24536 Selection, use and maintenance of chemical protective clothing for protective clothing

3 Terms and definitions

The following terms and definitions apply to this document. 3.1 Poisoning incidents In a short period of time, a group of health impact events caused by poisons acting on specific groups of people in a certain way. 3.2 Health emergency disposal personnel After an emergency occurs, personnel in disease prevention and control institutions and medical institutions who participate in on-site investigation, testing and identification, and treatment. 3.3 Health emergency disposal agency Disease prevention and control institutions and medical institutions established in accordance with law to engage in health emergencies.

4 Basic requirements

4.1 Health emergency response agency 4.1.1 A personal protection management system should be established, including personal protective equipment management, health emergency response personnel in the operating environment and emergency rescue The use and management of personal protective equipment in activities, regular supervision of the implementation, to ensure the safety of disposal and use personnel. 4.1.2 The equipped personal protective equipment shall meet the requirements of national standards. 4.2 Health emergency response personnel 4.2.1 Shall have the ability to use personal protective equipment, understand its limitations, and safely complete on-site tasks. 4.2.2 Carrying out health emergency response operations should be carried out by two or more people in coordination, and there must be guardians on site. 4.2.3 The wind direction should be considered when carrying out sanitary emergency handling operations, and operations should be arranged in the upwind direction. 4.2.4 When carrying out sanitary emergency disposal operations, attention should be paid to the spread of toxic substances and the secondary (secondary) pollution that may be caused by the disposal of the wounded. Adjust protection decisions in time. 4.2.5 Personal protective equipment should be put into the designated container after the sanitation emergency disposal operation is completed, and it should be decontaminated and maintained as required.

5 Site hazard classification and site division

5.1 On-site hazard classification 5.1.1 General According to the characteristics of sudden poisoning incidents and on-site conditions, combined with factors such as the toxicity, exposure level, and incident characteristics of the chemicals, the results are shown in Table 1. The field risk is divided into one, two, and three levels from high to low. 5.1.2 Risk Level 1 Compliance with one of the following conditions is the risk level. a) Very toxic or highly toxic, and high exposure level; b) High exposure level, and the possibility of recurrence; c) Terrorist poisoning incident; d) High exposure level, and death of people or animals by poisoning; e) The poison is carcinogenic. 5.1.3 Risk Level 2 Meet one of the following conditions as risk level two. a) Very toxic or highly toxic, and low exposure level; b) Moderate or low toxicity, and high exposure level. 5.1.4 Risk level three Compliance with one of the following conditions is the third degree of risk. a) Oral poisoning incident; b) Moderate or low toxicity, and low exposure level. 5.2 Site division of sudden poisoning incident 5.2.1 The health emergency response personnel should analyze the on-site division (see Figure 1), and choose to wear appropriate protective equipment to enter the site to carry out work. Made. The specific partitions are as follows. a) Hot area. the core area of the site with the first and second level of risk of IDLH environment or sudden poisoning incidents according to GB/T 18664, The area scope is determined by real-time monitoring or model analysis; b) Temperature zone. the area immediately outside the hot zone, an area with a hazard factor greater than or equal to 1 or a potential health hazard and a non-IDLH environment; c) Cold zone. It is the area outside the hot zone and the warm zone, which is not contaminated by toxic substances or the concentration of contamination can not cause harm. 5.2.2 The site division of the sudden poisoning incident should be comprehensively judged based on the level of the incident’s hazard, the risk of personal injury, and meteorological conditions. Determine the protection level of the sanitary emergency response personnel.

6 Protection classification and equipment requirements

6.1 See Table 2 for the protection classification and equipment requirements of health emergency response to sudden poisoning. 6.2 According to the results of on-site hazard assessment, the selection of equipment should consider equipment and tasks, equipment and personnel, equipment and equipment, and equipment and Matching between operating environments. 6.3 The use of tightness masks by sanitary emergency response personnel shall undergo a suitability test to confirm the compatibility, once a year, if the product is replaced New inspection. The suitability test method is in accordance with GB 18664. 6.4 Skin protection should be carried out when exposed to chemicals that are harmful to the skin. For chemicals that require skin protection, see Appendix A.

7 Protection decision and configuration

7.1 Decision process See Figure 2 for the decision-making process of health emergency treatment and protection of sudden poisoning incidents. Figure 2 The decision-making process of health emergency treatment and protection of sudden poisoning incidents 7.2 Protection decision See Table 3 for health emergency treatment and protection decisions for sudden poisoning incidents. 7.3 Personal protection configuration 7.3.1 The duties, work areas and protection levels of health emergency response personnel for sudden poisoning incidents are shown in Table 4. 7.3.2 The health emergency response personnel shall determine their work area (hot zone, temperature Zone, cold zone), choose different personal protective equipment. 7.3.3 See Appendix B for the protection requirements for health emergency response personnel. 7.3.4 See Appendix C for examples of health emergency response personnel protection for sudden poisoning incidents.

8 Personal protection management

8.1 Training 8.1.1 Training content Institutions should regularly train personnel engaged in health emergency response to sudden poisoning incidents. The training content should include. a) Laws and regulations related to health emergency response to sudden poisoning incidents; b) The relevant management regulations of the organization's personal protection; c) Types of poisons, physical and chemical properties, toxicity, clinical manifestations of poisoning, health hazards, and basic first-aid treatments; d) Principles and methods of on-site risk assessment and site zoning for sudden poisoning incidents; e) The protection principle, composition, scope of application and limitations of personal protective equipment; f) The requirements and methods for the selection, use, maintenance and storage of personal protective equipment. See Appendix D for the sequence of putting on and taking off personal protective equipment; g) Comprehensive application skills and methods of personal protective equipment. 8.1.2 Training effect After the training, the effect of personal protection training should be evaluated, and the users should meet the following requirements. a) Master the laws, regulations and management regulations related to health emergency response to sudden poisoning incidents; b) Master the knowledge and skills of selecting, wearing, taking off, using, testing and maintaining personal protective equipment; c) Have the ability to safely implement disposal operations under protective conditions; d) Grasp the emergency handling methods for unexpected accidents during the use of personal protective equipment. 8.2 Health Management 8.2.1 The health management files of health emergency response personnel for sudden poisoning incidents should be established, including physical examination reports, health assessments, on-site disposal and Personal protection records, etc. 8.2.2 It is advisable to conduct medical assessments of personnel's ability to use personal protective equipment regularly, at least once a year. 8.2.3 In the process of disposal, the physiological dynamics of the health emergency response personnel should be assessed. 8.2.4 Occupation, lifestyle training (professional skills training and healthy lifestyle education), nutrition intervention, physical intervention and psychological intervention should be carried out for health emergency response personnel. 8.3 Equipment management 8.3.1 Equipment The organization shall determine the type and quantity of personal protective equipment according to the task, the performance characteristics of the personal protective equipment, and the number of personnel. root Equipped with suitable models according to individual conditions, pay attention to the compatibility between different types of personal protective equipment, and filter elements should be multifunctional and comprehensive Care products. See Appendix E for the personal protective equipment deployment plan of the health emergency team for sudden poisoning. 8.3.2 Equipment files Personal protective equipment related files should be established, including. a) The list of personal protective equipment should include the storage location, purchase time, brand, specification, model, production date, validity period, quantity, etc. of the personal equipment; b) Entry and exit records of personal protective equipment; c) Personal protective equipment maintenance and scrap records should include the content, date, validity period, scrap date, etc. of personal protective equipment maintenance; d) Use personnel suitability inspection records; e) Personal protective equipment use records. 8.3.3 Equipment maintenance 8.3.3.1 The organization should regularly inspect and maintain personal protective equipment. 8.3.3.2 In accordance with the instructions for the use of personal protective equipment, the inspection and maintenance shall be carried out by trained personnel. The content should be consulted with the manufacturer or distributor. 8.3.3.3 Personal protective equipment should be used within the validity period. 8.3.3.4 When the personal protective equipment is found to be invalid during the inspection, it shall be treated as discarded. 8.3.3.5 The maintenance of respiratory protective equipment shall be implemented in accordance with GB/T 18664. 8.3.3.6 The maintenance of chemical protective clothing shall be carried out in accordance with GB/T 24536. 8.3.4 Cleaning and disinfection of equipment 8.3.4.1 Personal protective equipment should be cleaned and disinfected after use. 8.3.4.2 For personal protective equipment with replaceable filter elements, the filter replacement element should be removed before cleaning. 8.3.4.3 The personal protective equipment shall be cleaned in accordance with the requirements of the product manual. If there are pollutants, it should be delivered to a professional technical organization for cleaning. 8.3.5 Storage 8.3.5.1 Personal protective equipment should be stored in a clean, dry, non-polluting, non-direct sunlight and non-corrosive place. 8.3.5.2 It should be stored in accordance with the personal protective equipment product description. 8.3.5.3 Personal protective equipment should be stored in closed packaging. 8.3.5.4 Personal protective equipment should be in an available state, clearly marked, and easy to access. 8.3.5.5 Used and unused personal protective equipment should be stored separately. 8.3.6 Waste management 8.3.6.1 The used anti-virus filter elements should be disposed of as disposable products. 8.3.6.2 Personal protective equipment should be discarded in accordance with the equipment instructions or related requirements.
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