NFPA 473-2013 Standard for Competencies for EMS Personnel Responding to Hazardous Materials Weapons of Mass Destruction Incidents (Effective Date 06 18 2012).pdf

1、NFPA473 Standard for Competencies for EMS Personnel Responding to Hazardous Materials/Weapons of Mass Destruction Incidents 2013 Edition NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471 An International Codes and Standards Organization Become a MemberSubscribeto theRegister forSeminars, Webinars, an

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25、isit the NFPA website at www.nfpa.org. 12/11Copyright 2012 National Fire ProtectionAssociation.All Rights Reserved.NFPA473Standard forCompetencies for EMS Personnel Responding to HazardousMaterials/Weapons of Mass Destruction Incidents2013 EditionThiseditionofNFPA473,StandardforCompetenciesforEMSPer

26、sonnelRespondingtoHazardousMaterials/Weapons of Mass Destruction Incidents, was prepared by the Technical Committee onHazardous Materials Response Personnel. It was issued by the Standards Council on May 29,2012, with an effective date of June 18, 2012, and supersedes all previous editions.This edit

27、ion of NFPA 473 was approved as an American National Standard on June 18,2012.Origin and Development of NFPA 473Following the development of NFPA471, Recommended Practice for Responding to Hazardous Ma-terials Incidents (which was incorporated into NFPA472 and NFPA473 for the 2008 editions), andNFPA

28、 472, Standard for Professional Competence of Responders to Hazardous Materials Incidents (whichwas retitled Standard for Competence of Responders to Hazardous Materials/Weapons of Mass DestructionIncidents for the 2008 edition), the Technical Committee on Hazardous Materials Response Per-sonnel und

29、ertook the development of a standard relating to the professional competencies ofemergency medical personnel who could be required to respond to hazardous materials inci-dents. The roles and responsibilities of EMS personnel at hazardous materials incidents had notbeen identified in the majority of

30、emergency response systems.The first edition of NFPA 473 was released in 1992. In the 1997 edition, the committeereviewed the first edition and updated it for consistency with the related NFPA 471 andNFPA472 and for clarity of the competencies.In 1998 the committee processed a Tentative Interim Amen

31、dment (TIA) to address con-cerns related to the unique challenges of responding to hazardous materials incidents thatcould be caused by criminal or terrorist activity. Those concerns were motivated by the 1995bombing of theAlfred P. Murrah Federal Building in Oklahoma City and other national andinte

32、rnational incidents.The TIAadded paragraphs on recognizing criminal and terrorist activities, differentiatingbetween chemical and biological agents, actions to take when criminal or terrorist activity issuspected, providing patient care at incidents resulting from chemical and biological agents,and

33、other similar competencies.In the 2002 edition, the TIA material was updated and moved into the body of the text,alongwithotherupdatestocoordinatewithasimilarTIAandothernewmaterialinNFPA472related to weapons of mass destruction and incidents involving radioactive materials. Addi-tional changes in wo

34、rding and format were made in accordance with the 2000 edition of theManual of Style for NFPATechnical Committee Documents.The 2008 edition of NFPA473 was completely rewritten to address the hazards that emer-gency medical services (EMS) personnel encounter from hazardous materials/weapons ofmass de

35、struction. New definitions and technical information were added. The requirementsin the 2008 edition enhanced the safety and protection of response personnel and all com-ponents of the EMS system.The2013editionadoptstheconceptofmission-specificcompetenciesthatwerepreviouslyintegrated into the 2008 e

36、dition of NFPA472. This new edition is expanded to include a newchapter on competencies for advanced life support (ALS) responders assigned mission-specificresponsibilities.Mission-specificresponsibilitiesincludeALSrespondersassignedtoahazardous materials response team,ALS responders assigned to pro

37、vide clinical interventionatahazardousmaterials/WMDincident,andALSrespondersassignedtotreatmentofsmokeinhalation victims.4731NFPAand National Fire ProtectionAssociation are registered trademarks of the National Fire ProtectionAssociation, Quincy, Massachusetts 02169.In Memoriam and HonorThe Technica

38、l Committee would like to dedicate NFPA473, Standard for Competencies for EMS Personnel Responding toHazardous Materials/Weapons of Mass Destruction Incidents, 2013 edition to three of our long-time committee membersand friends.JohnEversolewasanearlymemberoftheNFPATechnicalCommitteeonHazardousMateri

39、alsResponsePersonneland served for 20 years, including nine years as Committee Chairman. Chief Eversole was a 32-year veteran of theChicago Fire Department and founded that departments Hazardous Materials Incident Team. John retired fromactive duty in 2001 but continued to serve as the Chairman of b

40、oth the NFPA and the IAFC Hazardous MaterialsCommittees,aswellasamemberoftheInter-AgencyBoard(IAB)untilhispassingin2007.JohnEversolewasatirelessadvocate for the fire service and hazardous materials responders and will be truly missed.Jerry Grey was an original member of the Technical Committee, repr

41、esenting the San Francisco, CA, Fire Depart-ment Jerry served for many years as the Vice Chairman, and is well known throughout the U.S. for his training andeducational efforts in the “early days” of hazmat response. Among his accomplishments were his work with BobTurkington onThe HazCat Kit, and wi

42、th Chief Hank Howard for sharing their experiences at a 1983 Benicia, CA, tankcar incident that ultimately resulted in the development of the NFPA chemical protective clothing standards(NFPA1991 and 1992). Jerry is now retired and enjoying the good life with his wife Veronica.Dieter Heinz was anothe

43、r Californian who joined the Committee in 1987 and was well-known throughout thehazmat response community for his excellent Chemistry of Hazardous Materials programs at the National Fire Acad-emy and other locations. A long-time representative of the California State Firefighters Association, Dieter

44、 unexpect-edly passed away in 2011. We will long remember his laugh, the “Dieterisms,” and his contributions to our profession.4732 COMPETENCIES FOR EMS PERSONNEL RESPONDING TO HAZARDOUS MATERIALS/WMD INCIDENTS2013 EditionTechnical Committee on Hazardous Materials Response PersonnelGregory G. Noll,

45、ChairHildebrand isresponsible for strategic clinical relationships with otherphysicians; oversees the development of the clinical con-tent in materials; ensures all clinical programs are in com-pliance; writes and reviews research publications appropri-ate to support clinical service offerings; requ

46、ires an activedegree in medicine with specialty experience or training inemergency and disaster medical mitigation, administra-tion,andmanagement;reliesonexperienceandjudgmentto plan and accomplish goals; and typically coordinateswith the incident command.3.3.1.4 Medical Team Specialist. Any healthc

47、are providerormedicallytrainedspecialistactingundertheauthorityofthemedicaldirectorandwithinthecontextoftheNationalIncident Management System authorized to act as themedical point of contact for an incident. This can include,but is not exclusive to, nurses, nurse practitioners, EMTs,ECAs, physician

48、assistants, and in some cases a health andsafety officer.3.3.2* Allied Professional. That person who possesses theknowledge, skills, and technical competence to provide assis-tance in the selection, implementation, and evaluation ofmission-specific tasks at a hazardous materials/weapons ofmass destr

49、uction (WMD) incident.3.3.3 Basic Life Support (BLS). Emergency medical treat-ment at a level as defined by the medical authority havingjurisdiction in conjunction with American Heart Associationguidelines.3.3.3.1* Emergency Care First Responder (ECFR). An indi-vidual who has successfully completed the specified emer-gency care first responder course developed by the U.S.DepartmentofTransportationandwhoholdsanECFRcer-tification from the authority having jurisdiction.3.3.3.2 Emergency Medical Technician Ambulance/Basic(