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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

2、d Online CoursesVisit theNFPA CatalogNOTICE AND DISCLAIMER OF LIABILITY CONCERNING THE USE OF NFPA DOCUMENTS NFPAcodes, standards, recommended practices, and guides (“NFPA Documents”), of which the document contained herein is one, are developed through a consensus standards development process appr

3、oved by the American National Standards Institute. This process brings together volunteers representing varied viewpoints and interests to achieve consensus on fire and other safety issues. While the NFPA administers the process and establishes rules to promote fairness in the development of consens

4、us, it does not independently test, evaluate, or verify the accuracy of any information or the soundness of any judgments contained in NFPA Documents. The NFPA disclaims liability for any personal injury, property or other damages of any nature whatsoever, whether special, indirect, consequential or

5、 compensatory, directly or indirectly resulting from the publication, use of, or reliance on NFPA Documents. The NFPA also makes no guaranty or warranty as to the accuracy or completeness of any information published herein. In issuing and making NFPA Documents available, the NFPA is not undertaking

6、 to render professional or other services for or on behalf of any person or entity. Nor is the NFPA undertaking to perform any duty owed by any person or entity to someone else. Anyone using this document should rely on his or her own independent judgment or, as appropriate, seek the advice of a com

7、petent professional in determining the exercise of reasonable care in any given circumstances. The NFPA has no power, nor does it undertake, to police or enforce compliance with the contents of NFPA Documents. Nor does the NFPA list, certify, test, or inspect products, designs, or installations for

8、compliance with this document. Any certification or other statement of compliance with the requirements of this document shall not be attributable to the NFPA and is solely the responsibility of the certifier or maker of the statement. ISBN: 978-145590433-4 (Print) ISBN: 978-145590482-2 (PDF) 8/12IM

9、PORTANT NOTICES AND DISCLAIMERS CONCERNING NFPA DOCUMENTS IMPORTANT NOTICES AND DISCLAIMERS CONCERNING NFPA DOCUMENTS ADDITIONAL NOTICES AND DISCLAIMERS Updating of NFPA Documents Users of NFPA codes, standards, recommended practices, and guides (“NFPA Documents”) should be aware that these document

10、s may be superseded at any time by the issuance of new editions or may be amended from time to time through the issuance of Tentative Interim Amendments. An official NFPA Document at any point in time consists of the current edition of the document together with any Tentative Interim Amendments and

11、any Errata then in effect. In order to determine whether a given document is the current edition and whether it has been amended through the issuance of Tentative Interim Amendments or corrected through the issuance of Errata, consult appropriate NFPA publications such as the National Fire Codes Sub

12、scription Service, visit the NFPA website at www.nfpa.org, or contact the NFPA at the address listed below. Interpretations of NFPA Documents A statement, written or oral, that is not processed in accordance with Section 6 of the Regulations Governing Committee Projects shall not be considered the o

13、fficial position of NFPA or any of its Committees and shall not be considered to be, nor be relied upon as, a Formal Interpretation. Patents The NFPA does not take any position with respect to the validity of any patent rights referenced in, related to, or asserted in connection with an NFPA Documen

14、t. The users of NFPA Documents bear the sole responsibility for determining the validity of any such patent rights, as well as the risk of infringement of such rights, and the NFPA disclaims liability for the infringement of any patent resulting from the use of or reliance on NFPA Documents. NFPA ad

15、heres to the policy of the American National Standards Institute (ANSI) regarding the inclusion of patents in American National Standards (“the ANSI Patent Policy”), and hereby gives the following notice pursuant to that policy: NOTICE: The users attention is called to the possibility that complianc

16、e with an NFPA Document may require use of an invention covered by patent rights. NFPA takes no position as to the validity of any such patent rights or as to whether such patent rights constitute or include essential patent claims under the ANSI Patent Policy. If, in connection with the ANSI Patent

17、 Policy, a patent holder has filed a statement of willingness to grant licenses under these rights on reasonable and nondiscriminatory terms and conditions to applicants desiring to obtain such a license, copies of such filed statements can be obtained, on request, from NFPA. For further information

18、, contact the NFPA at the address listed below. Law and Regulations Users of NFPA Documents should consult applicable federal, state, and local laws and regulations. NFPA does not, by the publication of its codes, standards, recommended practices, and guides, intend to urge action that is not in com

19、pliance with applicable laws, and these documents may not be construed as doing so. Copyrights NFPA Documents are copyrighted by the NFPA. They are made available for a wide variety of both public and private uses. These include both use, by reference, in laws and regulations, and use in private sel

20、f-regulation, standardization, and the promotion of safe practices and methods. By making these documents available for use and adoption by public authorities and private users, the NFPA does not waive any rights in copyright to these documents. Use of NFPA Documents for regulatory purposes should b

21、e accomplished through adoption by reference. The term “adoption by reference” means the citing of title, edition, and publishing information only. Any deletions, additions, and changes desired by the adopting authority should be noted separately in the adopting instrument. In order to assist NFPA i

22、n following the uses made of its documents, adopting authorities are requested to notify the NFPA (Attention: Secretary, Standards Council) in writing of such use. For technical assistance and questions concerning adoption of NFPA Documents, contact NFPA at the address below. For Further Information

23、 All questions or other communications relating to NFPA Documents and all requests for information on NFPA procedures governing its codes and standards development process, including information on the procedures for requesting Formal Interpretations, for proposing Tentative Interim Amendments, and

24、for proposing revisions to NFPA documents during regular revision cycles, should be sent to NFPA headquarters, addressed to the attention of the Secretary, Standards Council, NFPA, 1 Batterymarch Park, P.O. Box 9101, Quincy, MA 02169-7471; email: stds_adminnfpa.org For more information about NFPA, v

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(

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