Keynote speaker: Health and Safety

during management of CBRNE incidents

Dr. Ajith GeorgeConsultant Emergency Preparedness, Medical Services Unit

ADNOC

ABU DHABI NATIONAL OIL COMPANYABU DHABI NATIONAL OIL COMPANY

HEALTH & SAFETY DURING MANAGEMENT OF CBRNE INCIDENTSSPEAKER: DR. AJITH GEORGE

7 DECEMBER 2017

ADNOC MEDICAL SERVICES UNIT

• Medical Services Unit (MSU) positioned within the

Business & Commercial Support Directorate of

ADNOC provides medical coverage at all

operational sites in addition to employees and

eligible dependents of ADNOC Group.

• Operates107 ADNOC Medical Facilities (Ruwais

Hospital, Clinics, Centers and First Aid Posts: On-

and off-shore)

• Primarily offering three services: Clinical Care,

Emergency Care and Occupational Medicine.

19 December 2017

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P R O V I D I N G H E A L T H C A R E F O R T H E O I L I N D U S T R Y

ADNOC

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D E V E L O P I N G T H E M E D I C A L P R E P A R E D N E S S T O M A N A G E T H E R I S K S T H A T S U R R O U N D U S

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EMERGENCY PREPAREDNESS

19 December 20175

P R E P A R E D N E S S P L A N N I N G G R O U P S I N M S U

Emergency Preparedness - an ongoing process to

prevent, mitigate, prepare for, respond to, and recover

from an Incident that threatens life, property,

operations, or the environment

The Planning Cycle - A dynamic process of activity

aimed at establishing and maintaining preparedness

i.e. assessment, planning and preparation, response,

continuity, recovery, mitigation and prevention. This

planning cycle was introduced and integrated into the

business process of all departments in the

Hospital/Healthcare Facilities.

Major Incident definition - “an incident which

overwhelms or threatens to overwhelm the resources

of the healthcare facility due to its nature, type,

location, severity or number of casualties involved.”

Planning Cycle

Plan & prepare

Monitor & Warn

Incident

Incident Response

Recovery

Continuity

Mitigate

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CBRNE RISKS

As healthcare provider for the Oil & Gas Industry, our

CBRNE Preparedness is aimed at preparing for risks

associated with our daily operations, those associated

with the oil & gas industry and the risks which surround

our facilities geographically.

Five key areas of focus in CBRNE Preparedness

Facilities

Equipment

Training

Process Development

Networking & Collaboration

Development of decontamination capabilities were

needed in preparedness for management of CBRNE

and HAZMAT (Hazardous Material) incidents.

19 December 20176

C H E M I C A L , B I O L O G I C A L , R A D I A T I O N , N U C L E A R &

E X P L O S I V E S

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DECONTAMINATION

Decontamination is the process of removing or reducing

the hazardous material and contaminants that are on the

external surfaces of the body.

Mass Decontamination

Decontamination at site (HSE showers)

Dry vs. wet Decontamination

Interim & Improvised Decontamination

Clinical Decontamination

19 December 20177

E X T E R N A L D E C O N T A M I N A T I O N – B O D Y S U R F A C E

Cold/Clean/Re-Robe Area

Warm/ Decon Shower Area

HOT/ Contaminated/De-Robe Area

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CLINICAL DECONTAMINATION

Clinical Decontamination is the process where

contaminated persons are treated individually by

trained healthcare professionals using purpose

designed decontamination equipment. This is full wet

decontamination using Clinical Decontamination Units.

During Clinical decontamination, medical intervention is

provided throughout i.e. life threatening conditions are

managed simultaneously.

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S O L U T I O N S F O R T H E L O C A L E N V I R O N M E N T

Desert environment

PPE & tent traditionally used for clinical decontamination

PPE

PPE that would protect staff even if contaminant details

were not known at the time of providing clinical

decontamination.

Gas tight

Waterproof

Chemical resistant

Ability to carry out medical interventions for life

threatening conditions.

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M O S T A P P R O P R I A T E P P E F O R T H E T A S K

Respirex PRPS

DECONTAMINATION UNIT – THE MDU

Provide a safe & comfortable working environment

Clinical decontamination in a temperature controlled &

air flow controlled environment.

Durable & Robust

Simplicity, does not need special skills to operate and

can be operated with the fewest number of workers

Facilitate easy access for patients who are on trolley,

wheelchair or being carried.

Self-sufficiency – power, water, drainage for a good

period of time, without external supplies.

Provide privacy & dignity for patients, respecting the

local cultural norms.

Shipping container based instead of tent

19 December 201710

D E S I G N I N G T H E M O B I L E D E C O N T A M I N A T I O N U N I T

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THE MDU

ADNOC MSU merged Healthcare technology with

ADNOC’s Oil Industry Engineering technology to design

and build the ‘First of its Kind’ Mobile Decontamination

Unit (MDU).

Six wheel drive truck with desert tyres capable of

accessing the desert terrain

Truck trailer with side-lifter for offloading MDU

container by driver using wired remote control.

MDU design furthered based on the 40ft container

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M O B I L E D E C O N T A M I N A T I O N U N I T S

6 wheel drive truck with trailer & Side lifters

40 ft container based unit

40ft shipping container being converted Foam filling for temperature control

Large door handles for ease of use in CBRNE

Decon PPEEmergency escape hatch & grey water holding

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MOCK-UP UNIT MDU-00

Training staff with their PPE using the wooden replica of

the Mobile decontamination Unit, as it was being

constructed.

Study of trolley & wheelchair flow

Testing design of Emergency Exit wearing PPE

Improvised decontamination using fire trucks

Train to perform emergency medical procedures in the

mock-up unit wearing PPE

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E R G O N O M I C S & P A T I E N T F L O W P R O C E S S

MDU 01 - 03

Self levelling mechanism, sand pads & trolley ramp

Generator with fuel for 48 hours

Water: 7 hours (1000 gallons to decontaminate

approximately 50 patients)

Air-flow control & Air pressure controls

HEPA filtration and separated HVAC systems

Bladder for holding contaminated water 1500 US

gallons

Lead lined drums for contaminated clothing and

medical waste

Two toilets with separate waste holding tanks

Wind speed, H2S, CO detectors

Medical Equipment & PPEs

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T H R E E M O B I L E D E C O N T A M I N A T I O N U N I T S

Derobe and Triage Decon shower

Patient management during decontamination in

MDUPatient management training in n mock-up unit

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MDU

Mobile Clinical Decontamination

Casualty Clearing Station

Fixed Decontamination Unit

Medical on-scene Command Centre

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P R I M A R Y & S E C O N D A R Y F U N C T I O N S

Clinical Decontamination

CCST

ABU DHABI NATIONAL OIL COMPANY

ADNOC MSU FIXED DECONTAMINATION UNIT (FDU)

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A D N O C R U W A I S H O S P I T A L

FDU

Multipurpose building extension of existing Emergency

Department (main entry point & triage area for ED, for

Major Incident surge capacity( to serve as line of

control and fixed decontamination facility

Capable of isolating and protecting the remaining

hospital, ensuring business continuity. Designed to be

capable of being disconnected, dismantled and

removed in case of residual contamination or to remain

closed post-activity, to preserve evidence & facilitate

forensics

Provides clinical decontamination in a temperature &

air flow controlled environment, with air pressure

control, independent utility supplies, waste water

management etc.

4 decontamination lines

19 December 201719

A D N O C M S U R U W A I S H O S P I T A L

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ABU DHABI NATIONAL OIL COMPANY

THANK YOU