The MOPP chemical protective ensemble components are donned in a set order depending on the MOPP level. Boots, fully-encapsulating suit, inner gloves removed and deposited in separate containers lined with plastic. stand for? Recognizing which compartment(s) are damaged and minimizing that damage. Which of the following is the last step done for both the waist carry and shoulder carry configuration for the M50 Joint-Service General Purpose (JSGPM)? Long-handled, soft-bristled brushes to help wash and rinse off contaminants. General principle [ edit ] Decontamination of humans is usually done by a three-step procedure, separated by sex: removal of clothing, washing, and reclothing. The effectiveness of any decontamination method should be assessed at the beginning of a program and periodically throughout the lifetime of the program. SCBA backpack and facepiece is removed (avoid touching face with fingers). If symptoms appear, use ATNAA. Physical state of wastes. A patient is exhibiting the following symptoms: fever, cough, dyspnea, prominent gastrointestinal symptoms, absence of buboes. In industry, cyanide compounds are widely used during. Decontamination methods either (1) physically remove contaminants, (2) inactivate contaminants by chemical detoxification or disinfection/sterilization, or (3) remove contaminants by a combination of both physical and chemical means. CBRNE is an acronym for Chemical, Biological, Radiological, Nuclear, and high yield Explosives. Establish methods for disposing of clothing and equipment that are not completely decontaminated. 9. 3. Contact time. 4. The filter service life indicator turns blue. Rinse off using copious amounts of water. 3. Stow clear outsert and clear outsert pouch. When the decontamination line is no longer required, contaminated wash and rinse solutions and contaminated articles must be contained and disposed of as hazardous wastes in compliance with state and federal regulations. After contact with a substance and M9 Chemical Detector Tape, what should be assumed to have occurred if spots or streaks of pink, red-brown, red-purple, or any shade of red are present on the exposed tape? 17. The primary toxicity of pulmonary agents is to the _____ and follows _____ of smoke, particles, valors, or gases. Concentration. Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days? If No, (Arrow to box on left) Decontaminate as Much as Possible. Repeat as many times as necessary. Two arrows continue from the second divided Decon rectangle to a circle marked with an X that has an upward pointing arrow, that turns back toward the dashed HOTLINE to an area labelled Redress: Boot Covers and Outer Gloves, and crosses the dashed HOTLINE. Interferes with anaerobic metabolism of the cell. During an emergency, provisions must also be made for protecting medical personnel and disposing of contaminated clothing and equipment. Wear disposable outer garments and use disposable equipment where appropriate. If No, (Arrow to box on right side) Perform Life-Saving Procedures. The extent of their decontamination should be determined by the types of contaminants they may have contacted and the type of work they performed. The longer a contaminant is in contact with an object, the greater the probability and extent of permeation. 4. Amyl nitrite, sodium nitrite, sodium thiosulfate Which of the following is considered a pulmonary (choking) agent? Mission-oriented protective posture (MOPP) provides commanders a flexible system of individual protective equipment (IPE). This is particularly important when decontaminating personal protective clothing constructed of organic materials that could be damaged or dissolved by organic solvents. These cleaning solutions normally utilize one or more of the following methods: Dissolving contaminants. Which of the following is NOT a physical requirement of those expected to wear PPE? 3. What form of ionizing radiation can penetrate deeply into body tissue? Rinse off decon solution using copious amounts of water. Patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or _____________________________. Which of the following is NOT considered a risk factor? Rinse off decon solution using water. Physical Removal Deposit in container with plastic liner. A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. (A series of three arrows in the upper right, one arrow 20 degrees above and the other arrow 20 degrees below the central arrow, indicate wind direction toward the HOTLINE.) EXCLUSION ZONE (Each station has a numbered hexagon and arrow pointing to next station in a line above the HOTLINE) A flow chart from Station 1: Segregated Equipment Drop, to Station 2: Boot Cover & Glove Wash, to Station 3: Boot Cover & Glove Rinse, to Station 4: Tape Removal, to Station 5: Boot Cover Removal, to Station 6: Outer Glove Removal (The arrow at Station 6 points downward across the HOTLINE into the CONTAMINATION REDUCTION ZONE. Each category is discussed below. Removal of electrostatically attached materials can be enhanced by coating the clothing or equipment with anti-static solutions. Loose contaminants. Contaminants can be located either on the surface of personal protective equipment or permeated into the PPE material. SCBA deposited on plastic sheets. If contaminants that have permeated a material are not removed by decontamination, they may continue to permeate to either surface of the material where they can cause an unexpected exposure. There are 4 main categories of physical and chemical means of decontamination: (1) heat; (2) liquid disinfection; (3) vapors and gases; and (4) radiation. Sodium nitrite can increase methemoglobin levels, which will decrease blood oxygenation. 8. If the total blood volume of the individual is 5.2 L, how many grams of total blood cholesterol does the individual's body contain? Which of the following statements are correct regarding biological weapon characteristics? For this reason, disposable PPE is recommended for use with infectious agents. Segregation at the drop reduces the probability of cross contamination. Stations should be separated physically to prevent cross contamination and should be arranged in order of decreasing contamination, preferably in a straight line. 1.2 Protective equipment must be worn by personnel when response activities involve known or suspected hazardous substances. What do you do first? For example, contaminants such as glues, cements, resins, and muds have much greater adhesive properties than elemental mercury and consequently, are difficult to remove by physical means. Another series of arrows pointing downward go to another rectangle, the Remove Mask final decon area. What is the likely culprit? Fully encapsulated suit is removed with assistance of a helper and laid out on a dropcloth or hung up. Size of contaminant molecules and pore space. 3. DECONTAMINATION GUIDANCE FOR CHEMICAL INCIDENTS The Primary Response Incident Scene Management (PRISM) series was written to provide authoritative, evidence-based guidance on mass patient disrobe and decontamination during a chemical incident. Assume laminar flow. What method is used to estimate a radiation dose by measuring the biological response to an absorbed dose of ionizing radiation? 7. 6. What is the first step in self decontamination? Which type of anthrax is responsible for the patient's symptoms? Team leader for M240 MMGT. Lined box with absorbents for wiping or rinsing off gross contaminants and liquid contaminants. Disposal of protective coverings/coatings. Wash hands and face if shower is not available. 5. What is the correct procedure for donning the M50 Joint-Service General Purpose Mask (JSGPM)? skin-corrosive or skin-absorbable materials are known or suspected to be present. M295 IEDK - To decontaminate your chemical protective gloves, mask, hood, overboots, LCE, and weapon. 3. Remove your headgear and remove glasses if worn Lift your mask away from your face. Decontamination will be conducted in the _____ hazard zone, Type of decontamination that is carried out by a unit to reduce contamination equal to natural background or to the, _____ occurs outside of the incident area when people come in contact with a contaminated person or object, _____ occurs when people comes in direct contact with a harmful agent at or near an incident. greensboro country club menu; romans 12 verse by verse commentary; david attenborough life on our planet Avoid cold water which tends to close skin pores, trapping radioactive contamination. Determine the number and layout of decontamination stations. Three basic methods of decontamination are physical removal, chemical deactivation, and biological deactivation of the agent. Protect monitoring and sampling instruments by bagging. Wipe testing provides after-the-fact information on the effectiveness of decontamination. The steps for assisting a Marine that cannot perform self-aid for nerve agent exposure are as follows; 1. Ultraviolet light can be used to observe contamination of skin, clothing, and equipment; however, certain areas of the skin may fluoresce naturally, thereby introducing an uncertainty into the test. With assistance of helper, remove splash suit. Brooms and brushes for cleaning operator areas inside vehicles and equipment. M291 SDK - To decontaminate your skin completely, through physical removal, absorption, and neutralization of toxic agents without long-term effects. Place in container with liner. What do you do first? Smallpox, because the rash is centrifugal on the patient. Stow audio equipment in main stowage area. A series of numbered hexagons point downward toward the CONTAMINATION CONTROL LINE.) A patient is exhibiting the following symptoms: Fever, Cough, Dyspnea, Prominent gastrointestinal symptoms, Absence of buboes. 2.81012D)9.91029.9 \times 10^{-2} They inhibit the enzyme Acetylcholinesterase (AChE) allowing Acetylcholine (ACh) to accumulate. horizontal parallel plates as shown in Fig. Commonly done using brushes, scrapers, or sponges and water compatible solvent cleaning solutions. What are the proper masking procedures? The decontamination of large numbers of casualties is currently most often . Which type of anthrax is responsible for the patient?s symptoms? The methods available for protecting workers during decontamination. An enemy attack aircraft dropped four bombs which upon bursting dispensed a non-persistent nerve agent vapor that drifted over your unit's defensive sector. Used in life-threatening situations, the goal is to remove contaminant as quickly as possibl. The chemical, physical, and toxicological properties of the wastes. There are 4 main categories of physical and chemical means of decontamination: (1) heat; (2) liquid disinfection; (3) vapors and gases; and (4) radiation. Repeat process for both eyes. If No, (Arrow to box below) Decontaminate as much as possible. What toxin do you suspect and how do you treat it? Chemical, Biological, Radiological and Nuclear NBC hazards are classified into two types, what are they? In some cases, effectiveness can be estimated by visual observation. What blood test is available that will give an accurate estimate of radiation dose? Place and secure hood around the edge of FPM Don FPM and check seal What is the (O) set identifier used for in a CBRN message report? The Primary Response Incident Scene Management (PRISM) series is comprised of three volumes that can help ensure that patients exposed to potentially hazardous chemicals receive the most effective treatment possible during the initial stages of an incident (after prompt decontamination). 3. Emergency responders are taught how to recognize and mitigate attacks from such weapons. Rub sorbent into target areas 6. 2. Deposit in container with plastic liner. Decontamination is the act of minimizing the overall pathogenic microbial presence. The MarketWatch News Department was not involved in the creation of this content. What toxin do you suspect and how do you treat it? 6. 48) What is the best method of decontamination? Often this term is used to describe incidents that involve one of these materials, ranging from an industrial accident to a terrorist attack. 2. 2. delayed until past the time of bone marrow suppression and delayed wound healing. Temperature. important steps that you should take. It is reported that the smell of bitter almonds is in the air. \\ Molecules flow from areas of high concentration to areas of low concentration. Each category is discussed below. 12. Remove face piece. Remove face piece. Rinse off decon solution from station 2 using copious amounts of water. Decontaminating Pets Municipal (tap) water sources may be contaminated during a radiation emergency. Contaminants that can be removed by physical means can be categorized as follows: Physical removal of gross contamination should be followed by a wash/rinse process using cleaning solutions. They are: Respiratory Protection & Chemical Protective Garments. Soft-Bristled Scrub Brushes, a. 12. Which of the following statements are correct regarding the M50 Joint-Service General Purpose Mask's (JSGPM's) capabilities and limitations? Check for NTAA injectors - position casualty on their side. M100 Sorbent Decontamination System (SDS). Cover equipment and tools with a strippable coating which can be removed during decontamination. In general, all fasteners should be used (i.e., zippers fully closed, all buttons used, all snaps closed, etc.) 11. Similarly, HazMat refers to hazardous materials which pose a threat to human and environmental health. __________ occurs outside of the incident area when people come in contact with a contaminated person or object. Take a deep breath and hold it. Determine the decontamination equipment needed. initial medical treatment after an incident but not involved with decontamination? General Guide to Solubility of Contaminants In Four Solvent Types. In dental health care settings, all instrument cleaning, disinfecting, and sterilizing should occur in a designated central processing area in order to more easily control quality and ensure safety. Await further guidance. Make openings in the bags for sample ports and sensors that must contact site materials. NBC Warning Signals. If an emergency due to a heat-related illness develops, protective clothing should be removed from the victim as soon as possible to reduce the heat stress. Immediate decontamination Wash solutions selected to remove and reduce the hazards associated with the contamination. Your unit has responded within minutes to a suspected CBRNE incident. Wash inner gloves with decon solution. Pulmonary (choking) agents primarily enter the victim by what means? Which vesicant (blister agent) is suspected? Administer the ATNAA. Various decontamination methods are listed in Table 1. Which form of plague is responsible? During hot weather operations, a cool down station may be set up within this area. If necessary, administer the CANA. Collection containers, such as drums or suitably lined trash cans, for storing disposable clothing and heavily contaminated personal protective clothing or equipment that must be discarded. (Arrow to first decision diamond) Life-Saving Procedures Required? Removal of adhesive contaminants can be enhanced through certain methods such as solidifying, freezing (e.g., using dry ice or ice water), adsorption or absorption (e.g., with powdered lime or kitty litter), or melting. Pose a direct health hazard to workers (e.g., vapors from chemical decontamination solutions may be hazardous if inhaled, or they may be flammable). If No, (Arrow to box to the right) Report to Superiors for Instructions. The pH of the solution was 4.93 at 25.0 \degreeC. Separate flow patterns and stations should be provided to isolate workers from different contamination zones containing incompatible wastes. Hot weather rest station maybe set up within this area for personnel returning to site. 37.3/NTTP 3-11.26/AFTTP(I)3-2.60, CBRN Decontamination: Multiservice Tactics, Techniques, and Procedures for Chemical Biological Radiological and Nuclear Decontamination, April 2006. Particular care should be taken to protect these areas. What type of viral infection do you suspect? Enemy helicopter does a low-level pass and sprays your position. Disinfection/Sterilization. Rub sorbent into target areas 4) Which of the following decontamination method is NOT recommended for removing vesicants from casualties? 3. Expand All Heat sterilization (wet or dry) Liquid disinfection Vapors and gases Radiation (ionizing or non-ionizing) Expand All Contact EH&S Biosafety . Removing clothing and washing with warm soapy water. For this reason, minimizing contact time is one of the most important objectives of a decontamination program. 2. Sheet 2 is 4 m to the right of sheet 1 along the +x axis. The amount of radiation that an individual absorbs depends on ____? Lockers or closets for clean clothing and personal item storage. Don the mitt and pick up sorbent pack During a personal wipe down, which of the following is the best standard decontaminant for equipment exposed to a hazardous chemical agent? In many cases, gross contamination can be removed by physical means involving dislodging/displacement, rinsing, wiping off, and evaporation. Repeat as often as necessary. You approach the scene of a terrorist incident that occurred 2 minutes prior in an enclosed room. Table 2 provides a general guide to the solubility of several contaminant categories in four types of solvents: water, dilute acids, dilute bases, and organic solvents. Biological weapons have unique characteristics when compared to chemical or nuclear and radiological weapons. A metallic taste in the mouth, epigastric distress, and possible nausea and vomiting are ingestion symptoms for which chemical agent? 5. Wash and rinse buckets for use in the decontamination of operator areas inside vehicles and equipment. If Yes, (Arrow to third box below) Are the decontamination materials compatible with the materials to be decontaminated? Elevated levels of contaminants in the final rinse solution may suggest that additional cleaning and rinsing are needed. Which of the following statements is a correct statement regarding the Mask Only command? The most commonly recommended SPI consists of three HI-6/atropine auto-injectors, one diazepam auto-injector, two Reactive Skin Decontamination Lotion pouches, as well as a seven-day supply of pyridostigmine bromide or a supply of antibiotics, for each CAF member. What form of ionizing radiation is the least penetrating? No scabs are present. Another arrow from the circle marked with an X continues to a rectangle indicating the area to Remove Boots/Gloves and Outer Garments (For Disposal and Off Site Decontamination) with a circle below indicating the location of a 32 gallon can. Removal of Contaminated Surfaces Disposal of deeply permeated materials, e.g., clothing, floor mats, and seats. Stress work practices that minimize contact with hazardous substances (e.g., do not walk through areas of obvious contamination, do not directly touch potentially hazardous substances). Upgrade to MOPP IV. He states he was splashed with a large quantity of liquid and is now exhibiting symptoms of vomiting, diarrhea, difficulty breathing, body twitching, and is generally very weak. 3.4 The type of CBRN agent is one of the primary factors in determining the timing of decontamination operations. 6. Wash patient with their clothing still on. Open sorbent pack Which of the following cell types are least sensitive to ionizing radiation damage? he states he was splashed with a loarge quantity of liquid and is now exhibiting symptoms of vomiting, diarrhea, difficulty breathing, body twitching and is generally very weak. Consult specialists if necessary. 7. If a decontamination method does pose a direct health hazard, measures must be taken to protect both decontamination personnel and the workers being decontaminated. Deposit in container with plastic liner. Also, all spent solutions and wash water should be collected and disposed of properly. The information in this document is meant to supplement methods and procedures in FM 3-11.5 based on current guidance from the CDC and World Health Organization (WHO). Unfortunately, standard sterilization techniques are generally impractical for large equipment and for personal protective clothing equipment. 17. 16. 2. What is the preferred treatment to block the effects of excessive ACh? Patient is alert and oriented during the exam. Decontamination protocol for health personnel in response to a CBRN attack or chemical accident in the United Kingdom (3) . Which of the following cell types are least sensitive to ionizing radiation damage? (End), If Yes, (Arrow to fifth box below) Can appropriate protective measures be institution. Wrap SCBA regulator (if belt mounted type) with plastic to keep out water. 5. The presence of radiological contamination can be readily confirmed by which of the following methods? Infinite positively charged sheet 1 has uniform surface charge density 1=+4.0nC/m2\sigma _ { 1 } = + 4.0 \mathrm { nC } / \mathrm { m } ^ { 2 }1=+4.0nC/m2 and is located in the yz plane of a Cartesian coordinate system. Your unit has responded within minutes to a suspected CBRNE incident. Place laser and/or sunlight outserts in outsert pocket. A cooling station is sometimes necessary within the decontamination line during hot weather. Paper or cloth towels for drying protective clothing and equipment. Decontamination protects workers from hazardous substances that may contaminate and eventually permeate the protective clothing, respiratory equipment, tools, vehicles, and other equipment used on site; it protects all site personnel by minimizing the transfer of harmful materials into clean areas; it helps prevent mixing of incompatible chemicals; and it protects the community by preventing uncontrolled transportation of contaminants from the site. 3. Segregation at the drop reduces the probability of cross-contamination. Don your mask before going into the room Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure. (correct) Remove patients clothing, ensure agent does not contact skin during removal. Remove mitt for decom kit 2. Snap barrel locks under the chin Pull the end of the leg strap and adjust to proper fit. Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure. 1. What toxin do you suspect and how do you treat it? Remove outer boots and gloves. The first step in decontamination is to establish Standard Operating Procedures that minimize contact with waste and thus the potential for contamination.. What category is Cbrne described as? Stop breathing and close your eyes, don protective mask, clear mask, check the seal of the mask, sound the alarm to alert others, and continue the mission What does C.B.R.N. Be incompatible with the hazardous substances being removed (Le., a decontamination method may react with contaminants to produce an explosion, heat, or toxic products). c. 2-3 Long-Handled. What types of CBRNE agents are man-made and act rapidly, burn and blister skin, mucous membranes, airways and gastrointestinal systems? DC. CBRN stands for Chemical, Biological, Radiological and Nuclear. How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? Rinse solutions selected to remove contaminants and contaminated wash solutions. Solidification. Brucellosis is typically presents as a non-specific flu-like illness. Scrub outer boot covers and gloves with decon solution or detergent and water. Wearing PPE can put the responder at considerable risk both physically and psychologically. Consult specialists if necessary. Chest x-rays reveal a widened mediastinum and the patient?s white blood cell count is elevated. Dry air near sea level has the following composition by volume: N2\mathrm{N_2}N2, 78.08 percent; O2\mathrm{O_2}O2, 20.94 percent; Ar\mathrm{Ar}Ar, 0.93 percent; CO2\mathrm{CO_2}CO2, 0.05 percent. Close your eyes, stop breathing and hold your breath Clothing that is not completely decontaminated should be placed in plastic bags, pending further decontamination and/or disposal. You suspect Lewisite. Which of the following decontamination method is NOT recommended for removing vesicants from casualties? Following a nuclear detonation, some of the casualties with survivable injuries are possibly contaminated with radiological material. AMedP-7.1 Medical Management of CBRN Casualties AMedP-7.2 CBRN First Aid Handbook Emergency contact number: Poisons / CBRN specialist advice or notification number: Local medical facility notification number: Military liaison number: NOTES CBRN First Responser (Medical) Card 2 AMedP-7.2.1(J9) Version 1 (EN) The M256A2 Sampler Detector Kit CANNOT DETECT, Your M240 medium MG was contaminated with a non-persistent liquid nerve agent. The CANA is given only as a buddy-aid treatment for which of the following reasons? When establishing a decontamination line, each aspect should be incorporated separately or combined with other aspects into a procedure with fewer steps (such as the Minimum Decontamination Procedures). Drains or pumps for collection of contaminated wash and rinse solutions. Another arrow from the circle marked with an X continues to a rectangle indicating the area to Remove Boots/Gloves and Outer Garments (For Disposal and Off Site Decontamination) with a circle below indicating the location of a 32 gallon can. Removing clothing and washing with warm soapy water How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? These types of weapons have the ability to create both mass casualties as well as mass disruption of society. Rinse off decon solution water. Which uses radioactive isotopes? 1. Wash patient with their clothing still on. A patient presents to the emergency room all exhibiting the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. Check that M61 filters are properly installed. The level and types of decontamination procedures required depend on several sitespecific factors including: Decontamination procedures must provide an organized process by which levels of contamination are reduced. While maneuvering to a new position, your field protective mask's seal is broken briefly exposing your eyes to the CWA. A dashed line cutting vertically through this rectangle indicates the HOTLINE. What phase is characterized by improvement of symptoms but becomes shorter with increasing doses. A viscous fluid (specific weight =80lb/ft3;=80 \mathrm{lb} / \mathrm{ft}^3 ;=80lb/ft3; viscosity =0.03lbs/ft2=0.03 \mathrm{lb} \cdot \mathrm{s} / \mathrm{ft}^2=0.03lbs/ft2 ) is contained between two infinite. 13. Ultraviolet light. Decontamination workers who initially come in contact with personnel and equipment leaving the Exclusion Zone will require more protection from contaminants than decontamination workers who are assigned to the last station in the decontamination line. Wash hands and face if shower is not available. Deposit equipment used on site (tools, sampling devices and containers, monitoring instruments, radios, clipboards, etc.) Chemical removal of surface contaminants can be accomplished by dissolving them in a solvent. Prior to each use, the personal protective equipment (PPE) should be checked to ensure that is contains no cuts or punctures that could expose workers to wastes. Deposit in container with plastic liner. The level of protection required will vary with the type of decontamination equipment used. An decontamination workers are in a contaminated area and must themselves be decontaminated before entering the clean Support Zone. Open mask carrier flap and remove the mask Immediately mask the casualty. EXCLUSION ZONE (Each station has a numbered hexagon and arrow pointing to next station in a line above the HOTLINE) A flow chart from Station 1: Segregated Equipment Drop, to Station 2: Boot Cover & Glove Wash, to Station 3: Boot Cover & Glove Rinse, to Station 4: Tape Removal, to Station 5: Boot Cover Removal, to Station 6: Outer Glove Removal (The arrow at Station 6 points downward across the HOTLINE into the CONTAMINATION REDUCTION ZONE. 11. He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. 6. The instrument processing area should be physically divided into sections for 1) receiving, cleaning, and decontamination; 2) preparation and . Decontaminating yourself will lower your exposure to harmful radioactive material. Eyelens first, covered by head harness skullcap, and facing away from the body. 1. If immediate medical treatment is required to save a life, decontamination should be delayed until the victim is stabilized. 5. What precaution/side effects should you be aware of when administering cyanide antidotes? Shower as soon as possible. 1. A series of numbered hexagons point downward toward the CONTAMINATION CONTROL LINE.) Type of decontamination that is carried out by a unit to reduce contamination equal to natural background or to the lowest level possible. A patient presents to the emergency room all exhuming the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. The Station 8 numbered hexagon has two arrows, the first arrow points to Station 9: Tank Change and Redress - Boot Cover/Outer Gloves, which has an upward arrow that crosses the HOTLINE reentering the EXCLUSION ZONE, and the second arrow, continuing downward to Station 10: Safety Boot Removal, to Station 11: SCBA Backpack Removal, to Station 12: Splash Suit Removal, to Station 13: Inner Glove Wash, to Station 14: Inner Glove Rinse, to Station 15: Face Piece Removal, to Station 16: Inner Glove Removal, to Station 17: Inner Clothing Removal which has an arrow crossing downward past the CONTAMINATION CONTROL LINE, to Station 18: Field Wash (within the SUPPORT ZONE), which has an arrow across to Station 19: Redress, the final station.

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