· Establishing the clean treatment area 30 to 50 yards (meters) upwind of hot line, when CPS is not available.
· Ensuring provisions for overhead cover at the patient decontamination area.
· Requesting patient decontamination personnel from supported units for the BAS and DCS, or from units located within the geographic area for hospitals.
· Requesting issue of chemical patient treatment and chemical patient decontamination MESs, if not on-hand.
· Establishing contamination monitoring procedures in CPS.
· Establishing control procedures for personnel crossing the hot line (through the shuffle pit).
· Establishing CPS entry and exit control procedures (see Appendix F).
· Making improvisations; if the MTF must operate in a nuclear/radiological environment. For optional improvisations, see Appendix H.
C-5. Operate a Medical Treatment Facility Receiving Contaminated Patients
Individuals should have decontaminated themselves or have been decontaminated by unit personnel; however, an MTF must plan for and be prepared to receive contaminated patients. The patients may not have been decontaminated at the unit, or they may have become contaminated en route to the MTF. Selected CSHs may be designated as the primary NBC MTF and be augmented with additional supplies and medical staff. When designated as such, plans must be prepared designating the location of the CSH that can best support the forward deployed MTFs. All actions listed in paragraph C-4 must be taken. During operations, actions that must be taken are--
· Establishing a MOPP level commensurate with the operation.
· Requiring all ambulances and helicopters with contaminated (or suspected) patients to stay downwind of the MTF.
· Conducting initial triage, decontamination, and contaminated treatment downwind of the clean treatment area (Appendixes F and H).
· Ensuring all personnel crossing the hot line are decontaminated.
· Monitoring personnel entering clean area to ensure that they are contamination free.
· Monitoring for contamination in the clean treatment area (with or without CPS).
· Establishing an internal monitoring program to periodically verify that the MTF is contamination free.
· Monitoring CPS for entry of contamination.