2.41 PPE
2.42 Removal of Paper Signs
2.44 Radioactive Materials
2.45 Safety/Fire Inspections
2.46 Unlock Requests
100

What does “PPE” stand for?

Personal Protective Equipment

100

Security personnel will enforce restriction of paper materials/signs in what 2 areas?

Main hallways and elevator banks.

100

What is the purpose of this protocol?

To provide personnel guidance for receipt of packages containing radioactive materials as well as response measures for missing or stolen materials.

100

Personnel will report identified safety hazards/violations to who?

The Emergency Communications Center (ECC)

100

Upon arrival of a door unlock request, Security Personnel will first do what?

Security personnel will notify the ECC of their arrival. (Check 10-23).

200

Security personnel will wear appropriate PPE in situations that require what? There are 3.

1. Physical contact with a patient/individual. 2. Exposure to contaminated spills or leaks. 3. HazMat conditions.

200

Signs and banners used for approved marketing, directional assistance or other displays must be pre-approved by who?

Communications, Marketing and Media.

200

Assigned personnel will visually inspect all received packages for possible damage or dampness. Personnel will cause notification to who of any suspected damage or other contamination of any received package?

The Radiation Safety Officer.

200

How often should Fire Watches be completed?

At least every four hours

200

How will the assigned Security personnel confirm the identity of the requesting party?

Via Medical Center Identification or other valid form of identification.

300

Personnel subject to use of PPE will complete annual training. What does this training include? There are 5.

1. When PPE is necessary. 2. What PPE is necessary. 3. How to properly don, doff, adjust and wear PPE. 4. Limitations of PPE. 5. Proper care, maintenance, useful life and disposal of PPE.

300

Which areas are not enforced by Security personnel?

Interior office spaces (including office hallways) and clinical areas.

300

What areas contain radiation sources?

a. Hanes Building Room B004 (Irradiator) b. Dean Research Building Room 064 (Irradiator) c. Blood Bank, North Tower (Irradiator) d. BioTech Building, Room 02E (Irradiator) e. Cancer Center, Room 1625 (Gamma Knife)

300

Name at least 6 safety hazards/conditions that can be identified? Double Points for all 12.

1. Concrete that has buckled or cracked or is otherwise a trip hazard. 2. Covered smoke heads in construction areas during non-working periods. 3. Broken Receptacles or Equipment 4. Tripping Hazards 5. Missing or Under-Charged Fire Extinguishers 6. Frayed Electrical Cords 7. Malfunctioning Equipment (Elevators, smoking floor sweepers, etc.) 8. Water or Body Fluids on the Floor 9. Exterior/Interior Light Outages/Malfunctions 10. Shrubbery or equipment blocking exits 11. Materials or equipment obstructing corridors 12. Unauthorized items used to block/hold doors in open positions.

300

Personnel should be mindful of what areas when conducting an Unlock Request?

Identified sensitive areas.

400

Name 4 areas where PPE can be found? Double Points for all 8.

1. Nursing Units 2. Par Stock Rooms 3. Patient Care Areas 4. Exam Rooms 5. Code 44 Stretcher 6. Helipad Hanger Area 7. HazMat Carts 8. Security Office

400

What should Security personnel do if a party objects to removal of paper signs that are not compliant?

Explain the need for removal based on fire safety regulations and Medical Center policy.

400

Personnel will immediately respond to all alarms originating from radiation source areas. Upon arrival, the responding personnel should remain mindful of what?

That sources can be successfully removed from devices and concealed to enable removal without detection.

400

True or False? The Fire Marshal will contact the persons responsible to ensure corrections are made.

True.

400

Once the unlock is complete, personnel will advise the ECC of what?

Their completion of the unlock (10-24).

500

When is PPE required? There are 9.

1. Assisting staff with a patient. 2. When there is a risk of exposure to bodily fluids (blood, urine, etc.) 3. Assisting staff with a combative patient. 4. Prior to entering an isolation patient room (which should display an Isolation Restriction Placard on the door). 5. Responses to the Helipad. 6. Response to a mercury spill. 7. Response to Chemical/Biological/Nuclear/Contaminated spill or leak. 8. Entering a construction area. 9. When responding to medical emergencies.

500

What code/policy prohibits the use of plain paper signs in elevators and hallways as well as decorations that might pose a fire risk as an ignition or fuel source? There are 2

NC Fire Code and Medical Center policy

500

On scene Security personnel will maintain the site as a crime scene until appropriately relieved by who?

Law enforcement personnel or other authority. 

**Note: The Medical Center Radiation Safety Officer will provide directions regarding access or preventive measures deemed necessary.

500

Requests for extended or continuous fire watch activity should be directed to whom?

Security Administration

500

Security personnel should do what when door chocks, rock, towels or other items are used to block unattended doors?

Items should be discarded, and the door secured.