ValleyProtocolBook

The Valley Hospital MICU Department Standards of Care

Hazardous Substance Exposure

1. Obtain initial assessment

a. Vital signs (Full set of ALS vitals: B/P, pulse, respirations) b. Signs and symptoms c. Level of consciousness

2. Assess skin color, temperature and moisture 3. Auscultate bilateral lung sounds 4. Assess for rapidly progressing symptoms 5. Identify and document type of exposure (toxic fumes, smoke inhalation, liquid exposure, inhalation, absorption, ingestion, radiation, powder)

6. Document appropriate airway management 7. Document appropriate decontamination 8. Ascertain pertinent medical history, medications, and allergies 9. Assess for signs and symptoms: SLUDGEM 10. Document request and/or use of ChemPak through MICCOM 11. Document use of proper PPE 12. Document notification of receiving facility