I have been asked to discuss turnout gear use on medical emergencies.  Does your department prohibit or allow turnout gear to be used on medical emergencies?  What other considerations exist including appearance, cross contamination, body substance isolation, OHSA  etc?  Our department does not specifically allow the gear on medical emergencies but if they are on their way back from a fire or motor vehicle collision and catch a medical they wear their turnout gear.

Your thoughts, policies, procedures, guidelines etc?

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What other considerations exist including appearance, cross contamination, body substance isolation, OHSA etc?

Appearance: Ours is always clean, has to be washed after every fire or in 6 month intervals.

BSI: What do they supply you to wear? Turnout gear is usually FAR more layers of clothing than a uniform or t-shirt.

Cross Contamination: Wash it...

OSHA: Well specific to BSI and approved Barriers, turnout gear is not the same as EMS gear material, but I have been around a while and have never seen blood soak through three layers of turnout gear.

The issue of wearing fire gear on EMS calls with chiefs usually is the turnout gear is dirty and unprofessional looking on an EMS call, or if it gets bloody, it is now out of service for fire calls.

Either option is the fact that it is not cleaned or washed enough.
Normally no, we do not wear turnouts on medical calls. However, we do wear them on traffic accidents where the potential for body fluids is similar. How we would treat this would be the same. If they are exposed to fluids they would be taken out of service until cleaned. In doing this they would be contained in a Bio-hazard bag and taken to our cleaner provider.
Please use the search function. There are several other discussions on this topic here already.
We are not allowed to wear shorts on medical runs, so if a member shows up in shorts he throws his pants on. Otherwise we do not wear bunker gear on medical calls for the reasons listed here.
Bunker pants are worn on all ems calls. If your dept. doesn't allow you to wear bunker
pants then they must provide you with ems bunker pants or a second paire of bunker
pants for ems calls.
Why only bottoms? Seems arms and face are more likely to encounter exposure over the legs.
Chief Newberry, Keep in mind that worst case exposure is bloodborne pathogens which often times requires the use of bleach to kill things, right? That's the good news. Bleach works really well when it comes to sanitization. The bad news is that bleach literally dissolves nomex thread fibers. Take a look at the manufacturers label on the inside of your turnouts... It's there under the don't use bleach section. Using nomex PPE is not one of the better things to wear on EMS incidents. Full PPE on any incident that could involve physical hazards such as a MVA or structure fire. On a side note, the easiest way to detect the presence of bloodborne pathogens is by using a handheld black light. Any bodily fluids easily show up. If you have any doubts, go to someone's house that has indoor pets and check for where the animals pee'd at night when it is dark. Don't take your wife. It really works...

CBz

Dupont Statement: Chlorine bleach should not be used on Nomex® protective garments. Chlorine bleach or other additives will not remove the flame protection as they can with flame-retardant treated fabrics; however, to preserve garment strength and prolong garment life, chlorine bleach should not be used.

More Information from Dupont: http://www2.dupont.com/Personal_Protection/en_US/products/Nomex/nom...
my dept issues 5.11 EMS Pants to the crews - because the pants are telfon treated, pending on the EMS call pends on EMS SOG -

Life asst - coat and rubber gloves
MVA full PPE with Rubber gloves under extraction gloves
back-up EMS - coat & Helmet, rubber gloves

All PPE is inspected every month and washed after every fire and any EMS call that there is a possibilty of bloodborne pathogens.

We have bought a turnout gear friendly cleaning solution for clean blood of of gear but use turnout gear solution to clean gear after a fire.

if turnout gear is bloody after cleaning then it is placed in a bio bag and sent out for professional cleaning or removed from service
We only allow use of it on a as needed or as required basis. Since turnout gear has to be compliant with blood borns protection, if the crew is out on training or another call and needs to take a medical, its allowed, but not encouraged. We have a clothing allowence for EMS gear and jump suits if someone is taking a off duty call. Gear should always be worn for the purpose it was designed.
OUR DEPARTMENT DOES NOT CONDONE TURNOUT GEAR ON MEDICAL CALLS, IF WE ARE RETURNING FROM A FIRE OR MVA AND HAVE A EMS CALL ONLY BUNKER PANTS ARE WORN INSIDE.
We often wear our helmets when on medical runs, especially Domestic Disputes, PD calls, etc so everyone knows we're NOT Cops!

Greenman
The argument about shorts not providing protection for EMS incidents makes no sense to me.
I had worked as medic for a local Beach Patrol and we wore swim trunks and tank tops only, occasionally maybe some type of footwear, but very rarely. The arms are exposed more than anything during warmer weather. Yet I have so far only seen Metro Dade wear arm protection.

We are provided with face, eye, hand, and mouth protection, but raraely used when it should be. Ever see how they conduct the BPE testing for turnout gear? You would have to be in the cross-fire of several heart transplants-gone-bad to soaked with that much juice.

Really though, for those of us who deliver EMS transport and fire suppression/rescue, etc. the whole issue of chosing, affording, and using the right type PPE at the right time is a challenge. We would need curtains on the engine to change from run to run.

I require bunker pants to be worn on all MVC's, and the rest of the ensamble is on the rig, whatever rig your assigned to. If it's extrication, then you are in PPE. If your coming off a fire call and in your bunker pants...oh well. If you have your shoes with you, and have the time enroute, change...BUT, now what happens to being seated and belted?

Crap shoot.

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