Unit IV Case Study
The situation: You are an Industrial
Hygienist for a large New Orleans Hospital, and you evacuated to Baton Rouge after
the Katrina disaster. It is 6 weeks after the event and you have been given the responsibility to supervise a team that will
return to the hospital, evaluate the situation, and participate in a plan to re-establish basic medical needs for the workers
involved in the recovery effort.
Your team is composed of the hospital's current Safety Supervisor (programs and training), the Environmental Manager
(physical plant, wastes and regulatory issues), and two technicians (versed in IH and environmental sample collection and
testing). There are 20-25 additional employees from other areas (professional, technical, and support staff) of the hospital
under the direction of the Incident Commander. Everyone on the recovery team will be housed on site in FEMA trailers.
BOS 4301, Industrial Hygiene
Power for all operations is from large FEMA portable emergency generators. Your offices are on the second floor of the
building, along with the surgical suites, clinical laboratory, and pharmacy. In your offices, there is a considerable amount
of trash and debris scattered about with ample evidence of the public's intrusion of the area after the event. You will find
muddy footprints and open cabinets, along with testing supplies and equipment strewn about your team's work space. The
surgical suites and clinical laboratory areas are very messy but otherwise in good shape; however, the pharmacy has
been trashed and ransacked. The basement and much of the first floor were flooded to a level of about 6 feet. The main
administrative offices, emergency room operations, and cafeteria/kitchen were on the first floor. The hospital will not be
able to provide its own power for at least 6-8 weeks. Normal communication lines are down. Cell phones are working
sporadically, but promises have been made for rapid improvement over the next 10 to 14 days. Most communications in
these early days of recovery are face to face.
The boss needs: The Incident Commander (person in-charge of recovery) for this operation is looking to you for guidance
on safe entry, safe clean-up procedures, appropriate PPE for all recovery workers, and a hazard assessment for the most
critical items, or operations that can cause acute or chronic health effects, illness, or disease.
Remember that you are to respond as the industrial
hygienist working for the hospital. It is important to consider the
hazards for the hospital as well as those introduced by the hurricane.
>>>>>>The questions to be answered: You may respond to these questions in any order you choose.<<<<<<
? What recommendations and guidance would you make to the Incident Commander to address his concerns and
? What are the main Industrial Hygiene
concerns for your team and the clean-up recovery workers?
? How would you organize your team?
? What tasks would you assign to them?
? What PPE would you require for your team members and the recovery workers - short term and then later in the
? What testing equipment would you require for your team members?
? What hazardous materials might need to be removed from the facility?
? What air monitoring would need to be conducted?
? How would you delegate certain duties to your team members?
? Provide any other pertinent information you feel is important and necessary.
The response for this Case Study must be a minimum of four to five pages (not including the title or bibliography page),
and should be double spaced. In addition to the text, you should provide at least three reference sources of information
used to support your positions in this Case Study. The Ebsco Database (Business Source Complete) is a very good
source for journals related to this topic. Students can access the CSU Online Library resources from the My Library button
located in the Course Menu.
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