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. 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
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 industrial hygiene hazards for the hospital as well as those introduced by
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 needs?
• 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
• 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
• 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.
CSU requires that students use the
APA format in writing course papers. Therefore, the APA rules for formatting,
quoting, paraphrasing, citing, and listing of sources are to be followed.