Hospital Decontamination: Team Matrix

The mobile form includes fields to document items such as date, hospital, department/ unit, staff's name, and title and captures staff signature. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your decontamination records. You can also use the App Builder to personalize and customize this mobile form. Which positions are represented on your hospital's decontamination team? Does your plan include up-to-date contact information for each staff member assigned to the position? Which positions have received medical clearance to use PPE? The hospital decontamination self-assessment app intended for use by hospital emergency preparedness planners, hospital decontamination team members, and other personnel with responsibility for their facility’s decontamination plans and procedures. The app is designed to walk the user through the emergency management cycle of a hospital response to a hazardous materials incident requiring decontamination of patients.