Table 2 Categories and subcategories extracted from interviews
Categories | Subcategories | Codes |
|---|---|---|
Training | Effective training content | Principles of wearing PPE |
Understanding PPE levels | ||
Principles of PPE removal | ||
CBRN training topics | ||
Syndromic approach in initial response | ||
Health approach to unusual diseases | ||
Chemical triage principles | ||
Biological triage principles | ||
Security considerations | ||
Tactical mission principles | ||
Radiological and nuclear triage principles | ||
Triage principles in MCI | ||
24-hour reporting principles | ||
Risk communication principles | ||
Situation and scene management principles | ||
Training from call to dispatch | ||
Logistics management training | ||
CBRN-based incident command training | ||
Decontamination training in chemical incidents | ||
Decontamination training in biological incidents | ||
Decontamination training in radiological and nuclear incidents | ||
Decontamination training in MCI | ||
Familiarization with zoning via software | ||
Familiarization with physical zoning | ||
Establishment of Specialized Training Centers | Simulation-based training center establishment | |
Clinical approach training center establishment | ||
Identification of Training Audiences and Needs Assessment | Availability of CBRN training courses for sensitive areas | |
Presence of CBRN structures in sensitive areas | ||
Availability of CBRN training for managers | ||
Refresher courses for medical centers | Pre-hospital approach | |
Continuous Training | Training repetition every six months | |
Exercises Exercise Requirements | Implementation of various operational exercises | Decontamination-focused exercises |
Exercises with unknown agent scenarios | FULL SCALE exercises | |
Tabletop exercises Content Elements of Exercises | Functional exercises | |
Triage content exercises at the scene | ||
Zoning content exercises | ||
Agent identification content exercises | ||
Chemical agent content exercises | ||
Biological agent content exercises | ||
Radiological and nuclear agent content exercises | ||
Exercises with PPE | Focus each exercise on a specific CBRN branch | |
Exercises based on existing threats | ||
Exercises in sensitive areas of the country | ||
Emergency Response Program | Program Elements | |
Existence of Contingency Plans | ||
EMS as Pre-Hospital Sector Authority | ||
RRT Structure | ||
Initial Structure Adjustment Based on Incident Type | ||
Necessity of Deploying Specialists to Scene in MCI | ||
Existence of Vaccination and Primary Chemoprophylaxis | ||
Existence of Prevention, Diagnostic, and Treatment Guidelines | ||
Existence of Responsibilities for Regulatory Organizations | ||
Increased Mobility through Staff Consolidation | ||
Existence of Incident Command Post (ICP) | ||
Existence of Sample Referral Guidelines | ||
Necessity for MSDS Chemical Substance Identification | ||
Existence of Protocols for Security Incidents Handling | ||
Existence of Zoning Guidelines | ||
Existence of Decontamination Guidelines |