(4) Healthcare Provider Protection and Resources B: Training of Hospital Staff: (a) Every employee at the hospital needs simple, competency-based training that is preferably conducted on-site and includes: (a-1) The basic principles of radiation protection and the realties of treating contaminated patients. (a-2) A clear definition of the roles and responsibilities of all staff members involved in a response to a mass casualty incident. (a-3) Hospitals should incorporate this training into employee orientation and differentiate radiation training from other HazMat trainings. (a-4) Basic radiation training for staff will help to reduce stress and increase quality of care in a radiological mass casualty incident. (b) Specific skill-based training includes: (b-1) Radiation survey meter use and interpretation for those who will test individuals for contamination. (b-2) Decontamination training for those who will most likely decontaminate patients. (b-3) Setting up control zones and a global perspective for head nurses in the Emergency Department. (b-4) How to plan for a radiological emergency for members of the disaster planning committee. (b-5) Equipment decontamination for janitorial staff. (c) Hospitals can emphasize continuing medical education credits (CMEs) to encourage physicians to participate in training, especially training on patient treatment for the first 48 hours after a radiological mass casualty incident. (d) Ensure that hospital staff who will most likely respond to a radiological incident or those at highest risk for radiation exposure receive the most training. (e) Since the hospital will not be able to train the entire staff in all scenarios, it should create easy access to radiological experts, beginning with the hospital radiation safety officer, but including medical physicists, health physicists, and radiation protection technologists. (f) Training should extend beyond hospital staff; the hospital's training plan and Emergency Response Plan should be coordinated with the first responders, the American Red Cross and civil authorities. Because of the constant interaction of hospital and non-hospital staff during any disaster, it should conduct joint interactive training if at all possible