(4) Remove overboots. Remove the patient's overboots by cutting the laces with cutting device dipped in the 5 percent hypochlorite solution. Fold the lacing eyelets flat on the ground. Step on the toe and heel eyelets to hold the overboot on the ground and have the patient step out of it. Repeat this procedure for the other overboot. If the GVO are worn, first try to remove the overboots without cutting; if necessary, cut the overboots along the front. If the overboots are in good condition, they can be decontaminated and reissued.
(5) Remove the patient's outer gloves. Grasp the heel of the glove, peel the glove off with a smooth downward motion. Place the contaminated gloves in a plastic bag with the overgarment jacket. Do not allow the patient to touch his clothing or other contaminated objects with his exposed hands.
(6) Remove the patient's cotton glove liners. Have the patient remove his cotton glove liners to reduce the possibility of spreading contamination. Have the patient grasp the heel of one glove liner with the other gloved hand, peeling it off of his hand. Hold the removed glove by the inside and grasp the heel of the other glove, peeling it off of his hand. Place both glove inserts in the contaminated waste bag.
i. Step 6. Remove patients BDU.
(1) Remove the patient's personal effects. Place the patient's personal effects in a clean bag and label with the patient's identification. If they are not contaminated, give them to him. If his personal effects are contaminated, place the bagged items in the contaminated storage area until they can be decontaminated, then return them to the patient.
(2) Remove BDU jacket. Have the patient stand with his feet spread apart at shoulder width. Unbutton the front flap of the jacket. If the patient can extend his arms, have him clinch his fists and extend his arms backward at about a 30° angle. Move behind the patient, grasping his jacket collar at the sides of the neck, peel the jacket off the shoulders at a 30° angle down and away from the patient. Avoid any rapid or sharp jerks that can spread contamination. Gently pull the inside sleeves over the patient's wrists and hands. If the patient cannot extend his arms, you must cut the jacket to aid in its removal. Dip the cutting device in the 5 percent hypochlorite solution between each cut. As with the litter patient, cut both sleeves from the inside, starting at the wrist, up to the armpit. Continue cutting across the shoulder to the collar. Cut around bandages or splints, leaving them in place. Next, peel the jacket back and downward to avoid spreading contamination. Ensure that the outside of the jacket does not touch the patient or his inner clothing.
(3) Remove BDU trousers. Unfasten or cut all ties, buttons, or zippers before grasping the trousers at the waist and peeling them down over the patient's combat boots. Again, the trousers are cut to aid in removal. If necessary, cut both trouser legs starting at the ankle, keeping the cuts near the inside of the legs, along the inseam, to the crotch. Cut around all bandages, tourniquets, or splints. Continue to cut up both sides of the zipper to the waist and allow the narrow strip with the zipper to drop between the legs. Place the cutting device in the 5 percent hypochlorite solution. Peel or allow the trouser halves to drop to the ground. Have the patient step out of the trouser legs, one at a time. Place the trousers in the contaminated disposal bag.
(4) Remove undergarments. Remove the patient's tee shirt. Dip the cutting device in the 5 percent hypochlorite solution between each cut. Cut both sleeves from the inside, starting at the elbow, up to the armpit. Continue cutting across the shoulder to the collar. Cut around bandages or splints, leaving them in place. Next, peel the tee shirt away from the body to avoid spreading contamination. If the patient is wearing a brassiere, cut it between the cups. Cut both shoulder straps where they attach to the cups and lay them back off of the shoulders. Remove the patient's under shorts/panties by cutting from the lower side of the hip to the waist on both sides. Allow the shorts/panties to fall to the ground. Do not remove the patient's identification tags.
j. Step 7. Check patient for contamination. After the patient's BDU and underwear has been removed check the skin for contamination by using M8 detector paper or the CAM. Carefully survey all areas of the patient's skin, paying particular attention to areas around the neck, wrist, ears, and dressings, splints, or tourniquets.
k. Step 8. Decontaminate skin.