Presentation Transcript

1. Module 3

   Point of Dispensing (POD) Mary Cook Public Health Emergency Preparedness Coordinator
2. Point of Dispensing (POD) Describe SNS resources Describe the purpose of a POD. Describe the POD management structure. Describe POD staff roles. Describe the phases of POD operations. Module 3 Learning Objectives
3. Strategic National Stockpile Purpose Maintained by CDC/DSNS Pharmaceuticals, supplies & equipment Delivered to site of national emergency Supports public health response operations Bioterrorism Naturally occurring disease Natural disasters Industrial accidents
4. SNS Countermeasures Pharmaceuticals Medicines Vaccines Antitoxins Antidotes Radiation countermeasures Supplies & Equipment IV administration Airway management Wound care Burn & blast care Federal Medical Stations (FMS)
5. Public Health Threats Bioterrorism (Category A agents) Anthrax Botulism Smallpox Naturally occurring diseases Natural disasters Industrial accidents Medical materiel from the SNS were deployed to New Hampshire during the H1N1 Pandemic. Which of these public health threat would require the fastest response?
6. SNS Capabilities SNS Warehouse 12-Hour Push Packages Threat is ill-defined (Anthrax) Broad spectrum resources needed 130 containers, 50 tons Fits in cargo aircraft 500,000 10-day antibiotic regimens
7. POD Purpose Public health emergency service location Prevent exposure or treat disease outbreak Managed locally or regionally Occurs over phases of operations A POD is NOT designed to: Provide services found at a healthcare facility Provide extensive treatment or evaluation
8. POD Management Advanced ICS Training Field operations experience Fire/EMS or Public Health background Knowledge of community assets Resource coordination experience Security operations planning experience Law enforcement personnel Knowledge of facility Facility manager or custodian Knowledge of health & workplace safety Infection control practitioner Different colored vests are used to easily identify POD staff by their assigned role or function.
9. POD Clinical Group Separate symptomatic from asymptomatic Orient clients to threat & countermeasure Assess complex medical conditions Provide support, assessment & referral Provide basic aid & medical transport Dispense medications or administer vaccines POD staff receive a Job Action Sheet (JAS) that describes their assigned role.
10. POD Non-Clinical Group Welcomes & orients clients to POD Supports client form completion Monitors & maintains client flow Enters client data (if applicable) Provides clients with further care instructions
11. POD Workforce Support Group Maintains & distributes supplies to POD stations Ensures communications within POD & to external agencies Supports POD staff & documents shift changes
12. POD Response Phases
13. SITUATION AWARENESS OBJECTIVES Maintain and activate systems to monitor unusual health activity Determine need for response activation Activate appropriate response plans based on the required capabilities In situations where a countermeasure is not available, a control measure (hand washing, social distancing) may be recommended.
14. SITUATION AWARENESS TASKS Identify the agent or cause of the incident Determine the severity of the incident Identify the location of the incident Identify the number of people affected Collect and analyze medical & demographic data Identify functional & access needs
15. SITUATION AWARENESS TASKS Identify the countermeasure(s) needed Identify the supplies needed Determine dispensing timeline Identify staff needed to meet dispensing requirements
16. SITUATION AWARENESS TASKS Assess local countermeasure inventories Request countermeasures from Strategic National Stockpile (SNS) if needed Activate appropriate incident management authorities (SEOC/MACE/LEOC)
17. SITUATION DEVELOPMENT OBJECTIVES Review POD plan(s) and develop an incident-specific action plan Transition the Incident Action Plan to the POD management team
18. SITUATION DEVELOPMENT TASKS Select dispensing modalities & methods Select POD site(s) Determine client flow & throughput rate Develop POD policies & guideline Plan for functional & access needs Mobilize POD resources needed to meet dispensing objectives Evaluate the following policy statement: “No media are allowed in the dispensing area.”
19. SITUATION DEVELOPMENT TASKS Review Public Health Incident Declaration Review Public Health Emergency Declaration Review personnel & volunteer liability Review workers’ compensation
20. SITUATION DEVELOPMENT TASKS Brief POD management team(s) on incident Brief POD management team(s) on IAP Prepare POD management team(s) for deployment
21. ACTIVATE POD OBJECTIVES Implement the IAP for POD operations Mobilize and brief POD staff; assign POD staff roles Mobilize, receive & stage POD resources Secure facility and set-up POD site Dispense to essential personnel & priority groups (if indicated) Prepare site and staff to open the POD
22. ACTIVATE POD TASKS Notify the facility of POD activation Activate POD security plan Develop tactical plan Provide identification to staff & volunteers Assign roles to staff & volunteers Brief & train staff & volunteers
23. ACTIVATE POD TASKS Secure SNS resources Distribute resources to the appropriate stations Dispense to staff & families prior to opening (if indicated) Announce POD locations using multiple communication methods In certain scenarios, Law Enforcement may be needed to maintain security of SNS resources.
24. OPERATE POD OBJECTIVES Provide safe & efficient services to all clients Monitor & maintain staff morale & wellness Monitor supplies & request resupply (as needed) Execute smooth shift transitions Submit shift reports to the LEOC/MACE
25. OPERATE POD TASKS Implement shift schedule & maintain use of ICS Administer countermeasures to POD clients Assess client flow and dispensing model
26. OPERATE POD TASKS Monitor staff for fatigue & stress Monitor supplies & request resupply Conduct shift change Submit shift and operations report
27. DEACTIVATE POD OBJECTIVES Coordinate closure of POD site(s) with LEOC/MACE Inventory and repack POD supplies Return POD supplies to appropriate authorities Return POD site(s) to original condition and use
28. DEACTIVATE POD TASKS Close POD to public & announce alternate sources for countermeasure Inventory & repackage unused resources Dispose of medical waste following clinical protocols
29. DEACTIVATE POD TASKS Debrief staff & collect feedback for improvement planning Provide staff with behavioral health support or aftercare Clean-up POD site & return it to original use Report on any adverse events related to countermeasure dispensing
30. RECOVERY OBJECTIVES Complete forms for calculation of expenses & reimbursement Participate in recovery & after action activities
31. RECOVERY TASKS Coordinate with the public health & healthcare systems to initiate & maintain post-event countermeasure dispensing Coordinate with the behavioral health system to initiate & maintain post-event behavioral health support
32. RECOVERY TASKS Conduct an After Action Review & develop an improvement plan Calculate expenses & seek reimbursement (if available)
33. Additional Information Seacoast Public Health Region www.seacoastphr.org. click on Volunteer page and NH Responds image to receive information on activations and trainings Follow us on Twitter: HTTP://TWITTER.COM/seacoastphr