mass prophylaxis/point of dispensing (pod) operations · 2019. 4. 25. · responders. a prompt for...

I-JITT FOR MP/PODOCTOBER 2011

FIELD TRAINING GUIDE

Inclusive Just-in-Time Training For

MASS PROPHYLAXIS/POINT OF DISPENSING (POD) OPERATIONS

Mass Prophylaxis/POD Operations

HOW TO USE THIS GUIDEWelcome to the Inclusive Just-in-Time Training (I-JITT) Field Training Guide for Team Leaders working in a mass prophylaxis/POD operation. This Guide was created to assist Team Leaders in delivering Just-in-Time Training to assigned personnel using an inclusive approach that addresses the following three principles:

1) Learning dimensions (cognitive, behavioral, and emotional needs of responders)

2) Learning styles (visual, auditory, kinesthetic)3) Cultural context (influences of individuals, groups,

and organizations)

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Field Training Guide for Team Leaders 2

PART 1: INCLUSIVE JUST-IN- TIME TRAINING Tabbed in purple, the pages in this section include a Team Leader checklist and 7-part I-JITT curriculum (listed below). The target length of the training is approximately fifty minutes, including 30 minutes of training and a 20 minute skill building practice session.

I-JITT CURRICULUMSECTION ONE: Welcoming Responders . . . . . . . . . . . . . 6

SECTION TWO: Mass Prophylaxis/POD Operation Overview . . 7

SECTION THREE: Chain Of Command . . . . . . . . . . . . . . 8

SECTION FOUR: Intercultural Considerations . . . . . . . . . . 10

SECTION FIVE: Responder Safety And Health . . . . . . . . . 11

SECTION SIX: Job Action Sheets . . . . . . . . . . . . . . . . 13

SECTION SEVEN: Practice & Demonstration . . . . . . . . . . 15

Each section in the curriculum consists of a bulleted list of talking points, sample language, and key points to communicate to responders. A prompt for the trainer to cross-reference the Go Guide and address responders’ questions is also included. If you only have a few minutes to complete I-JITT, stick to the Key Points bubbles and do the following: Allow for practice time, support responders, and offer intercultural information.

Below is an overview of the elements included in this 2-part, color coded guide:

Mass Prophylaxis/POD Operations

I-JITT IN ACTION

SECTION ONE: Welcoming RespondersI-JITT principle emphasized: Learning Dimensions (Emotional need)

SECTION TWO: Mass Prophylaxis/POD Operation OverviewI-JITT principle emphasized: Learning Dimensions (Cognitive need)

SECTION THREE: Chain of CommandI-JITT principle emphasized: Learning Dimensions (Cognitive need)

SECTION FOUR: Intercultural ConsiderationsI-JITT principle emphasized: Cultural Context

SECTION FIVE: Health & SafetyI-JITT principle emphasized: Learning Dimensions (Emotional need)

SECTION SIX: Job Action SheetsI-JITT principle emphasized: Learning Dimensions (Behavioral need)

SECTION SEVEN: Practice & DemonstrationI-JITT principle emphasized: Learning Styles (Kinesthetic)

Below, you will see a diagram linking each section of the curriculum to the I-JITT model. The principle that is emphasized within each section of the curriculum is highlighted.

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GOOD LUCK!

MP/POD LEADERSHIP TEAM JAS . . . . . . . . . . . 19

INTAKE TEAM JAS . . . . . . . . . . . . . . . . . . 22

SCREENING TEAM JAS . . . . . . . . . . . . . . . . 27

LOGISTICS TEAM JAS . . . . . . . . . . . . . . . . 37

FACILITY TEAM JAS . . . . . . . . . . . . . . . . . . 42

HEALTH ASSESSMENT TEAM JAS . . . . . . . . . . . 47

DISPENSING/VACCINATION TEAM JAS . . . . . . . 31

PART 2: JOB ACTION SHEETS (JAS)Tabbed in teal, this section provides general position checklists for functional activities of a mass prophylaxis/POD operation. Each JAS in this toolkit can be found on the following pages and identified by a descriptive icon in the top left corner and along the teal tab of each page.

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Mass Prophylaxis/POD Operations5

TEAM LEADER PREPARATORY CHECKLISTBefore delivering I-JITT to responders, be sure to:

• Sign in at check-in location and collect appropriate identification items.

• Collect resources for responders (e.g. Go Guides, forms, writing utensils, personal protective equipment (PPE)).

• Review notes taken during the operational period briefing.

• Determine how to link key intercultural information (e.g. race/ethnicity, refugee/immigration status, income level, access to transportation, housing status, immunization status, health status, literacy levels, religions) to job roles of assigned responders.

• Become familiar with on-site emergency protocol.• Review JAS and the JAS of assigned responders.

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SECTION 1: WELCOMING RESPONDERS

By the end of this section responders will:

• Understand the value of their contribution

• Be introduced to everyone on their team

• Have all resources needed for their job

SAMPLE LANGUAGE“Welcome, and thanks for being here. Let’s start with some introductions [conduct team introductions]. Currently, our community is facing a public health emergency. We’re here today to protect the public from [insert information about agent/pathogen/threat]. We’ll spend the next thirty minutes or so going over general response information, and then we’ll spend another twenty minutes reviewing job assignments and practicing key job duties.”

“Your role in this response is crucial to its overall success. Staff and resources are limited, and your help is appreciated—we couldn’t do it without you. Keep in mind that this emergency operation is likely to evolve as new information is established. Please stay open-minded and flexible to a changing work environment.”

“Each of you should have a Go Guide. This is a portable resource to keep on hand at all times and includes key response information as well as your Job Action Sheet.”

KEY POINTS✔✔ HAND OUT GO GUIDES

✔✔ PERFORM TEAM INTRODUCTIONS

See Go GuidePage 3

ANY QUESTIONS?

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SECTION 2: MASS PROPHYLAXIS/POD OVERVIEW

KEY POINTS ✔✔ PROVIDE OPERATIONAL OBJECTIVES

✔✔ DESCRIBE POD LAYOUT

SAMPLE LANGUAGE“We will be working for the next several hours to provide [insert name of medicine] to members of the community impacted by this public health emergency. I’d like to take a moment to repeat the operational objectives communicated during the operational briefing. They are as follows: [insert operational objectives].”

“I’d like to review how the POD is organized so that you understand other functional areas involved in the response, as well as how to direct clients through the facility [insert POD description/layout].”

“Finally, I’d like to review some characteristics of [insert agent/pathogen/threat], so that you’re familiar with how it’s impacting the health of individuals—perhaps our friends and family—within our community. We’ll also talk about how it relates to the work you’re about to do.”

By the end of this section responders will:• Understand the public health emergency • Know the operational period objectives• Know key epidemiologic and medical information related

to the agent/pathogen/threat

ANY QUESTIONS?

See Go GuidePage 3

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SECTION 3: CHAIN OF COMMAND

By the end of this section responders will:• Understand the chain of command for communication

within the response• Understand the function of the other teams working in the

response• Obtain contact information from Team Leaders• Know how to respond to media requests

SAMPLE LANGUAGE“You should report directly to your Team Leader with any questions or concerns while working during your shift. This will help manage communication and information exchange in an efficient way.”

“I would like to take a moment to talk about how this response is organized and who’s involved. There are other functional activities underway in this response. They include [describe teams involved in the response (e.g. intake, screening, dispensing/vaccination)]. All of these teams report to different Team Leaders, and there may be multiple Team Leaders for each of the functional activities in order to maintain a span of control of no more than seven responders per team. You will see a diagram in your Go Guide (p.2) illustrating where each team falls within the overall mass prophylaxis/POD operation.”

Note for Team Leader: Diagram is on the following page.

“Finally, I’d like to discuss how to address media requests. All media inquiries should be sent up the chain of command to the Public Information Officer (PIO). Therefore, if you’re asked any questions by a media representative, respectfully decline from answering and report to me.”

KEY POINTS✔✔ REVIEW CHAIN OF COMMAND

✔✔ REVIEW MEDIA INTERACTION PROTOCOL

See Go GuidePage 2

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ANY QUESTIONS?

The above diagram can be found on p.2 of the Go Guide.

SECTION 3: CHAIN OF COMMAND CONTINUED

--- POD ENTRANCE ---

--------- POD EXIT ---------

BASIC POD FLOW

FLOATING POD FUNCTIONS

LEADERSHIP TEAMProvides oversight of POD operations

LOGISTICS TEAMProvides POD Support

FACILITIES TEAMMaintains host facility operations

HEALTH ASSESSMENT TEAMProvides triage and/or behavioral health support

STEP 1: FILL OUT FORMINTAKE TEAMProvides forms/education

STEP 2: SHOW FORMSCREENING TEAMReviews form for errors/contraindications and performs secondary screening

STEP 3: PICK UP MEDICATIONDISPENSING/VACCINATION TEAMProvides medicine/vaccine

STEP 4: GET INFORMATIONINTAKE TEAMProvides forms/education

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ANY QUESTIONS?

SECTION 4: INTERCULTURAL CONSIDERATIONS

By the end of this section responders will:• Understand unique needs of special and culturally-specific

populations • Understand where to access language resources• Understand other agencies involved in the response

KEY POINTS✔✔ SHARE DEMOGRAPHIC INFORMATION

OF IMPACTED COMMUNITY

✔✔ IDENTIFY LANGUAGE RESOURCES AVAILABLE

✔✔ EMPHASIZE THE NEED FOR RESPECTFUL COMMUNICATION

See Go GuidePage 3

SAMPLE LANGUAGE“While serving in this response, you may work with clients or colleagues with backgrounds different from your own. It’s important for you to be aware of the unique differences and needs within our community, so that you’re able to communicate and respond to the needs of others more effectively. Please practice respectful communication and courtesy at all times.”

“I’d like to share with you some key characteristics and demographics of community members who have been impacted by this event—particularly those populations who have been disproportionately impacted [insert key characteristics of impacted community (e.g. race/ethnicity, refugee/immigration status, income level, access to transportation, housing status, immunization status, health status, literacy levels, religions)]. Understanding who you may be interacting with while doing your job will allow you to better engage with these community members.”

“Also, keep in mind the partner agencies involved with this response. Each one brings its own organizational culture, philosophy, and perspective. I ask that you stay flexible and keep an open mind when hearing ideas from others.”

“If you have any concerns or questions about how to approach a culturally challenging situation let me know.”

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SECTION 5: RESPONDER SAFETY & HEALTH

By the end of this section responders will:• Understand that responder safety is a top priority• Know where to locate first aid and behavioral

health resources• Know how to respond in the event of an on-site emergency

SAMPLE LANGUAGE“The safety of responders is my number one priority as your Team Leader. Please keep the following safety principles in mind throughout your shift:

• If you have a life-threatening emergency, call 9-1-1

• Ensure you know how to use any assigned equipment

• Stick to your JAS

• Monitor your stress levels—do only what you physically and mentally can handle

• Stay hydrated

• Observe vehicle safety

• Observe work-rest cycle

• Report all hazards or incidents”

“Some of you may come into close contact with exposed, or possibly exposed, individuals while serving in this response and it’s important that you take the proper precautions to protect yourself and others by washing your hands frequently and correctly wearing appropriate PPE [demonstrate appropriate use of PPE, if applicable]. The proper use and disposal of PPE is critical to infection control efforts.”

KEY POINTS✔✔ SAFETY FIRST

✔✔ REVIEW SAFETY/HEALTH RESOURCES

✔✔ REVIEW ON-SITE EMERGENCY PROTOCOL

See Go GuidePage 4

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ANY QUESTIONS?ANY QUESTIONS?

SAMPLE LANGUAGE CONT’D“The events that are happening in our community are stressful. It’s important to take steps for self-care to ensure you’re able to respond for the duration of your shift. Behavioral Health Specialists and Security personnel are available should you need their assistance during this operation. Additionally, if you encounter a client or colleague who appears physically and/or emotionally distressed you should do the following: [insert protocol for dealing with distressed clients/colleagues].”

“First aid supplies are available for incidents resulting in minor physical harm or injury [provide information on where to access first aid services].”

“In the event that there is an emergency while working at this location, you should do the following: [insert emergency protocol and refer to emergency contact sheet at the end of the Go Guide].”

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EMERGENCY CONTACT SHEETTeam Leader Emergency Contact Information

Primary Phone:

____________________________________

Secondary Phone:

____________________________________

Email:

__________________________________

Public Health Incident website:

________________________________

Health Department website:

_______________________________

Know where the following are located prior to starting your shift:

• Fire extinguisher• First aid station• Behavioral health staff • Windows and exits• Emergency meet up location

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SECTION 6: JOB ACTION SHEETS (JAS)

By the end of this section responders will:• Know how to start and end a shift• Be familiar with assigned job duties

PRE-SHIFT CHECK LIST• Sign in at check-in location and obtain identification items• Report to Team Leader for I-JITT• Sign for any assigned tactical communication equipment,

if needed• Review all forms, materials, or equipment needed for job• Store all personal belongings POST-SHIFT CHECK LIST• Brief replacement, as necessary • Demobilize station, as directed• Fill out I-JITT Evaluation Form• Turn in forms, documentation, and any assigned equipment • Obtain time card signature from Team Leader, if needed• Check out with Team Leader• Sign out at check-out location and turn in identification items• Gather all personal belongings• Participate in post-event meetings, as directed

KEY POINTS✔✔ REVIEW PRE/POST-SHIFT CHECKLISTS

✔✔ REVIEW JOB ACTION SHEETS

See Go GuidePage 7

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ANY QUESTIONS?

SAMPLE LANGUAGE “I would like to cover procedures for beginning and ending your shift. Please turn to the “Pre-Shift Checklist” (p.5) and “Post-Shift Checklist” (p.6) in your Go Guide and follow along as I review the steps.”

“Turn to the JAS section in your Go Guide (p.7) and find your position. Take the next couple of minutes to review your JAS to ensure you understand your assigned duties.”

“Once you’ve reviewed your JAS, we will spend some time practicing essential job duties so that you feel more comfortable and confident working in the response. Some of you may already be familiar with the job you’re assigned, but practice time will benefit those new to the team.”

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SECTION 7: PRACTICE & DEMONSTRATION

By the end of this section responders will:• Practice key job duties through an interactive skill building

session• Be comfortable with assigned job duties

SAMPLE LANGUAGE“ As Team Leader, it’s my responsibility to make sure that you are able to competently perform your job. Being comfortable and confident with your job will allow the mass prophylaxis/POD operation to unfold more efficiently and effectively helping to meet overall operational objectives. Although some of you may be familiar with the job you’ve been assigned, there are others who will be doing tasks for the first time.”

“We’re going to spend the next twenty minutes practicing key job duties listed on your JAS. I’ll provide coaching and answer any questions that you may have along the way. The skills you will be practicing are only a sampling of duties on your JAS and are not intended to be exhaustive of everything you will be expected to do.”

KEY POINTS✔✔ REINFORCE IMPORTANCE OF PRACTICE

✔✔ REVIEW PRACTICE ACTIVITIES

✔✔ CHECK FOR UNDERSTANDING

NOTE FOR TEAM LEADER: Conduct practice session with responders and evaluate progress for the remainder of the I-JITT session.

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Job Action Sheet Example Practice ActivityMass Prophylaxis/POD Supervisor Deliver segments of operational

period briefing

Intake Team Leader **Greeter Work in dyad to review and fill out

intake form via role playHealth Educator Work in dyad to answer questions

from a client via role playInterpreter Work in dyad to practice translating

POD-related information for a client via role play

Screening Team Leader **Screener Review screening algorithm and

make determinations based on pre-filled intake form

Secondary Screener Work in dyad to evaluate client for contraindications via role play

Dispensing/Vaccination Team Leader **Dispenser/Vaccinator Review pre-filled intake form and

distribute appropriate medicineVaccination Assistant Become familiar with intake formPharmacist Practice delivering policies for

prophylaxis preparation to Dispenser/Vaccinator

POD Logistics Team Leader **Information & Technology Staff Test all communication devicesInventory & Supply Staff Fill out inventory supply tracking

sheetRunner Deliver requests and supplies to

POD staff

Flow Monitor Review and walk POD layout/route

Personnel Coordinator Review shift, break, and other applicable parts of staffing plan

Facility Team Leader **

The following table lists all Job Action Sheets included in this toolkit and related examples of practice activities. Activities should be developed by Operations Section leadership and Team Leaders prior to I-JITT.

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Job Action Sheet Cont’d Example Practice ActivitySecurity Staff Review part of or complete security

planTraffic Controller Review traffic flow planFacility Staff Review applicable parts of POD

planHealth Assessment Team Leader **Triage Staff Work in dyad to assess clients for

contraindications and/or symptoms via role play

Behavioral Health Staff Work in dyad to assess clients for emotional distress via role play

**Team Leader positions do not have practice activities during the I-JITT session. Instead, they should become familiar with the toolkit and prepare all practice activities developed for their assigned responders prior to the I-JITT session. They will serve as coaches during the I-JITT session, being careful to assess responder competency with assigned job duties.


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EETSMASS PROPHYLAXIS/POD OPERATIONS JOB ACTION SHEETS (JAS)The following Job Action Sheets are guiding documents, only, and were developed for general functional activities, or teams, within a mass prophylaxis/POD operations. The position titles used are intended to be in compliance with the National Incident Management System (NIMS), yet general in nature, to allow for local adapting/tailoring based on health department needs and the expansion/contraction of the incident. For example, although “Team Leader” is used in the following JAS, the terms “Task Force Leader” or “Strike Team Leader” may be more appropriate depending on the size and scope of the event.

Each JAS is based on function and not people. Some individuals will perform more than one job function during an emergency response (e.g. one individual may perform case investigation AND contact tracing) while other operations will require more than one person for each function. Not every investigation will require activation of every functional activity, yet a wide range of JAS are offered for more complex and expanding incidents.

All check-in and check-out information was intentionally kept out of JAS and can be found under Section 6 in the Field Training Guide, or on p.5/6 in the Go Guides.


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Responsible for meeting safety and productivity expectations for a single POD during an operational period.

REPORTS TO: Branch Director, Operations Section Chief, or Incident Commander as stated in Incident Action Plan (IAP) organization chart

PREFERRED QUALIFICATIONS: Proven leadership experience; general knowledge of local plans for medicine and vaccination prophylaxis operations

• Check in to established location• Review Incident Action Plan (IAP) and define Mass

Prophylaxis/POD operation objectives in coordination with IAP priorities and goals

• Determine strategies to accomplish objectives for the Mass Prophylaxis/POD portion of the IAP; design operational plans and determine resource needs

• Understand general situation and details of assignment, resources, and expectations for safety and productivity (see IAP for details)

• Oversee timely setup or adjustment of POD layout and ensure:• Internal and external security measures are in place• Materials, supplies, prophylaxis, or vaccine are on-site or

in transit• Communication methods (internal and external) are working

• Understand the POD’s support and coordination with the Incident Command Post and other agencies

• Establish chain of command for the Mass Prophylaxis/POD operation

• Coordinate with, or support, the host facility representative, Safety Officer, Public Information Officer, Planning Section’s Situation Unit, Logistics Section’s Communication and Supply Unit, as necessary

MASS PROPHYLAXIS/POD SUPERVISOR


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• Assign new incoming responders to positions• Review all responder Job Action Sheets (JAS) and delegate

any additional necessary tasks• Establish Team Leaders for each POD function guided by

local POD plans, specific tactical assignment, and available resources

• Brief Team Leaders on IAP, operations, and performance expectations

• Distribute I-JITT Field Training Guide and related resources to Team Leaders

• Monitor the rate in which supplies are depleted and ensure they are resupplied in a way that maintains operations and meets expectations

• Collect regular reports from Team Leaders to maintain situational awareness, to ensure objectives are being met, and for use at operational period briefings

• Prepare and provide regular reports to Operations Section Chief and coordinating/support personnel

• Conduct a site review with host facility personnel noting damage, missing items, etc.

• Debrief with Team Leaders and collect forms and documentation

• Prepare report of activities and events (i.e. use ICS 214 Unit Log) and submit to Operations Section Chief prior to sending to Documentation Unit in Planning Section

• Brief relief for Mass Prophylaxis/POD Supervisor• Debrief with Operations Section Chief prior to ending shift• At completion of operations, oversee demobilization

of POD

MASS PROPHYLAXIS/POD SUPERVISOR CONTINUED


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EETSPERSONNEL COORDINATOR

Oversee POD check-in/check-out procedures, food/beverage coordination, and other human resource needs.

REPORTS TO: Mass Prophylaxis/POD Supervisor

PREFERRED QUALIFICATIONS: Administrative experience; strong communication skills; human resource experience

• Obtain I-JITT from Mass Prophylaxis/POD Supervisor• Maintain the master responder roster• Maintain a personnel log for each shift• Establish a registration station and ensure check-in of all

responders• Ensure responders have appropriate identification (e.g.

vests, badges)• Send responders without proper identification to the Mass

Prophylaxis/POD Supervisor for further direction• Work with Mass Prophylaxis/POD Supervisor to replace

“no-show” responders• Ensure breaks are taken by all responders• Ensure food/beverage is available to all responders on a

regular basis• Collect vests, badges, and other identification items at the

end of shifts• Collect I-JITT evaluation forms• Ensure check-out of all responders• Alert Team Leader, Security, or Behavioral Health Staff to

difficult clients• Provide regular reports to Mass Prophylaxis/POD

Supervisor• Perform other duties as assigned


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SINTAKE TEAM LEADER

Provide leadership and direction and serve as a resource for the Intake Team.


PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills

• Obtain briefing from Mass prophylaxis/POD Supervisor• Review roster of responders assigned to Intake Team• Familiarize self with equipment, supplies, documents, and

forms needed for Intake Team• Familiarize self with appropriate infection control measures/

precautions, isolation and quarantine guidelines, and PPE required for Intake Team

• Familiarize self with I-JITT Field Training Guide and Go Guide

• Conduct I-JITT with assigned responders• Delegate responders to perform any tasks not specifically

assigned on JAS• Distribute intake form• Ensure needs of clients with limited English proficiency

are met• Request personnel, equipment, and other resources to meet

response needs, as needed• Maintain Intake Team log• Order demobilization of the Intake Team• Prepare report of Team activities and events (i.e. use

ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor

• Perform other duties as assigned


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AS GREETER

Greet clients upon arrival at and exit from the POD.

REPORTS TO: Intake Team Leader

PREFERRED QUALIFICATIONS: Strong communication skills; cultural competency training

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with intake form, materials, and POD flow• Greet clients as they enter the POD• Identify clients with limited English proficiency and alert

interpreters to assist• Provide clients with intake form and education sheets• Orient clients to the POD process:

• Enter POD• Fill out form• Turn in form• Get medicine• Exit POD

• Assist clients with accurate completion of intake form• Review intake form and check for completeness• Provide estimated wait time• Provide location of public restrooms• Answer questions within scope of training and qualifications• Refer client questions to health educator, as appropriate• Watch for clients who appear ill and direct to off-site

medical services per protocol• Alert Team Leader, Security, or Behavioral Health Staff to

difficult clients


INTA

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• Direct requests for additional resources to appropriate Runner

• Provide regular reports to Team Leader• Perform other duties as assigned

GREETER CONTINUED


INTA

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AS

Answer questions and provide education to clients upon entering and exiting the POD.


PREFERRED QUALIFICATIONS: Public health or medical background; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with intake form, materials, and POD flow• Assist clients by answering questions related to the agent/

pathogen, symptoms, treatment, or otherwise • Identify clients with limited English proficiency and alert

interpreters to assist• Assist clients in understanding health education materials or

provide them with language appropriate materials • Answer questions within scope of training and qualifications• Work with Information Technology Staff to set up electronic

and AV equipment to help communicate information, as needed

• Accompany clients through POD, as needed• Watch for clients who appear ill and direct to off-site


difficult clients• Direct requests for additional resources to appropriate

Runner• Provide regular reports to Team Leader• Perform other duties as assigned

HEALTH EDUCATOR


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SINTERPRETER

Assist clients with limited English proficiency in understanding intake form, health education materials, and POD procedures.


PREFERRED QUALIFICATIONS: Ability to read and speak the needed language; strong communication skills; cultural competency training

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with all intake form, materials, and POD flow• Work with Greeter and Health Educator to identify and

assist clients with limited English proficiency• Assist clients with completing intake form• Assist clients in understanding health education materials or

provide them with language-appropriate materials• Accompany clients through the POD, as needed• Refer client questions to a health educator, as needed• Watch for clients who appear ill and direct to off-site





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Provide leadership and direction and serve as a resource for the Screening Team.


PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; appropriate licensure for specified duties

• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Screening Team• Familiarize self with equipment, supplies, and forms needed

for Screening Team• Familiarize self with appropriate infection control

measures/precautions, isolation and quarantine guidelines, and PPE required for Screening Team


• Conduct I-JITT with assigned responders• Delegate responders to perform any necessary tasks not

specifically assigned on JAS• Ensure appropriate screening of intake forms among

assigned responders• Ensure needs of clients with limited English proficiency


response needs, as needed • Maintain Screening Team log• Order demobilization of the Screening Team

SCREENING TEAM LEADER


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SSCREENING TEAM LEADER CONTINUED

• Prepare report of Team activities and events (i.e. use ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor



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AS SCREENER

Conduct initial screening of intake form and assess for contraindications.

REPORTS TO: Screening Team Leader

PREFERRED QUALIFICATIONS: Strong understanding of algorithms; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review client intake form for completeness and errors• Work with Triage Staff (if available) to assess client intake

forms for contraindications:• If contraindications exist, direct clients to Health Assessment

Team for more in-depth screening• If no contraindications exist, direct clients to appropriate

prophylaxis station

• Direct clients with questions to a Health Educator or Secondary Screener, as needed

• Alert Team Leader, Security, or Behavioral Health Staff to difficult clients




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SSECONDARY SCREENER

Conduct secondary screening of clients with potential contraindications or concerns.

REPORTS TO: Screening Team Leader

PREFERRED QUALIFICATIONS: Appropriate licensure for specified duties; strong communication skills

• Obtain I-JITT from Team Leader• Review secondary review of client intake forms referred

from Screeners, Triage Staff, or otherwise• Identify contraindications with clients and prescribe

appropriate treatment plan• Provide medical information and answer clients’ questions,

as needed• If client clears secondary screening, direct to dispensing/

vaccination station• If client does not clear screening, refer to off-site medical

facility for follow-up per protocol, as appropriate• Watch for clients who appear ill and direct to off-site

medical facility per protocol, as appropriate• Direct requests for additional resources to appropriate

Runner• Alert Team Leader, Security or Behavioral Health Staff to

difficult clients• Provide regular reports to Team Leader• Perform other duties as assigned


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TEA

M J

AS DISPENSING/VACCINATION

TEAM LEADER

Oversee and ensure efficient/effective dispensing of medication and vaccine to the public and serve as a resource for the Dispensing/Vaccination Team.


PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; persons qualified to dispense medicine or administer prophylaxis under state law, or who can be legally delegated to do so under appropriate supervision

• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review emergency protocol/standing order• Review roster of responders assigned to Dispensing/

Vaccination Team• Familiarize self with equipment, supplies, and forms needed

for Dispensing/Vaccination Team• Familiarize self with appropriate infection control measures/

precautions, isolation and quarantine guidelines, and PPE required for Dispensing/Vaccination Team



specifically assigned on JAS• Ensure proper handling of pharmaceuticals and vaccine• Ensure appropriate dispensing/vaccination to clients• Ensure availability of medication or vaccination information

sheets• Ensure needs of clients with limited English proficiency

are met


DISPEN

SING

/VAC

CIN

ATIO

N TEA

M JA

S

• Request personnel, equipment, and other resources to meet response needs, as needed

• Maintain Dispensing/Vaccination Team log• Order demobilization of the Dispensing/Vaccination Team• Prepare report of Team activities and events (i.e. use



DISPENSING/VACCINATION TEAM LEADER CONTINUED


DIS

PEN

SIN

G/V

AC

CIN

ATI

ON

TEA

M J

AS DISPENSER/VACCINATOR

Dispense medication or administer vaccine to clients.

REPORTS TO: Dispensing/Vaccination Team Leader

PREFERRED QUALIFICATIONS: Appropriate licensure to dispense medicine or administer vaccine under state law, or legally delegated to do so under appropriate supervision; strong communication skills

Dispensing Duties:

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Set up station with appropriate forms, equipment, and

supplies• Review client intake form for approval of medication to be

dispensed and verify consent• Complete labels for unit of usage, per requirements• Place labels on dispensed medicine and intake form• Dispense medicines to clients• Ensure client has medication information sheet• Maintain security and proper storage of medications • Alert Team Leader, Security, or Behavioral Health Staff to

difficult clients• Direct requests for additional supplies to appropriate



DISPEN

SING

/VAC

CIN

ATIO

N TEA

M JA

S

Vaccination Duties:

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Set up station with appropriate forms, equipment, and

supplies• Coordinate with Vaccination Assistant, as necessary• Review client forms for approval of vaccine to be

administered and verify consent• Administer vaccine to clients• Ensure client has vaccination information sheet• Assess client for immediate reaction• Maintain security and proper storage of vaccine• Alert Team Leader, Security, or Behavioral Health Staff to

difficult clients• Direct requests for additional supplies to appropriate


DISPENSER/VACCINATOR CONTINUED


DIS

PEN

SIN

G/V

AC

CIN

ATI

ON

TEA

M J

AS

Assist with the preparation of vaccine and related materials for the vaccination of clients.


PREFERRED QUALIFICATIONS: Persons qualified to administer vaccine under state law or legally delegated to do so under appropriate supervision; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Assist with setting up vaccination station• Ensure all supplies are available• Assist Vaccinator by:

• Preparing needle and vaccine, as needed• Reviewing client’s paperwork, as needed• Documenting administration of vaccination on client forms,

as needed• Assisting with bandaging, as needed

• Collect completed forms• Fill in for Vaccinator, as necessary• Alert Team Leader, Security, or Behavioral Health Staff to



VACCINATION ASSISTANT


DISPEN

SING

/VAC

CIN

ATIO

N TEA

M JA

S

Support dispensing and vaccination operations and provide subject matter expertise, as needed.


PREFERRED QUALIFICATIONS: Licensed pharmacist; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Instruct Dispensing/Vaccination Team on policies and

methods for preparation of medicine or vaccination• Check and assist with set-up of pharmaceutical supplies and

medication information sheets• Ensure appropriate dispensing/vaccination to clients• Ensure appropriate labeling of medication/vaccination• Act as technical resource for Dispensing/Vaccination Team• Provide consultation to clients• Compound, dilute and/or create drug suspensions, as

needed• Alert Team Leader, Security, or Behavioral Health Staff to



PHARMACIST


LOG

ISTI

CS

TEA

M J

AS LOGISTICS TEAM LEADER

Ensure efficient and effective operations within the POD and serve as a resource for the Logistics Team.


PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; experience with coordinating logistics; facilities management; security background

• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Logistics Team• Familiarize self with equipment, supplies, and forms needed

for Logistics Team• Familiarize self with appropriate infection control

measures/precautions, isolation and quarantine guidelines, and PPE required for Logistics Team



specifically assigned on JAS• Ensure needs of clients with limited English proficiency


response needs, as needed• Maintain Logistics Team log • Order demobilization of the Logistics Team• Prepare report of Team activities and events (i.e. use




LOG

ISTICS TEA

M JA

S

Maintain good working order of computers, communication equipment, and devices.

REPORTS TO: Logistics Team Leader

PREFERRED QUALIFICATIONS: Information and communications technology experience; strong communication skills; ability to engage in moderate physical activity

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Set up computers or ensure working status of on-site

computers• Ensure internet access and printer and fax connection• Test communication devices and assign to responders, as

appropriate• Give training on use of computers and communication

devices to responders, as appropriate• Alert Team Leader, Security, or Behavioral Health Staff to



INFORMATION TECHNOLOGY STAFF


LOG

ISTI

CS

TEA

M J

AS

Assist Runner with maintaining necessary medication(s) and supplies at all POD stations.


PREFERRED QUALIFICATIONS: Strong organization skills; strong communication skills; ability to remain on feet and carry supplies for an extended period of time

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Ensure receipt of supplies required to set up and operate

the POD• Utilize pharmaceutical inventory management forms for

receiving, tracking, and ordering pharmaceuticals (e.g. Bin Card, Room Record, Order Form)

• Direct Runner to restock POD station supplies, as needed• Keep track of medication inventory• Direct requests for additional resources to appropriate

Runner• Assist with off-loading and storage of incoming supplies• Assist Team Leader with inventory control tasks• Assist Runner with monitoring supplies at dispensing/

vaccination stations, as needed• Alert Team Leader, Security, or Behavioral Health Staff to



INVENTORY & SUPPLY STAFF


LOG

ISTICS TEA

M JA

SRUNNER

Obtain and provide requested medication(s) and supplies to all POD staff.


PREFERRED QUALIFICATIONS: Strong organizational skills; strong communication skills; ability to remain on feet and carry supplies for an extended period of time

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Deliver messages to POD stations, as needed • Deliver/carry supplies to POD stations as directed• Run errands for POD responders, as needed• Alert Team Leader, Security, or Behavioral Health Staff to

difficult clients• Provide regular reports to Team Leader• Perform other duties as assigned


LOG

ISTI

CS

TEA

M J

AS

Ensure efficient flow of clients through the POD.


PREFERRED QUALIFICATIONS: Understanding of POD set-up and flow; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Direct clients to appropriate entrances/exits, stations, and

other personnel• Monitor overall POD flow• Trouble-shoot “bottlenecks”• Alert Team Leader, Security, or Behavioral Health Staff to



FLOW MONITOR


FAC

ILITY TEA

M JA

SFACILITY TEAM LEADER

Ensure efficient and effective operations inside/outside the POD and serve as a resource for the Facility Team.


PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; facilities management and security experience

• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Facility Team• Familiarize self with equipment, supplies, and forms needed

for Facility Team• Familiarize self with appropriate infection control measures/

precautions, isolation and quarantine guidelines, and PPE required for Facility Team



specifically assigned on JAS• Ensure needs of clients with limited English proficiency


response needs, as needed• Maintain Facility Team log• Order demobilization of the Facility Team• Prepare report of Team activities and events (i.e. use




FAC

ILIT

Y T

EAM

JA

S

Coordinate internal and external POD security and safety measures.

REPORTS TO: Facility Team Leader

PREFERRED QUALIFICATIONS: Law enforcement or security background; strong communication skills; crowd control experience

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review security plan with Team Leader, or work with Team

Leader to perform security assessment if a site-specific plan is not in place

• Work with Personnel Coordinator to confirm identification of responders

• Maintain security of POD supplies, entrances, and exits• Unlock doors for personnel and clients, as needed• Monitor behavior of responders and clients• Assist responders with difficult or disruptive clients; call for

backup, as needed• Work with Traffic Controller to direct and confirm

identification of delivery vehicles• Report security incidents and threats to Team Leader• Direct requests for additional resources to appropriate


SECURITY STAFF


FAC

ILITY TEA

M JA

STRAFFIC CONTROLLER

Control and monitor the flow of pedestrian and vehicle traffic outside of the POD.


PREFERRED QUALIFICATIONS: Law enforcement or security background; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Determine and get approval of traffic flow pattern• Direct all vehicular traffic• Direct the public to appropriate POD entrances/exits• Monitor and resolve traffic flow problems• Work with Security Staff to identify and direct delivery

vehicles• Record and report traffic control incidents to Team Leader

or appropriate law enforcement• Alert Team Leader, Security, or Behavioral Health Staff to




FAC

ILIT

Y T

EAM

JA

S

Responsible for receipt and storage of medication, vaccine, and supplies.


PREFERRED QUALIFICATIONS: Strong organizational skills; strong communication skills; inventory control experience

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Work with Traffic Controller and Security Staff to

coordinate activities for arrival, receipt and storage of medicine and other supplies, which may include:

• Preparing off-loading site• Ensuring storage needs (e.g. temperature control)• Working with Security Staff to secure medications and

supplies

• Establish documentation and sign-off procedures for supply delivery

• Coordinate with Inventory Staff and Runners for delivery of supplies to POD stations

• Confirm location of needed furniture, equipment, and supplies

• Confirm availability of refrigeration• Assist with set-up of POD-related equipment• Trouble-shoot electrical, equipment, or other facility-related

problem• Follow schedule for garbage removal from break areas,

restrooms, and POD stations• Follow medical waste management protocols• Provide additional facility support, as needed

FACILITY STAFF


FAC

ILITY TEA

M JA

SFACILITY STAFF CONTINUED

• Alert Team Leader, Security, or Behavioral Health Staff to difficult clients




HEA

LTH

ASS

ESSM

ENT

TEA

M J

AS

Oversee assessment of patients needing medical evaluation and serve as a resource for the Health Assessment Team.


PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; medical background; appropriate licensure for specified duties

• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Health Assessment

Team• Familiarize self with equipment, supplies, and forms needed

for Health Assessment Team• Familiarize self with appropriate infection control measures/

precautions, isolation and quarantine guidelines, and PPE required for Health Assessment Team



specifically assigned on JAS• Oversee triage of clients prior to entering the POD• Ensure appropriate health assessment of clients with

potential contraindications to medication or vaccine• Ensure needs of clients with limited English proficiency


response needs, as needed• Maintain Health Assessment Team log

HEALTH ASSESSMENT TEAM LEADER


HEA

LTH A

SSESSMEN

T TEAM

JAS

HEALTH ASSESSMENT TEAM LEADER CONTINUED

• Order demobilization of the Health Assessment Team • Prepare report of Team activities and events (i.e. use




HEA

LTH

ASS

ESSM

ENT

TEA

M J

AS

Provide initial screening of clients for specific medical needs prior to entering the POD.

REPORTS TO: Health Assessment Team Leader

PREFERRED QUALIFICATIONS: Medical background; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with all need forms and materials, and POD

flow• Monitor clients arriving at the POD• Make regular announcements to arriving clients that the

POD does not provide medical treatment; redirect ill clients to a medical treatment facility, as appropriate

• Respond to responders who have identified an ill client• Direct clients needing further assessment to a Secondary

Screener• Alert Team Leader, Security, or Behavioral Health Staff to

difficult clients• Direct requests for additional resources to an appropriate


TRIAGE STAFF


HEA

LTH A

SSESSMEN

T TEAM

JAS

BEHAVIORAL HEALTH STAFF

Assist clients or responders with individual counseling or support.

REPORTS TO: Health Assessment Team Leader

PREFERRED QUALIFICATIONS: Licensed mental health professional, chaplain, crisis counselor, intervention specialist, or otherwise with appropriate licensure for specified duties; strong communication skills

• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Set up station and ensure a private area to assist clients

and responders• Provide mental health support, education, or therapeutic

intervention, as needed• Refer persons to outside sources of support as necessary • Assist client or responder into or out of the POD, as needed• Respond to responders who identify an ill client• Conduct follow-up with client or responder, as appropriate• Document all therapeutic activities and actions taken• Direct requests for additional resources to appropriate


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