may 14, 2008 gail banach, ms,idde, ms,ed upstate new york poison center 911/poison center interface...

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May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

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Page 1: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

911/Poison CenterInterface

A plan that works!

Page 2: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

What is a Poison Center?

Respond to poison emergency and poison information calls

Free-confidential service 24/7/365 service Management by registered nurses specially

trained in toxicology Staff of medical and clinical toxicologists 24/7 Ongoing professional and public education

Page 3: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Why do Poison Centers exist?

NYS Poison Centers wereestablished by law to reduce:The numberThe cost The severity

of poisonings in NYS

Page 4: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Sites of PoisoningsAt homeAt workHealthcare sitesIn the field

Page 5: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

ScopeAbout 40,000 calls annually85% of calls are accidents82% of calls are managed AT HOME55% of calls are about children >5Only 3% of calls require an emergency

vehicle

Page 6: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Service area of the Upstate Poison

Center

Page 7: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Rationale for 911/PC Interface

Maximize medical resources in the communities we mutually serve

Provide excellence in medical service in the most cost-efficient manner possible

Provide an opportunity for developing a dynamic collaborative between our centers

For every dollar spent on the Poison Center side, seven dollars are saved on the medical intervention side.

Page 8: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

History of 911/UNYPC Interface

1990-1992Steering Committee was formed for the Start-up of 911 Onondaga County

1992- The first Protocol and Procedure was developed for the interface of Onondaga County 911 and the Upstate New York Poison Center in Syracuse

1997- Oswego County 911 signed onToday,both serve as the benchmark for this

effective interface process

Page 9: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Steps for Initiating 911/PC Interface

911 director reviews/ approves 911/Poison Center interface

911 director signs off on P&P, formalized as part of 911 Directives

Training provided by Poison Center using P&P as base

Page 10: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Training Consists of: Pre-test, providing examples of typical

poisoning scenarios History of Poison Center Intro to Poison Center staff & service area Rationale and purpose of training Provide P&P, summarized Discussion Group post-test

Page 11: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Typical Call Call to 911

Caller has:EatenSwallowedSpilled or splashed in eyes or on skinInhaledBite or sting

911 call-taker assesses the situation according to 911 protocol

Page 12: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Typical CallIF there is no:

Loss of consciousnessBlocked airwaySuicide attemptSuspicious nature

Call is transferred to the Poison Center

Exception: If caller demands vehicle be sent, it will be sent.

Page 13: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Typical CallTransfer process (depending on center’s

capabilities)911 call taker ID’s him/herself as 911 + by

countyProvides brief history of callPoison Control will

Take control of call, PC is then liable for call just as if it originated at Poison Control

PC may ask 911 to stay on line till PC asks a few questions

Page 14: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Typical Call911 is welcome to stay on the line to

hear how case is managed, however911 tells Poison Center they will be

remaining on the line to listenIf the PC takes control of call, there can be

no continuing discussion of management

82% of calls to Poison Centers are managed on site

Page 15: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Future PlansDevelop a computer-assisted 6 month

post-test for 1st time participants for QA purposes

Develop an annual assessment for all past participants for QA purposes

Develop the training program for video conferencing purposes for 1st time participants

Page 16: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Interested? Qualified? Check to see if your county is in the

service area of the Upstate NY Poison Center

If so, agree to review the P&P developed by 911 Onondaga and the Upstate NY Poison Center

Sign off on P&P Arrange for training for your staff

Page 17: May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center 911/Poison Center Interface A plan that works!

May 14, 2008 Gail Banach, MS,IDDE, MS,EdUpstate New York Poison Center

Contact informationThanks for participating in today’s program!

Gail Banach, MS,IDDE, MS,EdDirector of Public EducationUpstate New York Poison [email protected]