module 3 point of dispensing (pod) mary cook public health emergency preparedness coordinator
TRANSCRIPT
Module 3
Point of Dispensing (POD)
Mary Cook
Public Health Emergency Preparedness Coordinator
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
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
SNS Countermeasures
• Pharmaceuticals– Medicines– Vaccines– Antitoxins– Antidotes– Radiation
countermeasures
• Supplies & Equipment– IV administration– Airway management– Wound care– Burn & blast care
• Federal Medical Stations (FMS)
Public Health Threats
• Bioterrorism (Category A agents)– Anthrax– Botulism– Smallpox
• Naturally occurring diseases
• Natural disasters• Industrial accidents
Which of these public health threat would require the fastest response?
Medical materiel from the SNS were deployed to New Hampshire during the
H1N1 Pandemic.
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
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
POD Management
POD Manager
Clinical Group Supervisor
Non-Clinical Group
Supervisor
Workforce Support Group
Security Officer Liaison Officer
Facility Officer Safety Officer
• Advanced ICS Training• Field operations
experience• Fire/EMS or Public Health
background• Security
operations planning
experience• Law enforcement
personnel
• Knowledge of facility
• Facility manager or custodian
• Knowledge of community assets• Resource
coordination experience
• Knowledge of health &
workplace safety• Infection control
practitioner
Different colored vests are used to easily identify POD staff by their assigned role or function.
POD Clinical Group
Clinical Group Supervisor
Triage UnitHealth
Education Unit
Screening Unit
Behavioral Health Unit
First Aid Unit Dispensing Unit
POD staff receive a Job Action Sheet (JAS) that describes their assigned role.
Separate symptomatic from
asymptomatic
Assess complex medical conditions
Provide basic aid & medical transport
Orient clients to threat &
countermeasure
Provide support, assessment &
referral
Dispense medications or
administer vaccines
POD Non-Clinical GroupNon-Clinical
Group Supervisor
Greeting Unit Registration Unit
Clinic Flow Support Unit
Data Entry Unit
Discharge Unit
Welcomes & orients clients to POD
Monitors & maintains client flow
Provides clients with further care instructions
Supports client form completion
Enters client data (if applicable)
POD Workforce Support GroupWorkforce
Support Group Supervisor
Communications Unit
Inventory Management
Unit
Staffing Resources Unit
Ensures communications within POD & to
external agencies
Supports POD staff &
documents shift changes
Maintains & distributes
supplies to POD stations
POD Response Phases
Situation Awareness
Situation Development
Activate POD
Operate POD
Deactivate POD
Recovery
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
Identify threat & population
Specify countermeasure
& timeline
Assess local inventories Request SNS
In situations where a countermeasure is not available, a control measure (hand washing,
social distancing) may be recommended.
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
Identify threat & population
Specify countermeasure
& timeline
Assess local inventories Request SNS
SITUATION AWARENESS
TASKS• Identify the countermeasure(s) needed• Identify the supplies needed• Determine dispensing timeline• Identify staff needed to meet dispensing
requirements
Identify threat & population
Specify countermeasure
& timeline
Assess local inventories Request SNS
SITUATION AWARENESS
TASKS• Assess local countermeasure inventories• Request countermeasures from Strategic
National Stockpile (SNS) if needed• Activate appropriate incident management
authorities (SEOC/MACE/LEOC)
Identify threat & population
Specify countermeasure
& timeline
Assess local inventories Request SNS
Develop Incident Action Plan (IAP)
Review Legal & Liability Issues
Transition IAP to POD Management
SITUATION DEVELOPMENT
OBJECTIVES• Review POD plan(s) and develop an
incident-specific action plan• Transition the Incident Action Plan to the
POD management team
Develop Incident Action Plan (IAP)
Review Legal & Liability Issues
Transition IAP to POD Management
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.”
Develop Incident Action Plan (IAP)
Review Legal & Liability Issues
Transition IAP to POD Management
SITUATION DEVELOPMENT
TASKS• Review Public Health Incident Declaration• Review Public Health Emergency
Declaration• Review personnel & volunteer liability• Review workers’ compensation
Develop Incident Action Plan (IAP)
Review Legal & Liability Issues
Transition IAP to POD Management
SITUATION DEVELOPMENT
TASKS• Brief POD management team(s) on incident• Brief POD management team(s) on IAP• Prepare POD management team(s) for
deployment
Activate site(s), staff &
resourcesSet-up site(s) Receive & store
SNSDispense to
staff & families
Announce POD locations to
public
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
Activate site(s), staff &
resourcesSet-up site(s) Receive & store
SNSDispense to
staff & families
Announce POD locations to
public
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
Activate site(s), staff &
resourcesSet-up site(s) Receive & store
SNSDispense to
staff & families
Announce POD locations to
public
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.
Open site(s)Dispense to
target population
Monitor operations
Adjust operations &
staffing
Report on POD
operations
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
Open site(s)Dispense to
target population
Monitor operations
Adjust operations &
staffing
Report on POD
operations
OPERATE POD
TASKS• Implement shift schedule & maintain use of
ICS• Administer countermeasures to POD clients• Assess client flow and dispensing model
Open site(s)Dispense to
target population
Monitor operations
Adjust operations &
staffing
Report on POD
operations
OPERATE POD
TASKS• Monitor staff for fatigue & stress• Monitor supplies & request resupply• Conduct shift change • Submit shift and operations report
Return supplies Dispose of medical waste
Demobilize staff & facility
Report adverse events
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
Return supplies Dispose of medical waste
Demobilize staff & facility
Report adverse events
DEACTIVATE POD
TASKS• Close POD to public & announce alternate
sources for countermeasure• Inventory & repackage unused resources• Dispose of medical waste following clinical
protocols
Return supplies Dispose of medical waste
Demobilize staff & facility
Report adverse events
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
Maintain dispensing availability
Maintain behavioral supports
Develop After Action Report
(AAR)
Calculate & report expenses
RECOVERY
OBJECTIVES• Complete forms for calculation of expenses
& reimbursement• Participate in recovery & after action
activities
Maintain dispensing availability
Maintain behavioral supports
Develop After Action Report
(AAR)
Calculate & report expenses
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
Maintain dispensing availability
Maintain behavioral supports
Develop After Action Report
(AAR)
Calculate & report expenses
RECOVERY
TASKS• Conduct an After Action Review & develop
an improvement plan• Calculate expenses & seek reimbursement
(if available)
Additional Information
Seacoast Public Health Region
www.seacoastphr.org. click on Volunteer page and NH Responds image to receive information on activations and trainings
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