Module 3 Point of Dispensing (POD) Mary Cook Public Health Emergency Preparedness Coordinator Point of Dispensing (POD) Module 3 Learning Objectives • Describe SNS resources • Describe the purpose of a POD. • Describe the POD management structure. • Describe POD staff roles. • Describe the phases of POD operations. 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 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? 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 • 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 POD Manager Security Officer Facility Officer Clinical Group Supervisor Liaison Officer • Knowledge of community assets • Resource coordination experience Safety Officer • Knowledge of health & workplace safety • Infection control practitioner Non-Clinical Group Supervisor Workforce Support Group Different colored vests are used to easily identify POD staff by their assigned role or function. POD Clinical Group Clinical Group Supervisor Separate symptomatic from asymptomatic Assess complex medical conditions Provide basic aid & medical transport Triage Unit Health Education Unit Orient clients to threat & countermeasure Screening Unit Behavioral Health Unit Provide support, assessment & referral First Aid Unit Dispensing Unit Dispense medications or administer vaccines POD staff receive a Job Action Sheet (JAS) that describes their assigned role. POD Non-Clinical Group Non-Clinical Group Supervisor Welcomes & orients clients to POD Greeting Unit Registration Unit Supports client form completion Monitors & maintains client flow Clinic Flow Support Unit Data Entry Unit Enters client data (if applicable) Provides clients with further care instructions Discharge Unit POD Workforce Support Group Workforce Support Group Supervisor Ensures communications within POD & to external agencies Communications Unit Supports POD staff & documents shift changes Staffing Resources Unit Inventory Management Unit Maintains & distributes supplies to POD stations POD Response Phases Situation Awareness Situation Development Activate POD Operate POD Deactivate POD Recovery SITUATION AWARENESS Identify threat & population Specify countermeasure & timeline Assess local inventories Request SNS 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. SITUATION AWARENESS Identify threat & population Specify countermeasure & timeline Assess local inventories 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 Request SNS SITUATION AWARENESS Identify threat & population Specify countermeasure & timeline Assess local inventories TASKS • • • • Identify the countermeasure(s) needed Identify the supplies needed Determine dispensing timeline Identify staff needed to meet dispensing requirements Request SNS SITUATION AWARENESS Identify threat & population Specify countermeasure & timeline Assess local inventories TASKS • • • Assess local countermeasure inventories Request countermeasures from Strategic National Stockpile (SNS) if needed Activate appropriate incident management authorities (SEOC/MACE/LEOC) Request SNS SITUATION DEVELOPMENT Develop Incident Action Plan (IAP) Review Legal & Liability Issues OBJECTIVES • • Review POD plan(s) and develop an incident-specific action plan Transition the Incident Action Plan to the POD management team Transition IAP to POD Management SITUATION DEVELOPMENT Develop Incident Action Plan (IAP) Review Legal & Liability Issues Transition IAP to POD Management 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.” SITUATION DEVELOPMENT Develop Incident Action Plan (IAP) Review Legal & Liability Issues TASKS • • • • Review Public Health Incident Declaration Review Public Health Emergency Declaration Review personnel & volunteer liability Review workers’ compensation Transition IAP to POD Management SITUATION DEVELOPMENT Develop Incident Action Plan (IAP) Review Legal & Liability Issues Transition IAP to POD Management TASKS • • • Brief POD management team(s) on incident Brief POD management team(s) on IAP Prepare POD management team(s) for deployment ACTIVATE POD Activate site(s), staff & resources Set-up site(s) Receive & store SNS Dispense to staff & families 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 Announce POD locations to public ACTIVATE POD Activate site(s), staff & resources Set-up site(s) Receive & store SNS Dispense to staff & families 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 Announce POD locations to public ACTIVATE POD Activate site(s), staff & resources Set-up site(s) Receive & store SNS Dispense to staff & families Announce POD locations to public 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. OPERATE POD Dispense to target population Open site(s) Monitor operations Adjust operations & staffing 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 Report on POD operations OPERATE POD Dispense to target population Open site(s) Monitor operations Adjust operations & staffing TASKS • • • Implement shift schedule & maintain use of ICS Administer countermeasures to POD clients Assess client flow and dispensing model Report on POD operations OPERATE POD Dispense to target population Open site(s) Monitor operations TASKS • • • • Monitor staff for fatigue & stress Monitor supplies & request resupply Conduct shift change Submit shift and operations report Adjust operations & staffing Report on POD operations DEACTIVATE POD Return supplies Dispose of medical waste Demobilize staff & facility 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 Report adverse events DEACTIVATE POD Dispose of medical waste Return supplies Demobilize staff & facility TASKS • • • Close POD to public & announce alternate sources for countermeasure Inventory & repackage unused resources Dispose of medical waste following clinical protocols Report adverse events DEACTIVATE POD Dispose of medical waste Return supplies Demobilize staff & facility 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 Report adverse events RECOVERY Maintain dispensing availability Maintain behavioral supports Develop After Action Report (AAR) OBJECTIVES • • Complete forms for calculation of expenses & reimbursement Participate in recovery & after action activities Calculate & report expenses RECOVERY Maintain dispensing availability Maintain behavioral supports Develop After Action Report (AAR) 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 Calculate & report expenses RECOVERY Maintain dispensing availability Maintain behavioral supports Develop After Action Report (AAR) TASKS • • Conduct an After Action Review & develop an improvement plan Calculate expenses & seek reimbursement (if available) Calculate & report expenses 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