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CLOSED Points of Dispensing Pocket Guide
# Full-time:_______  # Part-time:_______  # Contractual:_______  # Seasonal:_______  # Volunteers:_______
SITE PREPERATION
Dispensing Site Selection Criteria <ul><li>Ability to accommodate the number of people your are expecting </li></ul><ul><l...
Additional Layout Recommendations <ul><li>Considerations for dispensing site </li></ul><ul><ul><li>Space allows for the or...
Gathering Materials <ul><li>General Supplies </li></ul><ul><ul><li>Tables </li></ul></ul><ul><ul><li>Chairs </li></ul></ul...
COMMUNICATION
Communicating w/ the County <ul><li>Primary PUSH Partner Contact </li></ul><ul><ul><li>Name: </li></ul></ul><ul><ul><li>Ti...
Communicating with employees <ul><li>Plan will need to address </li></ul><ul><ul><li>What will you need to communicate? </...
What to communicate before the emergency? <ul><li>Steps your agency is taking to safeguard employee health & wellbeing (e....
What to communicate during the emergency? <ul><li>Who can get the medical interventions?  </li></ul><ul><ul><li>Full-time ...
What to communicate after the emergency? <ul><li>Importance of completing the drug regimen </li></ul><ul><li>Results of th...
Relaying your message <ul><li>Email? </li></ul><ul><li>Fax? </li></ul><ul><li>Fliers/ Information brochures? </li></ul><ul...
STAFFING
POD Staff Selection <ul><li>When selecting your POD staff consider the following: </li></ul><ul><ul><li>What type of skill...
POD Staff Organization Chart (Incident Command Structure) Note: The diagram depicted is only an example that is often used...
Sample II  POD Staff Organization Chart (Incident Command Structure) Note: The above diagram is another example of how you...
Job Action Items The following are task lists of each category of work that needs to be accomplished at a CLOSED POD.  Spe...
POD Supervisor ACTION ITEMS <ul><li>Organization’s expert on the Push Partner Program </li></ul><ul><ul><li>Establish comm...
POD Briefing <ul><li>Conducted by POD Supervisor </li></ul><ul><li>Includes </li></ul><ul><ul><li>Information on the situa...
Security ACTION ITEMS <ul><li>Secures POD operations </li></ul><ul><ul><li>Secure the medical assets as the package arrive...
Medical Area ACTION ITEM OVERVIEW <ul><li>Includes screeners, dispensers, and First-Aid operations  </li></ul><ul><ul><li>...
Screening Area ACTION ITEMS <ul><li>Main Purpose: to screen clients </li></ul><ul><ul><li>Review registration form to asse...
<ul><li>Main Purpose: to provide medications to clients </li></ul><ul><ul><li>Ensure use of PPE  </li></ul></ul><ul><ul><l...
First Aid Area ACTION ITEMS <ul><li>Main Purpose: to meet the medical needs of clients </li></ul><ul><ul><li>Use PPE  </li...
Non-medical Area ACTION ITEM OVERVIEW <ul><li>Main Purpose: to address the non-medical needs of the POD operations </li></...
Registration area ACTION ITEMS <ul><li>Main Purpose: to distribute necessary forms to clients </li></ul><ul><ul><li>Review...
Inventory/Supply  ACTION ITEMS <ul><li>Main Purpose: to track the use and availability of supplies, equipment, etc. </li><...
Inventory: What needs to be tracked <ul><li>Medications arriving from the county </li></ul><ul><li>Supplies arriving from ...
Facilities ACTION ITEMS <ul><li>Main Purpose: Collaborate with the POD Supervisor to make sure the facility is operable </...
Demobilizing your POD
Debrief <ul><li>Hold a meeting with POD staff to evaluate the agency response </li></ul><ul><li>Obtain feedback on how wel...
Returning assets <ul><li>Designate a person responsible for completing demobilization steps </li></ul><ul><ul><li>Compile ...
GLOSSARY
Glossary <ul><li>Bioterrorism:  is the deliberate release of viruses, bacteria or other germs used to cause illness or dea...
Glossary <ul><li>Open Point of Dispensing:  is a location operated by the local public health department agency that dispe...
Glossary <ul><li>Surveillance:  is the continuous collection and analysis of data used to monitor health status and the oc...
Additional Resources
Additional Resources <ul><li>Arizona Center for Public Health Preparedness  www.azcphp.publichealth.arizona.edu   </li></u...
MY NOTES:
<ul><li>The information in this pocket guide is condensed.  For more information, please refer to your county mass dispens...
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Handbook

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  • Where and when to report to work Their Push Partner jobs and how to perform those jobs (see Job Action Sheets, Push Partner Manual Section 9.9) Where and when they will receive their medication What information they should have in order to receive their medication Drug information, including what they should do if they have a negative reaction to the antibiotic (see Drug Information Sheets, Push Partner Manual Section 6) How they can keep informed about the emergency
  • Where and when to report to work Their Push Partner jobs and how to perform those jobs (see Job Action Sheets, Push Partner Manual Section 9.9) Where and when they will receive their medication What information they should have in order to receive their medication Drug information, including what they should do if they have a negative reaction to the antibiotic (see Drug Information Sheets, Push Partner Manual Section 6) How they can keep informed about the emergency
  • Transcript of "Handbook"

    1. 1. CLOSED Points of Dispensing Pocket Guide
    2. 2. # Full-time:_______ # Part-time:_______ # Contractual:_______ # Seasonal:_______ # Volunteers:_______
    3. 3. SITE PREPERATION
    4. 4. Dispensing Site Selection Criteria <ul><li>Ability to accommodate the number of people your are expecting </li></ul><ul><li>Accessibility </li></ul><ul><ul><li>Easily accessible for your employees? </li></ul></ul><ul><ul><li>Handicap access? </li></ul></ul><ul><li>Ease with which you can receive supplies and medical assets </li></ul><ul><li>Layout allows for secure storage of medical assets </li></ul>
    5. 5. Additional Layout Recommendations <ul><li>Considerations for dispensing site </li></ul><ul><ul><li>Space allows for the organization of different points of delivery (e.g. Screening, Dispensing) </li></ul></ul><ul><ul><li>Handicap access </li></ul></ul><ul><ul><li>Minimize bottlenecks by pre-identifying complicated cases (e.g. individuals who require additional consultation due to contraindications) </li></ul></ul><ul><ul><li>POD floor plan provides express dispensing ‘route’ for uncomplicated clients (e.g. with no contraindications) </li></ul></ul>
    6. 6. Gathering Materials <ul><li>General Supplies </li></ul><ul><ul><li>Tables </li></ul></ul><ul><ul><li>Chairs </li></ul></ul><ul><ul><li>Extension cords </li></ul></ul><ul><ul><li>Office supplies </li></ul></ul><ul><ul><li>Name tags </li></ul></ul><ul><ul><li>Waste baskets & bags </li></ul></ul><ul><ul><li>Fax machine, telephones </li></ul></ul><ul><ul><li>Signage (to provide directions) </li></ul></ul><ul><ul><li>Computer/Laptop </li></ul></ul><ul><li>Medical Supplies </li></ul><ul><ul><li>Gloves </li></ul></ul><ul><ul><li>Hand sanitizers </li></ul></ul><ul><ul><li>Facial tissues </li></ul></ul><ul><ul><li>Educational materials </li></ul></ul><ul><ul><li>Medical assessment forms </li></ul></ul><ul><ul><li>Medication labels </li></ul></ul><ul><ul><li>Emergency phone numbers </li></ul></ul>Proven Best Practice: Many agencies have developed “Go Kits” which contain essential supplies and guidance to allow for rapid response. The POD supervisor or any other person is then prepared to respond immediately to a call for POD activation.
    7. 7. COMMUNICATION
    8. 8. Communicating w/ the County <ul><li>Primary PUSH Partner Contact </li></ul><ul><ul><li>Name: </li></ul></ul><ul><ul><li>Title: </li></ul></ul><ul><ul><li>Phone: </li></ul></ul><ul><ul><li>Alternate Phone: </li></ul></ul><ul><ul><li>E-mail: </li></ul></ul><ul><li>Primary County Contact </li></ul><ul><ul><li>Name: </li></ul></ul><ul><ul><li>Title: </li></ul></ul><ul><ul><li>Phone: </li></ul></ul><ul><ul><li>Alternate Phone: </li></ul></ul><ul><ul><li>E-mail: </li></ul></ul>
    9. 9. Communicating with employees <ul><li>Plan will need to address </li></ul><ul><ul><li>What will you need to communicate? </li></ul></ul><ul><ul><li>How will you communicate? </li></ul></ul><ul><ul><li>Who will you need to communicate with? </li></ul></ul>
    10. 10. What to communicate before the emergency? <ul><li>Steps your agency is taking to safeguard employee health & wellbeing (e.g. overview of the Push Partner program) </li></ul><ul><li>Basics on how medication will be dispensed to employees, their family members, and patients (if applicable). </li></ul><ul><li>Where to get additional information? (e.g. TV, radio, website, etc.) </li></ul><ul><li>_______________________________________________________________________________________________________________________________________________ </li></ul><ul><li>_______________________________________________________________________________________________________________________________________________ </li></ul><ul><li>_______________________________________________________________________________________________ </li></ul>
    11. 11. What to communicate during the emergency? <ul><li>Who can get the medical interventions? </li></ul><ul><ul><li>Full-time employees, Part-time employees, Contractors, Family members? </li></ul></ul><ul><li>When can you get the medications? </li></ul><ul><ul><li>Days & times when the POD will be open to clients </li></ul></ul><ul><li>Where can you get the medications? </li></ul><ul><ul><li>Location where clients can receive the medical intervention </li></ul></ul><ul><li>What information they should bring? </li></ul><ul><li>My Notes: ______________________________________________________________________________________________________________________________________________________ </li></ul><ul><li>________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ </li></ul>Proven Best Practice: Use communications to allay any panic, reassure your employees, and to reinforce disease prevention techniques.
    12. 12. What to communicate after the emergency? <ul><li>Importance of completing the drug regimen </li></ul><ul><li>Results of the POD operation </li></ul><ul><li>Appreciation of staff support </li></ul><ul><li>Where to find additional information </li></ul><ul><li>My Notes: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ </li></ul>
    13. 13. Relaying your message <ul><li>Email? </li></ul><ul><li>Fax? </li></ul><ul><li>Fliers/ Information brochures? </li></ul><ul><li>Information sessions? </li></ul>Proven Best Practice: In your plan, make sure that you address any language barriers by drafting messages or information alerts in languages other than english. Similarly, employ different mechanisms to relay your message.
    14. 14. STAFFING
    15. 15. POD Staff Selection <ul><li>When selecting your POD staff consider the following: </li></ul><ul><ul><li>What type of skills and/or credentials are required for this position? </li></ul></ul><ul><ul><li>Based on the above, who is best trained to fulfill this position? </li></ul></ul><ul><ul><li>Who will be available on a short notice? </li></ul></ul>Proven Best Practice: For key POD positions, you may want to identify alternate individuals who may fill the position in the event the main person identified is unable to do so.
    16. 16. POD Staff Organization Chart (Incident Command Structure) Note: The diagram depicted is only an example that is often used in a traditional POD. Your agency may expand or contract this chart to fit the needs of your Closed POD. Optional
    17. 17. Sample II POD Staff Organization Chart (Incident Command Structure) Note: The above diagram is another example of how your POD staff may be organized. Depending on the size of your agency, different individuals may be chosen to fit each role or one person may fulfill the tasks associated with different roles. Remember, this is only a suggested organization that illustrates the chain of command.
    18. 18. Job Action Items The following are task lists of each category of work that needs to be accomplished at a CLOSED POD. Specific individuals may be designated for each area or one person may be responsible for completing the action items listed.
    19. 19. POD Supervisor ACTION ITEMS <ul><li>Organization’s expert on the Push Partner Program </li></ul><ul><ul><li>Establish communication with the county </li></ul></ul><ul><ul><li>Activate your POD plan </li></ul></ul><ul><ul><li>Initiate a calling tree to activate all POD staff </li></ul></ul><ul><ul><li>Brief POD staff </li></ul></ul><ul><ul><li>Receive and store medical interventions coming from the county </li></ul></ul><ul><ul><li>Conduct a walk through of the dispensing site </li></ul></ul><ul><ul><li>Ensue that it follows established guidelines </li></ul></ul><ul><ul><li>Update the County of POD status </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    20. 20. POD Briefing <ul><li>Conducted by POD Supervisor </li></ul><ul><li>Includes </li></ul><ul><ul><li>Information on the situation </li></ul></ul><ul><ul><li>Review of guidelines and protocols </li></ul></ul><ul><ul><li>Facility layout (i.e. identification of break room, rest rooms, emergency exits, etc.) </li></ul></ul><ul><ul><li>POD layout and flow </li></ul></ul>
    21. 21. Security ACTION ITEMS <ul><li>Secures POD operations </li></ul><ul><ul><li>Secure the medical assets as the package arrives from the county </li></ul></ul><ul><ul><li>Ensure security of the POD site and critical assets </li></ul></ul><ul><ul><li>Establish personnel throughout the site to maintain safety of POD staff and clients </li></ul></ul><ul><ul><li>Maintains access to the POD site by authorized personnel only </li></ul></ul><ul><ul><li>Place other security personnel in locations to maximize the safety of the facility, assets, staff, and clients. </li></ul></ul><ul><ul><li>Maintain communication with the POD Supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    22. 22. Medical Area ACTION ITEM OVERVIEW <ul><li>Includes screeners, dispensers, and First-Aid operations </li></ul><ul><ul><li>Verify adequate medical staff levels to operate POD </li></ul></ul><ul><ul><li>Ensure that personnel have resources to complete their designated tasks </li></ul></ul><ul><ul><li>Brief screening/dispensing/First-Aid staff on their designated tasks and review POD layout </li></ul></ul><ul><ul><li>Ensure sufficient medications are available </li></ul></ul><ul><ul><li>Ensure proper storage procedures are being followed </li></ul></ul><ul><ul><li>Review set-up stations to make sure they are organized to maximize POD follow and they follow established guidelines </li></ul></ul><ul><ul><li>Maintain communication with POD Supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    23. 23. Screening Area ACTION ITEMS <ul><li>Main Purpose: to screen clients </li></ul><ul><ul><li>Review registration form to assess for contraindications </li></ul></ul><ul><ul><li>Review screening procedures </li></ul></ul><ul><ul><li>Ensure county directives for dispensing medical regimen are being followed </li></ul></ul><ul><ul><li>Track the usage and availability of screening forms </li></ul></ul><ul><ul><li>Maintain communication with POD supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    24. 24. <ul><li>Main Purpose: to provide medications to clients </li></ul><ul><ul><li>Ensure use of PPE </li></ul></ul><ul><ul><li>Ensure First Aid area is set-up </li></ul></ul><ul><ul><li>Address patient’s immediate medical needs </li></ul></ul><ul><ul><li>Follow established protocol to contact EMS provider for transporting client(s) to treatment facility </li></ul></ul><ul><ul><li>Maintain communication with POD supervisor </li></ul></ul>Dispensing Area ACTION ITEMS For more information see the JAS folder on your Push Partner CD.
    25. 25. First Aid Area ACTION ITEMS <ul><li>Main Purpose: to meet the medical needs of clients </li></ul><ul><ul><li>Use PPE </li></ul></ul><ul><ul><li>Ensure First Aid area is set-up </li></ul></ul><ul><ul><li>Address patient’s immediate medical needs </li></ul></ul><ul><ul><li>Follow established protocol to contact EMS provider for transporting client(s) to treatment facility </li></ul></ul><ul><ul><li>Maintain communication with POD supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    26. 26. Non-medical Area ACTION ITEM OVERVIEW <ul><li>Main Purpose: to address the non-medical needs of the POD operations </li></ul><ul><ul><li>Ensure </li></ul></ul><ul><ul><ul><li>adequate number of staff is available for POD operations </li></ul></ul></ul><ul><ul><ul><li>availability of office supplies and necessary equipment </li></ul></ul></ul><ul><ul><ul><li>staff have necessary resources to complete their tasks </li></ul></ul></ul><ul><ul><ul><li>proper signage and directions are setup and provided </li></ul></ul></ul><ul><ul><li>Maintain communication with the POD Supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    27. 27. Registration area ACTION ITEMS <ul><li>Main Purpose: to distribute necessary forms to clients </li></ul><ul><ul><li>Review and understand the forms that need to be completed by clients </li></ul></ul><ul><ul><li>Ensure: </li></ul></ul><ul><ul><ul><li>guidelines on where to refer clients are clear and followed </li></ul></ul></ul><ul><ul><ul><li>staff have access to necessary supplies </li></ul></ul></ul><ul><ul><li>Maintain communication with POD supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    28. 28. Inventory/Supply ACTION ITEMS <ul><li>Main Purpose: to track the use and availability of supplies, equipment, etc. </li></ul><ul><ul><li>Ensure tracking protocols and methods are in place and operable </li></ul></ul><ul><ul><li>Communicate with medical and non-medical leads to monitor equipment and supply needs </li></ul></ul><ul><ul><li>Request additional equipment and supplies as needed </li></ul></ul><ul><ul><li>Maintain inventory of equipment and supplies </li></ul></ul><ul><ul><li>Maintain communication with POD supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    29. 29. Inventory: What needs to be tracked <ul><li>Medications arriving from the county </li></ul><ul><li>Supplies arriving from the county </li></ul><ul><li>Usage of </li></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>Supplies </li></ul></ul><ul><ul><li>Medications </li></ul></ul>
    30. 30. Facilities ACTION ITEMS <ul><li>Main Purpose: Collaborate with the POD Supervisor to make sure the facility is operable </li></ul><ul><ul><li>Coordinate delivery of supplies and medical assets with the POD Supervisor </li></ul></ul><ul><ul><li>Assist in identifying proper storage area for medications </li></ul></ul><ul><ul><li>Set up barriers and other traffic control equipment </li></ul></ul><ul><ul><li>Ensure access to the facility </li></ul></ul><ul><ul><li>Ensure facility utilities are functioning properly </li></ul></ul><ul><ul><li>Maintain communication with POD supervisor </li></ul></ul>For more information see the JAS folder on your Push Partner CD.
    31. 31. Demobilizing your POD
    32. 32. Debrief <ul><li>Hold a meeting with POD staff to evaluate the agency response </li></ul><ul><li>Obtain feedback on how well the POD operated </li></ul><ul><li>Identify areas of improvement </li></ul><ul><li>Identify best practices </li></ul><ul><li>Revise your plan and guidelines to address issues identified </li></ul><ul><li>Meet with the County to review the interagency response </li></ul>Proven Best Practice: In Emergency Management, once this debriefing has occurred the key points are compiled into an After Action Report. This is a summary describing the event, areas of improvement, and best practices.
    33. 33. Returning assets <ul><li>Designate a person responsible for completing demobilization steps </li></ul><ul><ul><li>Compile a final report to the county: </li></ul></ul><ul><ul><ul><li>Inventory of medical intervention and assets used </li></ul></ul></ul><ul><ul><ul><li>Copies of completed medical forms and other documents that are required by the county </li></ul></ul></ul><ul><ul><li>Coordinate return of unused medications and/or other unused assets to the county </li></ul></ul>
    34. 34. GLOSSARY
    35. 35. Glossary <ul><li>Bioterrorism: is the deliberate release of viruses, bacteria or other germs used to cause illness or death in people, animals or plants. </li></ul><ul><li>Closed Point of Dispensing: is a location that is operated by a private business that dispenses medications to a specific population which may include its employees and their families. A CLOSED POD is not open to the public. (aka PUSH POD) </li></ul><ul><li>Epidemic: The occurrence in a community or region of cases of an illness, specific health-related behavior or other health-related behavior, or other health-related events in excess of what would normally be expected. The occurrence is relative to usual frequency of the disease in the same area, among the specified population, at the same season of the year. </li></ul><ul><li>Incident Command System (ICS): is a management model for command, control, and coordination of an organization's emergency response activities. ICS is designed to aid in the management of personnel and resources required to operate during an emergency. </li></ul><ul><li>Job Action Sheet (JAS): is a document created for each role within a command structure that specifies the role title, mission, supervisor and duties. </li></ul><ul><li>Mass dispensing: is the term used to provide necessary medical intervention to a large number of people to limit the spread of disease and prevent morbidity/mortality from occurring as a result of exposure. </li></ul>
    36. 36. Glossary <ul><li>Open Point of Dispensing: is a location operated by the local public health department agency that dispenses medications and/or vaccinations to the community members of its jurisdiction. </li></ul><ul><li>Outbreak: An epidemic limited to localized (i.e. village, town, closed institution) increase in the incidence of a disease. </li></ul><ul><li>POD: Point of Dispensing, a location at which medical interventions (i.e. vaccinations or medications) are provided during a public health emergency. </li></ul><ul><li>Personal Protective Equipment (PPE): is specialized clothing or equipment worn by an individual for protection against any harmful agent (chemical, biological, or radiological). </li></ul><ul><li>Receipt, Storage, and Staging (RSS): is the term used to identify the elements (i.e. personnel, facilities, and procedures) of the plan that address the steps of receiving SNS assets (i.e. medication, supplies, etc.), storing them, and transferring them to the appropriate entity for distribution. </li></ul><ul><li>Strategic National Stockpile (SNS): is a Centers for Disease Control and Prevention (CDC) program that serves as a national supply of medications and medical supplies for emergency situations. </li></ul>
    37. 37. Glossary <ul><li>Surveillance: is the continuous collection and analysis of data used to monitor health status and the occurrence of disease. Surveillance is key in detecting an outbreak of disease in a community and the information collected helps public health officials in understanding the nature of the outbreak. Surveillance is the essential feature of epidemiological practice. </li></ul>
    38. 38. Additional Resources
    39. 39. Additional Resources <ul><li>Arizona Center for Public Health Preparedness www.azcphp.publichealth.arizona.edu </li></ul><ul><li>Arizona Department of Health Services Pandemic Influenza Information http://www.azdhs.gov/pandemicflu/ </li></ul><ul><li>Cities Readiness Initiative- Center for Disease Control and Prevention http://www.bt.cdc.gov/cri/ </li></ul><ul><li>Mass Antibiotic Dispensing: Taking Care of Business (CDC Course) http://www2.cdc.gov/phtn/business/default.asp#add </li></ul><ul><li>Maricopa County Department of Public Health, Public Health Emergency Department http://www.maricopa.gov/Public_Health/PHEM/default.aspx </li></ul><ul><li>National Association of County and City Health Officials- Strategic National Stockpile Project http://www.naccho.org/topics/emergency/SNS/index.cfm </li></ul><ul><li>PandemicFlu.gov www.pandemicflu.gov </li></ul><ul><li>Strategic National Stockpile (SNS)- Center for Disease Control and Prevention http://emergency.cdc.gov/stockpile/index.asp </li></ul><ul><li>Yale Center for Public Health Preparedness http://publichealth.yale.edu/ycphp/glossary.html </li></ul>
    40. 40. MY NOTES:
    41. 41. <ul><li>The information in this pocket guide is condensed. For more information, please refer to your county mass dispensing guidelines and to the websites listed inside. This publication was supported by Grant U90/CCU924239-02 from the CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC. </li></ul>
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