Point of Dispensing (POD) Course
Who are you? Name Organization Position What role would you fill at the POD in an emergency response
The Strategic National Stockpile: An Overview
Purpose Provide an understanding of the operational characteristics and capabilities of the Strategic National Stockpile (SNS)
Learning Objectives When this training is completed, participants will be able to: Describe the mission of the SNS Describe the role of a Point of Dispensing (POD) during a public health emergency Describe when, where, how a POD is activated
SNS Mission Deliver critical medical assets to the site of a disaster or emergency
SNS: What is it? The Strategic National Stockpile (SNS) is a repository of antibiotics, chemical antidotes, antitoxins, vaccines, antiviral drugs and other life-saving medical materiel.
The Division of SNS The Division of Strategic National Stockpile (DSNS) is a group of professionals at the Centers for Disease Control and Prevention (CDC) that manage the SNS and assist state and local governments. DSNS ensures the availability and rapid deployment of the SNS, provides training and technical assistance, and advises on the appropriate composition of SNS medical materiel.
Response History Fast, Flexible & Committed In all, DSNS has responded to 20 public health emergencies, to include: • 2005 Hurricanes Katrina & Rita – • 2009 Red River Floods - Fully Numerous shipments to numerous functional FMS in 8 hours states • August and September 2008– • 2009 H1N1– 12 million antiviral Eight FMS with pharmacy modules regimens and 85 million masks were shipped to Louisiana, Texas, Mississippi and Kentucky along with 12 FMS strike team members in support of Hurricanes Gustav and Ike. In 2012 DSNS deployed seven federal medical stations (FMS) with pharmacy modules and 15 FMS strike team members as part of federal response efforts for areas affected by Hurricane Sandy. Besides public health emergencies, when else might SNS be used?
SNS Supplied Countermeasures Based on Category A Threat Agents Plague Smallpox Tularemia Anthrax Botulism Viral Hemorrhagic Fevers And Other threats Nerve Agents, Pandemic Influenza, Radiological, Etc. Changes directed by the Public Health Emergency Medical Countermeasure Enterprise, a multi-agency group.
SNSSuppliedCountermeasures Pharmaceuticals Radiation Countermeasures Antibiotics (Oral and IV) Nerve Agent Antidotes Vaccines and Antitoxins Antivirals Medical Supplies IV Administration Airway Management Wound Care Burn & Blast Care Federal Medical Stations (FMS)
SNS: Where is the SNS? Located in sites around Stored in temperature the United States and moisture controlled facilities. Sites selected because they offer an excellent Materiel is rotated and combination of adequate kept fresh to maintain storage and accessibility potency, using good to air and ground manufacturing practices transportation and the FDA/DOD’s Shelf Life Extension Program (SLEP)
SNS Response: The Three Pillars of Support Rapid delivery of a broad spectrum for an ill-defined threat Large shipments of specific items when a threat is known Technical assistance and advice
12-hour Push Packages 12-hour Push Packages are caches of oral and intravenous drugs to give post-exposure prophylaxis and therapeutic treatment to persons exposed - or potentially exposed - to an unknown threat agent Designed for rapid delivery (within 12 hours of a federal decision) of a broad spectrum of assets (pharmaceuticals, antidotes and medical supplies) CDC may deploy personnel to assist with handling Each package: 130 containers (max) weighing over 50 tons Fits in a wide-body cargo aircraft 500,000 10-day antibiotic regimens
Specific Item Support Federal Medical Stations | Managed Inventory | Vaccines | Buying Power/Surge Capability Majority of SNS assets Maintained by SNS or commercial partners Shipped on pallets
Specific Item Support Federal Medical Stations | Managed Inventory | Vaccines | Buying Power/Surge Capability Maintain specific vaccines Smallpox Anthrax Botulinum anti-toxin Coordinate delivery of additional vaccines
Specific Item Support Federal Medical Stations | Managed Inventory | Vaccines | Buying Power | Surge Capability Wider variety of: Items Vendors Transportation sources Possibly longer response time Order tracking more complex Subject to market availability
Specific Item Support Federal Medical Stations | Managed Inventory | Vaccines | Buying Power/Surge Capability Used as: Needs an existing facility Medical special needs shelters Low- to mid-acuity of care Quarantine function Alternate care facility 18
Technical Assistance During a Response Stockpile Services Advance Group (SSAG) on 90-minute recall Federal Medical Stations (FMS) Strike Teams on 8-hour recall, provides setup assistance RSS Task Force teams on 8-hour recall, provides operational assistance DSNS representative to the state health EOC All self-sufficient
SNS REQUEST PROCESS 1 2 Need for Supplies State Requests Federal Exceeds Local & State Assistance Resources Discussion with key officials (HHS, DHS, CDC, State, etc) 4 3 SNS Augments Local & State Resources: Federal Officials Deploy Medical Countermeasure SNS Assets Distribution and Dispensing Operations Begin
SNS Delivery Sequence Storage & RSS Site Local PODs & State Federal Transport Treatment Centers
Questions? For more information on the Strategic National Stockpile, please visit the following websites: https://www.cdc.gov/phpr/stockpile/index.htm https://nmhealth.org/about/erd/bhem/sns/
Managing a Point Of Dispensing (POD): POD Roles, Responsibilities and Site Set- Up
Objectives By the end of this training, you will be able to describe: POD organizational structure and concepts Describe information relating to emergency operations plans and operational guides. Describe POD client flow and set up.
We will learn: Definition of POD POD Site Layout and Client Flow POD Roles and Responsibilities Just in Time Training After the lesson you will be completing an activity where you will set up a POD
POD Definition A Point Of Dispensing (POD) is: A temporary, usually pre-designated, facility set up by the New Mexico Department of Health As a response to disease outbreaks or bioterrorism attacks Designed to provide a large number of people with medications or vaccinations in a short period of time.
Planning New Mexico Medical Countermeasures Operational Guide Supplement to the New Mexico Medical Countermeasure (MCM) Plan General guide to POD operations https://nmhealth.org/about/erd/bhem/sns/ POD Site Plan Site specific guide for POD Operations
Planning New Mexico Strategic National Stockpile/Medical Countermeasures
Planning New Mexico MCM Distribution and Dispensing Plan New Mexico Point of Dispensing Operations Guide
Planning New Mexico Point of Dispensing (POD) Operations Guide
Planning POD Site Plan: Site specific guide for POD Operations POD plans are available at the following places: The local office of emergency management The Bureau of Health Emergency Management The Public Health Divisions Regional Headquarters The New Mexico Department of Homeland Security and Emergency Management
The POD Site Plan Every POD has a site plan that contains: Facility contact information Address and telephone numbers at the facility Set-up procedure Inventory of equipment on site Parking, traffic and client flow diagrams Staffing, crowd control, traffic management and security plans
Planning: POD Site Plan
Planning: Critical Contacts
Planning: Floor Plan
Planning: Parking
Planning: Traffic Flow
Activation A POD can be activated: In a public health emergency In a local disease outbreak In a seasonal event (flu shot clinics) Upon a local Emergency Manager (EM) request When approved by the New Mexico Department of Health
Sequence of Events Notification Local Public Health Official (PHO) typically the Public Health Director or the Public Health Division Director or their designee and Local Office of Emergency Management (OEM) Facility Contacted Designated POD Directors will be notified by public health officials POD Staff Partners (Law Enforcement, City/County) Set-up Just-In-Time training Dispense medication to first responders and staff Begin operations
POD Organization 40
Incident Command System Unity of Command Every position in the POD has only one supervisor Maintain unity of command Span of Control Manageable span of control (5-7 people)
What is a POD Director? The person responsible for making sure POD functions are carried out Manages all POD staff Makes decisions about POD operations in consultation with the ROC (Regional Operations Center) Works with facility staff Ensures safety Designates the location of the command center, supply room, break room, entry and exit points 42
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