RI Department of Health Medical Countermeasure Dispensing During - - PDF document
RI Department of Health Medical Countermeasure Dispensing During Emergencies in Rhode Island 2014-2015 Disclosure Statement CONFLICT OF INTEREST The planners and presenters have declared no conflict of interest. COMMERCIAL
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Emerging Infectious Diseases and Natural Disasters
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Biological Agents
Category A
person
preparedness Specific Agents: Anthrax Botulism Pneumonic Plague Small Pox Tularemia Viral Hemorrhagic Fevers
– Ciprofloxacin – Doxycycline – Amoxicillin
– 12 Hour push package – Managed inventory Federal Mission: Deliver critical medical assets to the site of a national emergency.
CDC’s Strategic National Stockpile (SNS)
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Medical Emergency Distribution System plan (MEDS)
Declaration of Public Health Emergency
Disease
Release
Hour 0
Aware of threat & SNS assets requested
Hour 6
Notify leaders to activate PODs
Hour 12
SNS arrives; Deploy to PODs
Hour 12-48
PODs
dispense to public
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Objectives within a POD
– Open to the public – Each municipality opens at least one POD
– For a specific list of individuals – Usually a facility with their own medical professionals
– Examples: hospitals, Adult Correctional Institution
– Possibly take countermeasures to homebound populations etc.
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Prophylaxis
Symptomatic Individuals
Treatment The Public Prophylaxis POD 4 Simple Steps
Step 1: Fill out form Step 2: Have form reviewed Step 3: Get medication or vaccine Step 4: Exit (15 minute observation if vaccine)
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7 Standardized, on-scene, all-hazards incident management approach.
POD Commander Operations Logistics Planning Finance Medical Director Site Pharmacist Safety Officer Public Information
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JITT is tailored to the specific threat and includes but is not limited to the following elements:
– Infectious agent – Specific medical countermeasures being used at POD – Incident Command at POD – POD flow and policies ( functions of stations) – Communication devices being used (ex. Radios) – Job Action Sheets (explanation of assignments) – Questions and Answers
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National Health Emergency
Rhode Island
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9 42 Vaccination Stations 69 PODs 2898 Vaccinators
Minimum # of Staff Needed for One Shift 25 Pill Dispensing Stations 69 PODs 1725 Dispensers (for a pill response)
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Roles and Responsibilities
Forms Review- Review patient history; make countermeasure selection; and pass out information sheets Dispensing- 2nd review of form- confirm proper drug/vaccine according to algorithm; refer special cases to medical director Inventory Management- Sign for countermeasures; ensuring proper storage, quarantine, and waste management; distribute to dispensing areas or alternate dispensing Medical Evaluation- Evaluate whether a person can be seen at POD; troubleshoot special cases; send patients to doctor or hospital as needed
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Station: Forms review station. Patient: 10 year old with 4 history forms Forms: Adult Male = good health, no allergies Adult Female = pregnant and has multiple allergies including eggs, and peanuts 2 Children = (ages 10 and 2) no allergies or medical problems According to the provided algorithm, what would the appropriate prescription be for each person?
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Station: Dispensing Problem: You are sitting at the dispensing station working along side two non-medical staff. You over hear
patient only to take the medication if they feel ill. What should your response to this be?
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Station: Observation area Additional Information: You are staffing the
You notice a young man approximately 20 years old scratching his arms and legs. Who should be notified about this situation?
Station: Dispensing Patient: 19 year old Male One Form: Allergy to peanuts, no medical problems Additional Information: Patient arrives at your dispensing station, refusing to sit down, agitated, nervous and demanding more than ten days worth of medicine because he is “sure he has been exposed and has the disease”
How would you handle this situation?
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Management Director to volunteer IN ADVANCE to work a POD
http://training.fema.gov/IS
www.ready.gov
50 additional day supply plan to re-open PODs.
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