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A partnership for adverse reaction reporting. Marsha Ford, MD - Director, Carolinas Poison Center Amanda Fuller, PharmD – NC SNS Coordinator. The Initial Question. After a mass dispensing campaign begins, how are the adverse events monitored, collected and recorded?. The Needs.

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A partnership for adverse reaction reporting l.jpg

A partnership for adverse reaction reporting

Marsha Ford, MD - Director, Carolinas Poison Center

Amanda Fuller, PharmD – NC SNS Coordinator


The initial question l.jpg
The Initial Question

  • After a mass dispensing campaign begins, how are the adverse events monitored, collected and recorded?


The needs l.jpg
The Needs

  • A way to take numerous calls

  • A consistent way to collect data

  • A method to transmit data to the state in a timely fashion

  • A method to report to FDA any ADRs reported when required

  • A single reporting system for medication and vaccination adverse events


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The Plan

  • CPC is a part of the NC PHPR call down

    • Notification can go from PHPR to CPC or CPC to PHPR

  • CPC will call in additional staff as needed

  • Local Health Depts will route medication related questions to direct CPC number


Slide5 l.jpg

CPC notified SNS

meds to be dispensed

CPC staff

activated

AHEC faculty

notified

PY4s contacted

& report to CPC

Normal CPC

staffing resumed

PY4s

deactivated

Training

@ CPC

Crisis resolving;

call volume 

PY4s answer

calls at CPC


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Carolinas Poison Center Program Highlights and Surveillance Activities


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Carolinas Poison Center: Operations

  • NC-designated PC

  • Staffed

    • 24/7/365

    • RNs/Pharmacists

    • Toxicologists: 3 MD & 1 PharmD

    • Administrative & support staff

  • AAPCC-certified

  • Utilize national toll-free number,

    800-222-1222


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Carolinas Poison Center: Operations

  • Data

    • Collected & entered by Specialists as part of case management

    • Electronically maintained with frequent backup

    • Case data uploaded every 6-10 minutes to the National Poison Data System - NPDS (formerly TESS)

    • Case data uploaded every hour to NC DETECT

    • Pesticide case data uploaded every 24 hours to NC DPH Occupational Epidemiology

  • Resources

    • Computerized information databases

    • Books, guidelines, internet

    • Public Health: preparedness & epidemiology

    • EMS: Dispatch and All Hazards personnel

  • Calls digitally recorded


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CPC - Scope of Services

  • Exposure Calls – Triage, diagnose, provide expert advice

    • Pharmaceuticals

    • Drugs of abuse

    • Household products

    • Chemicals

    • Plants, Bites/stings

    • Food-borne illnesses

  • Information Calls

  • Public Health – collaborate with NC DHHS

    • Occupational pesticide exposures

    • Surveillance & investigation of All-Hazards incidents

  • Education & Prevention: Professional & Public

  • Research



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CPU

CPC Surge Capacity: Offsite Work Configuration

Carolinas Healthcare System

Data Center

VPN/Cable

BellSouth VPN

Or Cable w/

Forsythe

Juniper Box

VPN/Cable

Service

provider

Cisco router

VPN/Cable

CPC

Specialist

Nortel

soft phone


Slide12 l.jpg


Cpc surge capacity response l.jpg
CPC - Surge Capacity Response and log-out

  • Twenty-two off-site workplaces exist

  • System is used daily

    • Must be maintained and upgraded

  • In event of surge

    • Current staff will work off-site

    • Pharmacy students will work in the poison center, supervised, to answer questions from public


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CPC – Public Health Surge Response and log-out

  • Guidelines and Q&A sheets

    • To handle anticipated pandemic & all-hazards events

  • Cross-train alternative providers to answer questions from public during outbreaks

    • Utilize guidelines and Q&A sheets

    • Just-in-time training

  • Data uploaded to DPH every hour

  • Real-time communication between CPC toxicologists and DPH


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