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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

A partnership for adverse reaction reporting

Marsha Ford, MD - Director, Carolinas Poison Center

Amanda Fuller, PharmD – NC SNS Coordinator

the initial question
The Initial Question
  • After a mass dispensing campaign begins, how are the adverse events monitored, collected and recorded?
the needs
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
the plan
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

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

carolinas poison center operations
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

carolinas poison center operations8
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
cpc scope of services
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
cpc surge capacity o ffsite work configuration

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
Utilize software to track specialist In-Call status, log-in and log-out
  • Communicate rapidly with off-site specialists via Instant Messaging
cpc surge capacity response
CPC - Surge Capacity Response
  • 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
cpc public health surge response
CPC – Public Health Surge Response
  • 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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