1 / 19

Application to Mass Dispensing

Application to Mass Dispensing. Hot Topics in Preparedness Northwest Center for Public Health Practice School of Public Health & Community Medicine University of Washington July 27, 2004. Andy Stergachis, Ph.D., R.Ph. Professor, University of Washington SNS Coordinator, Region 6.

atira
Download Presentation

Application to Mass Dispensing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Application to Mass Dispensing Hot Topics in Preparedness Northwest Center for Public Health Practice School of Public Health & Community Medicine University of Washington July 27, 2004 Andy Stergachis, Ph.D., R.Ph. Professor, University of Washington SNS Coordinator, Region 6

  2. Roughly how complete is your SNS plan? • 100% • 75% • 50% • < 50%

  3. What do you need to plan for? • Roles, responsibilities, policies • Decision-making for requesting SNS • Site selection • Set-up and design • Staffing • Public information and communication

  4. What is theStrategic National Stockpile? Federally managed logistical system created to supplement supplies of state and local systems during a major public health emergency: • 12 strategically located Push Packages (12hr PP) • Vendor Managed Inventory (VMI) • Stockpile Managed Inventory (SMI) • Technical Assistance Response Unit (TARU) • Chempack Program

  5. 12-hour Push Package • 50+ tons of pharmaceuticals, equipment, and other medical supplies. • Color coded for ease in identifying needed material: • Biological, Chemical & Biological, All Scenarios, Chemical Antidotes, Bandages • Antibiotics • Unit of use 10-day courses • Suspension • Intravenous

  6. Vendor Managed Inventory • Inventory owned by the SNS program and managed by pharmaceutical vendors • Vendors maintain the VMI stock as a bulge within their pipeline and rotates stock to keep it current and eliminate waste. • Represents 90% to 95% of the SNS inventory • Used in Florida, re: anthrax attack

  7. CHEMPACK Program • The CHEMPACK program forward-deploys chemical antidotes • Elements of the program: • Maintained locally and readily available to EMS and Hospital Emergency Departments • Remotely monitored for environment and security by the SNS Program • Washington was one of the three pilot programs

  8. Roles, Responsibilities, Policies • Who has authority to request SNS? • What are the relevant laws and authorities? • What is the process for requesting SNS? • How is the request coordinated with regular emergency management procedures? ?

  9. Responsibilities • The state is responsible for receiving, storing, staging (RSS), & distributing the SNS supplies to the points of distribution (PODs). • Local health officials are responsible for setting up and operating dispensing or immunization clinics/sites.

  10. Decision-Making to Request SNS • Identify Criteria, e.g. • Suspected BT attack • Chemical agent or ionizing radiation • Hospitalization of large numbers of patients • Determine if local supplies sufficient, e.g. • Number of casualties • Epidemiology of agent of concern • Consultations • Notifications

  11. Set-Up and Design • Critical Components: • Incident Command • Triage & Registration • Dispensing – Express & Other • Counseling and Education • Record Keeping • Security • Throughput Model

  12. Types of Patient Groups • No Complications – healthy • Express dispensing • Complications – pre-existing illnesses/allergies, pregnant, etc. • Assess and provide more involved counseling • Persons with acute illnesses • Transport • Crisis counseling and mental health intervention

  13. Which of the following sites are you considering for mass dispensing clinics? • Schools • Community Centers • Pharmacies • Other

  14. Site Selection • How many? • Where? • Familiar Locations • Accessible • Size and Characteristics • Hours of Operation • Agreements

  15. Do you have a plan for mobilizing volunteers for mass dispensing clinics? • Yes • No

  16. Staffing • Public Health Department • Volunteers • Recruit • Train • Call-Up Procedures • Who can dispense? • Prescribing physician

  17. Public Information and Communication • Notifications to public of POD openings • Coordinate through Public Health Information Officer and Joint Information Center (JIC)

  18. Lessons Learned from Exercises of SNS: Planning • Hold face-to-face meetings • Establish and solidify mutual aid agreements • Scale plans to accommodate scenarios • Harmonize SNS plans with other plans • Clarify roles • Update contact information and make it accessible • Emphasize regional planning ASTHO 2004

  19. Resources • www.bt.cdc.gov/stockpile/index.asp • Mass Prophylaxis/Vaccination Campaign Staffing Model: www.ahrq.gov/research/biomodel.htm • www.phppo.cdc.gov/phtn/antibiotic • Exercising the SNS: Lessons learned and tools for application, www.astho.org

More Related