Module 3 Point of Dispensing (POD) Mary Cook Public Health Emergency Preparedness Coordinator.

Module 3

Point of Dispensing (POD)

Mary Cook

Public Health Emergency Preparedness Coordinator

Point of Dispensing (POD)

• Describe SNS resources • Describe the purpose of a

POD.• Describe the POD

management structure.• Describe POD staff roles.• Describe the phases of POD

operations.

Module 3

Learning Objectives

Strategic National Stockpile Purpose

• Maintained by CDC/DSNS

• Pharmaceuticals, supplies & equipment

• Delivered to site of national emergency

• Supports public health response operations– Bioterrorism– Naturally occurring

disease– Natural disasters– Industrial accidents

SNS Countermeasures

• Pharmaceuticals– Medicines– Vaccines– Antitoxins– Antidotes– Radiation

countermeasures

• Supplies & Equipment– IV administration– Airway management– Wound care– Burn & blast care

• Federal Medical Stations (FMS)

Public Health Threats

• Bioterrorism (Category A agents)– Anthrax– Botulism– Smallpox

• Naturally occurring diseases

• Natural disasters• Industrial accidents

Which of these public health threat would require the fastest response?

Medical materiel from the SNS were deployed to New Hampshire during the

H1N1 Pandemic.

SNS Capabilities

SNS Warehouse 12-Hour Push Packages• Threat is ill-defined

(Anthrax)• Broad spectrum

resources needed• 130 containers, 50 tons• Fits in cargo aircraft• 500,000 10-day antibiotic

regimens

POD Purpose

• Public health emergency service location

• Prevent exposure or treat disease outbreak

• Managed locally or regionally

• Occurs over phases of operations

• A POD is NOT designed to:– Provide services found

at a healthcare facility– Provide extensive

treatment or evaluation

POD Management

POD Manager

Clinical Group Supervisor

Non-Clinical Group

Supervisor

Workforce Support Group

Security Officer Liaison Officer

Facility Officer Safety Officer

• Advanced ICS Training• Field operations

experience• Fire/EMS or Public Health

background• Security

operations planning

experience• Law enforcement

personnel

• Knowledge of facility

• Facility manager or custodian

• Knowledge of community assets• Resource

coordination experience

• Knowledge of health &

workplace safety• Infection control

practitioner

Different colored vests are used to easily identify POD staff by their assigned role or function.

POD Clinical Group

Clinical Group Supervisor

Triage UnitHealth

Education Unit

Screening Unit

Behavioral Health Unit

First Aid Unit Dispensing Unit

POD staff receive a Job Action Sheet (JAS) that describes their assigned role.

Separate symptomatic from

asymptomatic

Assess complex medical conditions

Provide basic aid & medical transport

Orient clients to threat &

countermeasure

Provide support, assessment &

referral

Dispense medications or

administer vaccines

POD Non-Clinical GroupNon-Clinical

Group Supervisor

Greeting Unit Registration Unit

Clinic Flow Support Unit

Data Entry Unit

Discharge Unit

Welcomes & orients clients to POD

Monitors & maintains client flow

Provides clients with further care instructions

Supports client form completion

Enters client data (if applicable)

POD Workforce Support GroupWorkforce

Support Group Supervisor

Communications Unit

Inventory Management

Unit

Staffing Resources Unit

Ensures communications within POD & to

external agencies

Supports POD staff &

documents shift changes

Maintains & distributes

supplies to POD stations

POD Response Phases

Situation Awareness

Situation Development

Activate POD

Operate POD

Deactivate POD

Recovery

SITUATION AWARENESS

OBJECTIVES• Maintain and activate systems to monitor

unusual health activity• Determine need for response activation• Activate appropriate response plans based

on the required capabilities

Identify threat & population

Specify countermeasure

& timeline

Assess local inventories Request SNS

In situations where a countermeasure is not available, a control measure (hand washing,

social distancing) may be recommended.

SITUATION AWARENESS

TASKS• Identify the agent or cause of the incident• Determine the severity of the incident• Identify the location of the incident• Identify the number of people affected• Collect and analyze medical & demographic

data• Identify functional & access needs



& timeline


SITUATION AWARENESS

TASKS• Identify the countermeasure(s) needed• Identify the supplies needed• Determine dispensing timeline• Identify staff needed to meet dispensing

requirements



& timeline


SITUATION AWARENESS

TASKS• Assess local countermeasure inventories• Request countermeasures from Strategic

National Stockpile (SNS) if needed• Activate appropriate incident management

authorities (SEOC/MACE/LEOC)



& timeline


Develop Incident Action Plan (IAP)

Review Legal & Liability Issues

Transition IAP to POD Management

SITUATION DEVELOPMENT

OBJECTIVES• Review POD plan(s) and develop an

incident-specific action plan• Transition the Incident Action Plan to the

POD management team





TASKS• Select dispensing modalities & methods• Select POD site(s)• Determine client flow & throughput rate• Develop POD policies & guideline• Plan for functional & access needs• Mobilize POD resources needed to meet

dispensing objectives

Evaluate the following policy statement: “No media are allowed in the dispensing area.”





TASKS• Review Public Health Incident Declaration• Review Public Health Emergency

Declaration• Review personnel & volunteer liability• Review workers’ compensation





TASKS• Brief POD management team(s) on incident• Brief POD management team(s) on IAP• Prepare POD management team(s) for

deployment

Activate site(s), staff &

resourcesSet-up site(s) Receive & store

SNSDispense to

staff & families

Announce POD locations to

public

ACTIVATE POD

OBJECTIVES• Implement the IAP for POD operations• Mobilize and brief POD staff; assign POD

staff roles• Mobilize, receive & stage POD resources• Secure facility and set-up POD site• Dispense to essential personnel & priority

groups (if indicated)• Prepare site and staff to open the POD



SNSDispense to

staff & families


public

ACTIVATE POD

TASKS• Notify the facility of POD activation• Activate POD security plan• Develop tactical plan• Provide identification to staff & volunteers• Assign roles to staff & volunteers• Brief & train staff & volunteers



SNSDispense to

staff & families


public

ACTIVATE POD

TASKS• Secure SNS resources• Distribute resources to the appropriate

stations• Dispense to staff & families prior to opening

(if indicated)• Announce POD locations using multiple

communication methods

In certain scenarios, Law Enforcement may be needed to maintain security of SNS resources.

Open site(s)Dispense to

target population

Monitor operations

Adjust operations &

staffing

Report on POD

operations

OPERATE POD

OBJECTIVES• Provide safe & efficient services to all clients• Monitor & maintain staff morale & wellness• Monitor supplies & request resupply (as

needed)• Execute smooth shift transitions• Submit shift reports to the LEOC/MACE


target population

Monitor operations

Adjust operations &

staffing

Report on POD

operations

OPERATE POD

TASKS• Implement shift schedule & maintain use of

ICS• Administer countermeasures to POD clients• Assess client flow and dispensing model


target population

Monitor operations

Adjust operations &

staffing

Report on POD

operations

OPERATE POD

TASKS• Monitor staff for fatigue & stress• Monitor supplies & request resupply• Conduct shift change • Submit shift and operations report

Return supplies Dispose of medical waste

Demobilize staff & facility

Report adverse events

DEACTIVATE POD

OBJECTIVES• Coordinate closure of POD site(s) with

LEOC/MACE• Inventory and repack POD supplies• Return POD supplies to appropriate

authorities• Return POD site(s) to original condition and

use




DEACTIVATE POD

TASKS• Close POD to public & announce alternate

sources for countermeasure• Inventory & repackage unused resources• Dispose of medical waste following clinical

protocols




DEACTIVATE POD

TASKS• Debrief staff & collect feedback for

improvement planning• Provide staff with behavioral health support

or aftercare• Clean-up POD site & return it to original use• Report on any adverse events related to

countermeasure dispensing

Maintain dispensing availability

Maintain behavioral supports

Develop After Action Report

(AAR)

Calculate & report expenses

RECOVERY

OBJECTIVES• Complete forms for calculation of expenses

& reimbursement• Participate in recovery & after action

activities




(AAR)


RECOVERY

TASKS• Coordinate with the public health &

healthcare systems to initiate & maintain post-event countermeasure dispensing

• Coordinate with the behavioral health system to initiate & maintain post-event behavioral health support




(AAR)


RECOVERY

TASKS• Conduct an After Action Review & develop

an improvement plan• Calculate expenses & seek reimbursement

(if available)

Additional Information

Seacoast Public Health Region

www.seacoastphr.org. click on Volunteer page and NH Responds image to receive information on activations and trainings

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Module 3 Point of Dispensing (POD) Mary Cook Public Health Emergency Preparedness Coordinator.

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Transcript of Module 3 Point of Dispensing (POD) Mary Cook Public Health Emergency Preparedness Coordinator.