911/Poison Center Interface A plan that works! Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center May 14, 2008

What is a Poison Center? Respond to poison emergency and poison information calls Free-confidential service 24/7/365 service Management by registered nurses specially trained in toxicology Staff of medical and clinical toxicologists 24/7 Ongoing professional and public education May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Why do Poison Centers exist? NYS Poison Centers were established by law to reduce: The number The cost The severity of poisonings in NYS May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Sites of Poisonings At home At work Healthcare sites In the field May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Scope About 40,000 calls annually 85% of calls are accidents 82% of calls are managed AT HOME 55% of calls are about children >5 Only 3% of calls require an emergency vehicle May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Service area of the Upstate Poison Center May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Rationale for 911/PC Interface Maximize medical resources in the communities we mutually serve Provide excellence in medical service in the most cost-efficient manner possible Provide an opportunity for developing a dynamic collaborative between our centers For every dollar spent on the Poison Center side, seven dollars are saved on the medical intervention side. May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

History of 911/UNYPC Interface 1990-1992 Steering Committee was formed for the Start-up of 911 Onondaga County 1992- The first Protocol and Procedure was developed for the interface of Onondaga County 911 and the Upstate New York Poison Center in Syracuse 1997- Oswego County 911 signed on Today,both serve as the benchmark for this effective interface process May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Steps for Initiating 911/PC Interface 911 director reviews/ approves 911/Poison Center interface 911 director signs off on P&P, formalized as part of 911 Directives Training provided by Poison Center using P&P as base May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Training Consists of: Pre-test, providing examples of typical poisoning scenarios History of Poison Center Intro to Poison Center staff & service area Rationale and purpose of training Provide P&P, summarized Discussion Group post-test May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Typical Call Call to 911 Caller has: Eaten Swallowed Spilled or splashed in eyes or on skin Inhaled Bite or sting 911 call-taker assesses the situation according to 911 protocol May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Typical Call IF there is no: Call is transferred to the Poison Center Loss of consciousness Blocked airway Suicide attempt Suspicious nature Call is transferred to the Poison Center Exception: If caller demands vehicle be sent, it will be sent. May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Typical Call Transfer process (depending on center’s capabilities) 911 call taker ID’s him/herself as 911 + by county Provides brief history of call Poison Control will Take control of call, PC is then liable for call just as if it originated at Poison Control PC may ask 911 to stay on line till PC asks a few questions May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Typical Call 911 is welcome to stay on the line to hear how case is managed, however 911 tells Poison Center they will be remaining on the line to listen If the PC takes control of call, there can be no continuing discussion of management 82% of calls to Poison Centers are managed on site May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Future Plans Develop a computer-assisted 6 month post-test for 1st time participants for QA purposes Develop an annual assessment for all past participants for QA purposes Develop the training program for video conferencing purposes for 1st time participants May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Interested? Qualified? Check to see if your county is in the service area of the Upstate NY Poison Center If so, agree to review the P&P developed by 911 Onondaga and the Upstate NY Poison Center Sign off on P&P Arrange for training for your staff May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

Contact information Thanks for participating in today’s program! Gail Banach, MS,IDDE, MS,Ed Director of Public Education Upstate New York Poison Center 315-464-5423 banachg@upstate.edu May 14, 2008 Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center