1. POINT OF DISPENSING STAFF ORIENTATION Wayne/Hamilton County Health Department 405 North Basin Road Fairfield IL 62837 618-842-5166

2. Session Overview POD basics POD basics POD management POD management POD roles and responsibilities POD roles and responsibilities Preparing to work at a POD Preparing to work at a POD

3. Learning Objectives After completing this module, you will be able to describe: After completing this module, you will be able to describe: The purpose of a Point of Dispensing (POD) The purpose of a Point of Dispensing (POD) The role of the Strategic National Stockpile (SNS) in a POD The role of the Strategic National Stockpile (SNS) in a POD The general structure and operations of public health PODs The general structure and operations of public health PODs How POD operations function within the Incident Command System (ICS) How POD operations function within the Incident Command System (ICS) How you can prepare yourself and your family for the time you spend working in a POD How you can prepare yourself and your family for the time you spend working in a POD

4. POD basics MASS DISPENSING PLAN

5. What is a POD? Point of dispensing (POD) - a place where a vaccine, antibiotic or other medication is dispensed quickly to a large group of people. General PublicGeneral Public Self Dispensing Sites (i.e., Hospital, Nursing Homes, etc)Self Dispensing Sites (i.e., Hospital, Nursing Homes, etc) First RespondersFirst Responders

6. Why would a POD be activated? Usually: To prevent disease in those exposed to an infection but who are not yet sick (antiviral, vaccine) Usually: To prevent disease in those exposed to an infection but who are not yet sick (antiviral, vaccine) Possible: To treat an infectious disease Possible: To treat an infectious disease The treatment offered would be limited to dispensing a specific medication. The treatment offered would be limited to dispensing a specific medication.

7. What Kinds of Emergencies Might Require a POD? Natural disaster Natural disaster Influenza pandemic Influenza pandemic Bioterrorism attack Bioterrorism attack

8. What is the Strategic National Stockpile ? A large CDC-managed stockpile of medicine and medical supplies to protect the American public if there is a public health emergency severe enough to cause local supplies to run out. A large CDC-managed stockpile of medicine and medical supplies to protect the American public if there is a public health emergency severe enough to cause local supplies to run out. You can learn more about the Strategic National Stockpile at http://www.bt.cdc.gov/stockpile

9. Strategic National Stockpile Components Push Pack/12 Hours Push Pack/12 Hours Vendor Managed Inventory/ 24-36 hours Vendor Managed Inventory/ 24-36 hours

10. SNS Responsibilities SNS SNS Send medications / vaccines Send medications / vaccines Provide technical assistance Provide technical assistance State and Local governments State and Local governments Demonstrate need for supplies Demonstrate need for supplies Receive, stage and store supplies Receive, stage and store supplies Dispense at community PODs Dispense at community PODs Hospitals Hospitals Dispense to personnel and patients Dispense to personnel and patients

11. How Will a POD Be Set Up? The layout of a POD is designed to facilitate accurate and rapid dispensing of a specific medication/vaccine The layout of a POD is designed to facilitate accurate and rapid dispensing of a specific medication/vaccine Basic POD floor plan Basic POD floor plan Variation Variation Situation Situation Local circumstances Local circumstances

12. POD layout

13. Where will PODs be located? POD locations must be: Appropriate in size and layout Appropriate in size and layout Able to be secured Able to be secured Accessible by all Accessible by all

14. How will a POD be staffed? It takes many people to run a POD It takes many people to run a POD Number and mix of skills needed will depends on situation Number and mix of skills needed will depends on situation Source of staff Source of staff Public health and hospital staff members Public health and hospital staff members Other first responders Other first responders Volunteers Volunteers

15. POD Management

16. How will POD operations be managed? Using the Incident Command System which is part of the National Incident Management System (NIMS). Using the Incident Command System which is part of the National Incident Management System (NIMS). In compliance with: In compliance with: with good emergency response practice with good emergency response practice federal requirements federal requirements Time and crisis tested

17. What is the National Incident Management System? A core set of doctrines, principles, terminology, and organizational processes A core set of doctrines, principles, terminology, and organizational processes Developed by the US Department of Homeland Security Developed by the US Department of Homeland Security For planning and response to any emergency on the local, regional, state and national levels For planning and response to any emergency on the local, regional, state and national levels

18. What is the Incident Command System? A management model for command, control and coordination of an organization’s emergency response activities A management model for command, control and coordination of an organization’s emergency response activities Applies to management of facilities, equipment, personnel, procedures, and communications Applies to management of facilities, equipment, personnel, procedures, and communications

19. Incident Command Leadership

20. Medical Group Supervisor Non-Medical Group Supervisor Scribe Security Group Supervisor Exit/Evaluation Unit Leader Floater/Greeter Unit Leader Forms Distribution Unit Leader Video Orientation Unit Leader (as required) Child Care Unit Leader EMS/Transfer Unit Leader Security Task Force 1 (Interior) Security Task Force 2 (Exterior) Interior Clinic Traffic Control Unit Operations Section Chief POD Operations Section Organizational Structure Vaccine/Prophy Abx Unit Leader Pharmacy Unit Leader Triage Unit Leader

21. ICS essentials for POD workers You will be assigned a role with a limited and specific set of tasks to perform You will be assigned a role with a limited and specific set of tasks to perform You will report to one and only one supervisor You will report to one and only one supervisor As a POD supervisor, you will have a limited number of people reporting to you (span of control 3-7) As a POD supervisor, you will have a limited number of people reporting to you (span of control 3-7)

22. Incident Command Essentials for POD workers Incident Commander is the boss Incident Commander is the boss All POD activities are designed to meet the objectives set by the Incident Commander All POD activities are designed to meet the objectives set by the Incident Commander Effective communication is key Effective communication is key

23. Successful communication is key Do not use jargon or acronyms Do not use jargon or acronyms Only the Public Information Officer may speak with the media Only the Public Information Officer may speak with the media Follow your supervisor’s guidance on communication with friends and family Follow your supervisor’s guidance on communication with friends and family Report rumors directly to your supervisor Report rumors directly to your supervisor Know how to use any communication equipment assigned to you Know how to use any communication equipment assigned to you

24. POD roles and responsibilities

25. How Will You Know When and Where to Respond? If you are needed, you will be: If you are needed, you will be: contacted by a designated person in health department contacted by a designated person in health department given specific information about where and when to report given specific information about where and when to report On site, you will report to the staff sign-in area where you will be given an assignment On site, you will report to the staff sign-in area where you will be given an assignment

26. How Long Will You Be Working in the POD? Shifts are usually 8-12 hours Shifts are usually 8-12 hours The POD will be in operation until the mission has been achieved The POD will be in operation until the mission has been achieved

27. What Should You Bring ? Bring as little as possible Bring as little as possible Bring Bring Photo identification – required Photo identification – required POD Go Pak POD Go Pak Specific equipment, as requested – e.g. stethoscope Specific equipment, as requested – e.g. stethoscope Food will be provided to you while you work at the POD Food will be provided to you while you work at the POD

28. How Will You Know What to Do When You Arrive at the POD? How Will You Know What to Do When You Arrive at the POD? Job Action Sheet Job Action Sheet Just-in-time training Just-in-time training

29. Job Action Sheet Job title Job title Job mission Job mission To whom you report To whom you report Tasks to perform Tasks to perform

30. Just-in-time Training The training delivered at the time of an incident The training delivered at the time of an incident Focused on providing the knowledge and skills you need to fill your role Focused on providing the knowledge and skills you need to fill your role JITT for short

31. How Will You be Assigned a Role? Incident Commander or designee will assign a role based on Incident Commander or designee will assign a role based on Your skills Your skills Needs of the operation Needs of the operation You may be re-assigned as the needs of the operation change You may be re-assigned as the needs of the operation change

32. POD roles

33. How Will You be Protected? Vaccination or medication being dispensed before the POD opens Vaccination or medication being dispensed before the POD opens Supply and training on appropriate personal protective equipment Supply and training on appropriate personal protective equipment Safety officer always present Safety officer always present Facilities for food & rest Facilities for food & rest All appropriate precautions will be taken to protect POD workers.

34. Dealing with stress Working at a POD may be stressful Monitor self and others for signs of stress and fatigue Monitor self and others for signs of stress and fatigue POD attendees and co-workers may vent anger - don’t take it personally POD attendees and co-workers may vent anger - don’t take it personally Mental health workers will be available on site Mental health workers will be available on site Report any serious problems to your supervisor.

35. What are signs of stress and fatigue? Lack of concentration Lack of concentration Increased number of non-critical errors Increased number of non-critical errors Critical errors Critical errors Irritability Irritability Worry Worry Feeling ill Feeling ill

36. What Are Ethical Guidelines for Working in a POD? Treat members of the public with fairness Treat members of the public with fairness and respect and respect Courtesy Courtesy Confidentiality Confidentiality No favoritism or discrimination No favoritism or discrimination Don’t spread rumors Don’t spread rumors Honor your commitment to work at a POD until the mission is complete Honor your commitment to work at a POD until the mission is complete Your fellow staff members and the public are relying on you.

37. What Do You Do When It's Time to Leave? Your supervisor will tell you when your shift is complete When leaving your supervisor may ask you to: When leaving your supervisor may ask you to: brief him/her brief him/her turn in a report or equipment turn in a report or equipment Always check out at the staff desk any time you leave a POD Always check out at the staff desk any time you leave a POD

38. What Do You Do When It's Time to Leave? Your supervisor will tell you when the mission is complete and your service is no longer needed Your supervisor will tell you when the mission is complete and your service is no longer needed You will be asked to participate in a debriefing called a ‘hot wash’ You will be asked to participate in a debriefing called a ‘hot wash’

39. What liability protection am I afforded? Health department employee Health department employee Hospital employee Hospital employee Volunteer Volunteer Licensed medical professional Licensed medical professional Member of MRC or other organization Member of MRC or other organization

40. Where Can You Get Additional Training? Wayne/Hamilton County Health Department 618-842-5166 www.WayneCountyHealthDept.org www.fema.gov/emergency/nims/

41. Conclusion 1. A POD is established to dispense a vaccine, antibiotic or other medication quickly to a large group of people usually to prevent disease. 2. The clinic flow is intended to maximize movement through the POD. 3. PODs are managed using the Incident Command System.

42. Conclusion 4. Each POD worker will be assigned a specific role which will be described in a Job Action Sheet. 5. Safety of POD workers is paramount. 6. Plan and train now to be an effective POD worker.