1. November 2013

3.  Identify components of Strategic National Stockpile (SNS)  Ensure understanding of the process of requesting/receiving SNS

4.  The mission of the DSNS is to deliver critical medical assets to the site of a national emergency. The DSNS stands ready for immediate deployment to any U.S. location in the event of an terrorist attack, or a natural or technological disaster.  Stockpile elements that DSNS maintains include: ◦ 12-hour Push Packages ◦ Managed Inventory ◦ Federal Medical Stations ◦ Other Medical Resources through a Rapid Procurement System ◦ Technical Assistance to State and Project Areas.

5.  CBRNE event – chemical, biological, radioactive, nuclear, or explosive  Medical emergency brought on by natural disaster  Information from intelligence or law enforcement  Clinical, lab or epidemiological indications  Unexplainable increase in emergency medical service requests  Unexplainable increase in antibiotic prescriptions or OTC medication use

6.  A variety of medical resources which includes: ◦ Federal Medical Stations ◦ Antibiotics (oral and IV) ◦ Vaccines, antivirals, antitoxins ◦ Chemical Antidotes ◦ Personal Protective Equipment ◦ Portable Ventilators ◦ Wound care supplies ◦ Items for radiation, burns, and blast ◦ IV administration supplies ◦ Airway management supplies (pediatric/adult)

8. Federal ResponsibilitiesState Responsibilities Local Responsibilities  Act on Governor’s request for SNS.  Once approved, ship SNS to state officials at the designated Receiving, Staging and Storage (RSS) facility.  Assess need for supplemental medications, vaccines, medical supplies and equipment in collaboration with local requesting agencies.  Formally request SNS from federal authorities  Receive SNS; break down, repackage into unit doses, and affix labels.  Ship SNS elements to point of dispensing (POD) locations designated by LHJ.  On arrival, break down and transport SNS needs to distribution locations.  Work with local authorities and local or regional EOC/ECC to assess need for deployment of the SNS.  Communicate need for SNS to health officials at State EOC.  Setup emergency clinics in communities as situation dictates.  Dispense medications or immunize residents.  Assist the local EOC/ECC under unified command in determining needs and distribution for other critical medical supplies (during an event of public health significance).

9.  Establish communications.  Assess your needs! Request ONLY when it is anticipated resources will be exhausted and cannot be procured locally.  Request capabilities, not specific items or drugs unless absolutely necessary.  Track utilization of assets.  Provide information upon request to local EOC/ECC.