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I-JITT FOR MP/PODOCTOBER 2011
FIELD TRAINING GUIDE
Inclusive Just-in-Time Training For
MASS PROPHYLAXIS/POINT OF DISPENSING (POD) OPERATIONS
Mass Prophylaxis/POD Operations
HOW TO USE THIS GUIDEWelcome to the Inclusive Just-in-Time Training (I-JITT) Field Training Guide for Team Leaders working in a mass prophylaxis/POD operation. This Guide was created to assist Team Leaders in delivering Just-in-Time Training to assigned personnel using an inclusive approach that addresses the following three principles:
1) Learning dimensions (cognitive, behavioral, and emotional needs of responders)
2) Learning styles (visual, auditory, kinesthetic)3) Cultural context (influences of individuals, groups,
and organizations)
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Field Training Guide for Team Leaders 2
PART 1: INCLUSIVE JUST-IN- TIME TRAINING Tabbed in purple, the pages in this section include a Team Leader checklist and 7-part I-JITT curriculum (listed below). The target length of the training is approximately fifty minutes, including 30 minutes of training and a 20 minute skill building practice session.
I-JITT CURRICULUMSECTION ONE: Welcoming Responders . . . . . . . . . . . . . 6
SECTION TWO: Mass Prophylaxis/POD Operation Overview . . 7
SECTION THREE: Chain Of Command . . . . . . . . . . . . . . 8
SECTION FOUR: Intercultural Considerations . . . . . . . . . . 10
SECTION FIVE: Responder Safety And Health . . . . . . . . . 11
SECTION SIX: Job Action Sheets . . . . . . . . . . . . . . . . 13
SECTION SEVEN: Practice & Demonstration . . . . . . . . . . 15
Each section in the curriculum consists of a bulleted list of talking points, sample language, and key points to communicate to responders. A prompt for the trainer to cross-reference the Go Guide and address responders’ questions is also included. If you only have a few minutes to complete I-JITT, stick to the Key Points bubbles and do the following: Allow for practice time, support responders, and offer intercultural information.
Below is an overview of the elements included in this 2-part, color coded guide:
Mass Prophylaxis/POD Operations
I-JITT IN ACTION
SECTION ONE: Welcoming RespondersI-JITT principle emphasized: Learning Dimensions (Emotional need)
SECTION TWO: Mass Prophylaxis/POD Operation OverviewI-JITT principle emphasized: Learning Dimensions (Cognitive need)
SECTION THREE: Chain of CommandI-JITT principle emphasized: Learning Dimensions (Cognitive need)
SECTION FOUR: Intercultural ConsiderationsI-JITT principle emphasized: Cultural Context
SECTION FIVE: Health & SafetyI-JITT principle emphasized: Learning Dimensions (Emotional need)
SECTION SIX: Job Action SheetsI-JITT principle emphasized: Learning Dimensions (Behavioral need)
SECTION SEVEN: Practice & DemonstrationI-JITT principle emphasized: Learning Styles (Kinesthetic)
Below, you will see a diagram linking each section of the curriculum to the I-JITT model. The principle that is emphasized within each section of the curriculum is highlighted.
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Field Training Guide for Team Leaders 4
GOOD LUCK!
MP/POD LEADERSHIP TEAM JAS . . . . . . . . . . . 19
INTAKE TEAM JAS . . . . . . . . . . . . . . . . . . 22
SCREENING TEAM JAS . . . . . . . . . . . . . . . . 27
LOGISTICS TEAM JAS . . . . . . . . . . . . . . . . 37
FACILITY TEAM JAS . . . . . . . . . . . . . . . . . . 42
HEALTH ASSESSMENT TEAM JAS . . . . . . . . . . . 47
DISPENSING/VACCINATION TEAM JAS . . . . . . . 31
PART 2: JOB ACTION SHEETS (JAS)Tabbed in teal, this section provides general position checklists for functional activities of a mass prophylaxis/POD operation. Each JAS in this toolkit can be found on the following pages and identified by a descriptive icon in the top left corner and along the teal tab of each page.
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Mass Prophylaxis/POD Operations5
TEAM LEADER PREPARATORY CHECKLISTBefore delivering I-JITT to responders, be sure to:
• Sign in at check-in location and collect appropriate identification items.
• Collect resources for responders (e.g. Go Guides, forms, writing utensils, personal protective equipment (PPE)).
• Review notes taken during the operational period briefing.
• Determine how to link key intercultural information (e.g. race/ethnicity, refugee/immigration status, income level, access to transportation, housing status, immunization status, health status, literacy levels, religions) to job roles of assigned responders.
• Become familiar with on-site emergency protocol.• Review JAS and the JAS of assigned responders.
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SECTION 1: WELCOMING RESPONDERS
By the end of this section responders will:
• Understand the value of their contribution
• Be introduced to everyone on their team
• Have all resources needed for their job
SAMPLE LANGUAGE“Welcome, and thanks for being here. Let’s start with some introductions [conduct team introductions]. Currently, our community is facing a public health emergency. We’re here today to protect the public from [insert information about agent/pathogen/threat]. We’ll spend the next thirty minutes or so going over general response information, and then we’ll spend another twenty minutes reviewing job assignments and practicing key job duties.”
“Your role in this response is crucial to its overall success. Staff and resources are limited, and your help is appreciated—we couldn’t do it without you. Keep in mind that this emergency operation is likely to evolve as new information is established. Please stay open-minded and flexible to a changing work environment.”
“Each of you should have a Go Guide. This is a portable resource to keep on hand at all times and includes key response information as well as your Job Action Sheet.”
KEY POINTS✔✔ HAND OUT GO GUIDES
✔✔ PERFORM TEAM INTRODUCTIONS
See Go GuidePage 3
ANY QUESTIONS?
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Mass Prophylaxis/POD Operations7
SECTION 2: MASS PROPHYLAXIS/POD OVERVIEW
KEY POINTS ✔✔ PROVIDE OPERATIONAL OBJECTIVES
✔✔ DESCRIBE POD LAYOUT
SAMPLE LANGUAGE“We will be working for the next several hours to provide [insert name of medicine] to members of the community impacted by this public health emergency. I’d like to take a moment to repeat the operational objectives communicated during the operational briefing. They are as follows: [insert operational objectives].”
“I’d like to review how the POD is organized so that you understand other functional areas involved in the response, as well as how to direct clients through the facility [insert POD description/layout].”
“Finally, I’d like to review some characteristics of [insert agent/pathogen/threat], so that you’re familiar with how it’s impacting the health of individuals—perhaps our friends and family—within our community. We’ll also talk about how it relates to the work you’re about to do.”
By the end of this section responders will:• Understand the public health emergency • Know the operational period objectives• Know key epidemiologic and medical information related
to the agent/pathogen/threat
ANY QUESTIONS?
See Go GuidePage 3
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SECTION 3: CHAIN OF COMMAND
By the end of this section responders will:• Understand the chain of command for communication
within the response• Understand the function of the other teams working in the
response• Obtain contact information from Team Leaders• Know how to respond to media requests
SAMPLE LANGUAGE“You should report directly to your Team Leader with any questions or concerns while working during your shift. This will help manage communication and information exchange in an efficient way.”
“I would like to take a moment to talk about how this response is organized and who’s involved. There are other functional activities underway in this response. They include [describe teams involved in the response (e.g. intake, screening, dispensing/vaccination)]. All of these teams report to different Team Leaders, and there may be multiple Team Leaders for each of the functional activities in order to maintain a span of control of no more than seven responders per team. You will see a diagram in your Go Guide (p.2) illustrating where each team falls within the overall mass prophylaxis/POD operation.”
Note for Team Leader: Diagram is on the following page.
“Finally, I’d like to discuss how to address media requests. All media inquiries should be sent up the chain of command to the Public Information Officer (PIO). Therefore, if you’re asked any questions by a media representative, respectfully decline from answering and report to me.”
KEY POINTS✔✔ REVIEW CHAIN OF COMMAND
✔✔ REVIEW MEDIA INTERACTION PROTOCOL
See Go GuidePage 2
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Mass Prophylaxis/POD Operations9
ANY QUESTIONS?
The above diagram can be found on p.2 of the Go Guide.
SECTION 3: CHAIN OF COMMAND CONTINUED
--- POD ENTRANCE ---
--------- POD EXIT ---------
BASIC POD FLOW
FLOATING POD FUNCTIONS
LEADERSHIP TEAMProvides oversight of POD operations
LOGISTICS TEAMProvides POD Support
FACILITIES TEAMMaintains host facility operations
HEALTH ASSESSMENT TEAMProvides triage and/or behavioral health support
STEP 1: FILL OUT FORMINTAKE TEAMProvides forms/education
STEP 2: SHOW FORMSCREENING TEAMReviews form for errors/contraindications and performs secondary screening
STEP 3: PICK UP MEDICATIONDISPENSING/VACCINATION TEAMProvides medicine/vaccine
STEP 4: GET INFORMATIONINTAKE TEAMProvides forms/education
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ANY QUESTIONS?
SECTION 4: INTERCULTURAL CONSIDERATIONS
By the end of this section responders will:• Understand unique needs of special and culturally-specific
populations • Understand where to access language resources• Understand other agencies involved in the response
KEY POINTS✔✔ SHARE DEMOGRAPHIC INFORMATION
OF IMPACTED COMMUNITY
✔✔ IDENTIFY LANGUAGE RESOURCES AVAILABLE
✔✔ EMPHASIZE THE NEED FOR RESPECTFUL COMMUNICATION
See Go GuidePage 3
SAMPLE LANGUAGE“While serving in this response, you may work with clients or colleagues with backgrounds different from your own. It’s important for you to be aware of the unique differences and needs within our community, so that you’re able to communicate and respond to the needs of others more effectively. Please practice respectful communication and courtesy at all times.”
“I’d like to share with you some key characteristics and demographics of community members who have been impacted by this event—particularly those populations who have been disproportionately impacted [insert key characteristics of impacted community (e.g. race/ethnicity, refugee/immigration status, income level, access to transportation, housing status, immunization status, health status, literacy levels, religions)]. Understanding who you may be interacting with while doing your job will allow you to better engage with these community members.”
“Also, keep in mind the partner agencies involved with this response. Each one brings its own organizational culture, philosophy, and perspective. I ask that you stay flexible and keep an open mind when hearing ideas from others.”
“If you have any concerns or questions about how to approach a culturally challenging situation let me know.”
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SECTION 5: RESPONDER SAFETY & HEALTH
By the end of this section responders will:• Understand that responder safety is a top priority• Know where to locate first aid and behavioral
health resources• Know how to respond in the event of an on-site emergency
SAMPLE LANGUAGE“The safety of responders is my number one priority as your Team Leader. Please keep the following safety principles in mind throughout your shift:
• If you have a life-threatening emergency, call 9-1-1
• Ensure you know how to use any assigned equipment
• Stick to your JAS
• Monitor your stress levels—do only what you physically and mentally can handle
• Stay hydrated
• Observe vehicle safety
• Observe work-rest cycle
• Report all hazards or incidents”
“Some of you may come into close contact with exposed, or possibly exposed, individuals while serving in this response and it’s important that you take the proper precautions to protect yourself and others by washing your hands frequently and correctly wearing appropriate PPE [demonstrate appropriate use of PPE, if applicable]. The proper use and disposal of PPE is critical to infection control efforts.”
KEY POINTS✔✔ SAFETY FIRST
✔✔ REVIEW SAFETY/HEALTH RESOURCES
✔✔ REVIEW ON-SITE EMERGENCY PROTOCOL
See Go GuidePage 4
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ANY QUESTIONS?ANY QUESTIONS?
SAMPLE LANGUAGE CONT’D“The events that are happening in our community are stressful. It’s important to take steps for self-care to ensure you’re able to respond for the duration of your shift. Behavioral Health Specialists and Security personnel are available should you need their assistance during this operation. Additionally, if you encounter a client or colleague who appears physically and/or emotionally distressed you should do the following: [insert protocol for dealing with distressed clients/colleagues].”
“First aid supplies are available for incidents resulting in minor physical harm or injury [provide information on where to access first aid services].”
“In the event that there is an emergency while working at this location, you should do the following: [insert emergency protocol and refer to emergency contact sheet at the end of the Go Guide].”
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EMERGENCY CONTACT SHEETTeam Leader Emergency Contact Information
Primary Phone:
____________________________________
Secondary Phone:
____________________________________
Email:
__________________________________
Public Health Incident website:
________________________________
Health Department website:
_______________________________
Know where the following are located prior to starting your shift:
• Fire extinguisher• First aid station• Behavioral health staff • Windows and exits• Emergency meet up location
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Mass Prophylaxis/POD Operations13
SECTION 6: JOB ACTION SHEETS (JAS)
By the end of this section responders will:• Know how to start and end a shift• Be familiar with assigned job duties
PRE-SHIFT CHECK LIST• Sign in at check-in location and obtain identification items• Report to Team Leader for I-JITT• Sign for any assigned tactical communication equipment,
if needed• Review all forms, materials, or equipment needed for job• Store all personal belongings POST-SHIFT CHECK LIST• Brief replacement, as necessary • Demobilize station, as directed• Fill out I-JITT Evaluation Form• Turn in forms, documentation, and any assigned equipment • Obtain time card signature from Team Leader, if needed• Check out with Team Leader• Sign out at check-out location and turn in identification items• Gather all personal belongings• Participate in post-event meetings, as directed
KEY POINTS✔✔ REVIEW PRE/POST-SHIFT CHECKLISTS
✔✔ REVIEW JOB ACTION SHEETS
See Go GuidePage 7
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ANY QUESTIONS?
SAMPLE LANGUAGE “I would like to cover procedures for beginning and ending your shift. Please turn to the “Pre-Shift Checklist” (p.5) and “Post-Shift Checklist” (p.6) in your Go Guide and follow along as I review the steps.”
“Turn to the JAS section in your Go Guide (p.7) and find your position. Take the next couple of minutes to review your JAS to ensure you understand your assigned duties.”
“Once you’ve reviewed your JAS, we will spend some time practicing essential job duties so that you feel more comfortable and confident working in the response. Some of you may already be familiar with the job you’re assigned, but practice time will benefit those new to the team.”
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Mass Prophylaxis/POD Operations15
ANY QUESTIONS?
SECTION 7: PRACTICE & DEMONSTRATION
By the end of this section responders will:• Practice key job duties through an interactive skill building
session• Be comfortable with assigned job duties
SAMPLE LANGUAGE“ As Team Leader, it’s my responsibility to make sure that you are able to competently perform your job. Being comfortable and confident with your job will allow the mass prophylaxis/POD operation to unfold more efficiently and effectively helping to meet overall operational objectives. Although some of you may be familiar with the job you’ve been assigned, there are others who will be doing tasks for the first time.”
“We’re going to spend the next twenty minutes practicing key job duties listed on your JAS. I’ll provide coaching and answer any questions that you may have along the way. The skills you will be practicing are only a sampling of duties on your JAS and are not intended to be exhaustive of everything you will be expected to do.”
KEY POINTS✔✔ REINFORCE IMPORTANCE OF PRACTICE
✔✔ REVIEW PRACTICE ACTIVITIES
✔✔ CHECK FOR UNDERSTANDING
NOTE FOR TEAM LEADER: Conduct practice session with responders and evaluate progress for the remainder of the I-JITT session.
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Job Action Sheet Example Practice ActivityMass Prophylaxis/POD Supervisor Deliver segments of operational
period briefing
Intake Team Leader **Greeter Work in dyad to review and fill out
intake form via role playHealth Educator Work in dyad to answer questions
from a client via role playInterpreter Work in dyad to practice translating
POD-related information for a client via role play
Screening Team Leader **Screener Review screening algorithm and
make determinations based on pre-filled intake form
Secondary Screener Work in dyad to evaluate client for contraindications via role play
Dispensing/Vaccination Team Leader **Dispenser/Vaccinator Review pre-filled intake form and
distribute appropriate medicineVaccination Assistant Become familiar with intake formPharmacist Practice delivering policies for
prophylaxis preparation to Dispenser/Vaccinator
POD Logistics Team Leader **Information & Technology Staff Test all communication devicesInventory & Supply Staff Fill out inventory supply tracking
sheetRunner Deliver requests and supplies to
POD staff
Flow Monitor Review and walk POD layout/route
Personnel Coordinator Review shift, break, and other applicable parts of staffing plan
Facility Team Leader **
The following table lists all Job Action Sheets included in this toolkit and related examples of practice activities. Activities should be developed by Operations Section leadership and Team Leaders prior to I-JITT.
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Job Action Sheet Cont’d Example Practice ActivitySecurity Staff Review part of or complete security
planTraffic Controller Review traffic flow planFacility Staff Review applicable parts of POD
planHealth Assessment Team Leader **Triage Staff Work in dyad to assess clients for
contraindications and/or symptoms via role play
Behavioral Health Staff Work in dyad to assess clients for emotional distress via role play
**Team Leader positions do not have practice activities during the I-JITT session. Instead, they should become familiar with the toolkit and prepare all practice activities developed for their assigned responders prior to the I-JITT session. They will serve as coaches during the I-JITT session, being careful to assess responder competency with assigned job duties.
Field Training Guide for Team Leaders 18
JOB A
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EETSMASS PROPHYLAXIS/POD OPERATIONS JOB ACTION SHEETS (JAS)The following Job Action Sheets are guiding documents, only, and were developed for general functional activities, or teams, within a mass prophylaxis/POD operations. The position titles used are intended to be in compliance with the National Incident Management System (NIMS), yet general in nature, to allow for local adapting/tailoring based on health department needs and the expansion/contraction of the incident. For example, although “Team Leader” is used in the following JAS, the terms “Task Force Leader” or “Strike Team Leader” may be more appropriate depending on the size and scope of the event.
Each JAS is based on function and not people. Some individuals will perform more than one job function during an emergency response (e.g. one individual may perform case investigation AND contact tracing) while other operations will require more than one person for each function. Not every investigation will require activation of every functional activity, yet a wide range of JAS are offered for more complex and expanding incidents.
All check-in and check-out information was intentionally kept out of JAS and can be found under Section 6 in the Field Training Guide, or on p.5/6 in the Go Guides.
Mass Prophylaxis/POD Operations19
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LEA
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AS
Responsible for meeting safety and productivity expectations for a single POD during an operational period.
REPORTS TO: Branch Director, Operations Section Chief, or Incident Commander as stated in Incident Action Plan (IAP) organization chart
PREFERRED QUALIFICATIONS: Proven leadership experience; general knowledge of local plans for medicine and vaccination prophylaxis operations
• Check in to established location• Review Incident Action Plan (IAP) and define Mass
Prophylaxis/POD operation objectives in coordination with IAP priorities and goals
• Determine strategies to accomplish objectives for the Mass Prophylaxis/POD portion of the IAP; design operational plans and determine resource needs
• Understand general situation and details of assignment, resources, and expectations for safety and productivity (see IAP for details)
• Oversee timely setup or adjustment of POD layout and ensure:• Internal and external security measures are in place• Materials, supplies, prophylaxis, or vaccine are on-site or
in transit• Communication methods (internal and external) are working
• Understand the POD’s support and coordination with the Incident Command Post and other agencies
• Establish chain of command for the Mass Prophylaxis/POD operation
• Coordinate with, or support, the host facility representative, Safety Officer, Public Information Officer, Planning Section’s Situation Unit, Logistics Section’s Communication and Supply Unit, as necessary
MASS PROPHYLAXIS/POD SUPERVISOR
Field Training Guide for Team Leaders 20
MP/PO
D LEA
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M JA
S
• Assign new incoming responders to positions• Review all responder Job Action Sheets (JAS) and delegate
any additional necessary tasks• Establish Team Leaders for each POD function guided by
local POD plans, specific tactical assignment, and available resources
• Brief Team Leaders on IAP, operations, and performance expectations
• Distribute I-JITT Field Training Guide and related resources to Team Leaders
• Monitor the rate in which supplies are depleted and ensure they are resupplied in a way that maintains operations and meets expectations
• Collect regular reports from Team Leaders to maintain situational awareness, to ensure objectives are being met, and for use at operational period briefings
• Prepare and provide regular reports to Operations Section Chief and coordinating/support personnel
• Conduct a site review with host facility personnel noting damage, missing items, etc.
• Debrief with Team Leaders and collect forms and documentation
• Prepare report of activities and events (i.e. use ICS 214 Unit Log) and submit to Operations Section Chief prior to sending to Documentation Unit in Planning Section
• Brief relief for Mass Prophylaxis/POD Supervisor• Debrief with Operations Section Chief prior to ending shift• At completion of operations, oversee demobilization
of POD
MASS PROPHYLAXIS/POD SUPERVISOR CONTINUED
Mass Prophylaxis/POD Operations21
MP/
POD
LEA
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AS PH
I LEAD
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IP TEAM
JOB A
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EETSPERSONNEL COORDINATOR
Oversee POD check-in/check-out procedures, food/beverage coordination, and other human resource needs.
REPORTS TO: Mass Prophylaxis/POD Supervisor
PREFERRED QUALIFICATIONS: Administrative experience; strong communication skills; human resource experience
• Obtain I-JITT from Mass Prophylaxis/POD Supervisor• Maintain the master responder roster• Maintain a personnel log for each shift• Establish a registration station and ensure check-in of all
responders• Ensure responders have appropriate identification (e.g.
vests, badges)• Send responders without proper identification to the Mass
Prophylaxis/POD Supervisor for further direction• Work with Mass Prophylaxis/POD Supervisor to replace
“no-show” responders• Ensure breaks are taken by all responders• Ensure food/beverage is available to all responders on a
regular basis• Collect vests, badges, and other identification items at the
end of shifts• Collect I-JITT evaluation forms• Ensure check-out of all responders• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Provide regular reports to Mass Prophylaxis/POD
Supervisor• Perform other duties as assigned
Field Training Guide for Team Leaders 22
INTA
KE TEA
M JA
SINTAKE TEAM LEADER
Provide leadership and direction and serve as a resource for the Intake Team.
REPORTS TO: Mass Prophylaxis/POD Supervisor
PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills
• Obtain briefing from Mass prophylaxis/POD Supervisor• Review roster of responders assigned to Intake Team• Familiarize self with equipment, supplies, documents, and
forms needed for Intake Team• Familiarize self with appropriate infection control measures/
precautions, isolation and quarantine guidelines, and PPE required for Intake Team
• Familiarize self with I-JITT Field Training Guide and Go Guide
• Conduct I-JITT with assigned responders• Delegate responders to perform any tasks not specifically
assigned on JAS• Distribute intake form• Ensure needs of clients with limited English proficiency
are met• Request personnel, equipment, and other resources to meet
response needs, as needed• Maintain Intake Team log• Order demobilization of the Intake Team• Prepare report of Team activities and events (i.e. use
ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor
• Perform other duties as assigned
Mass Prophylaxis/POD Operations23
INTA
KE
TEA
M J
AS GREETER
Greet clients upon arrival at and exit from the POD.
REPORTS TO: Intake Team Leader
PREFERRED QUALIFICATIONS: Strong communication skills; cultural competency training
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with intake form, materials, and POD flow• Greet clients as they enter the POD• Identify clients with limited English proficiency and alert
interpreters to assist• Provide clients with intake form and education sheets• Orient clients to the POD process:
• Enter POD• Fill out form• Turn in form• Get medicine• Exit POD
• Assist clients with accurate completion of intake form• Review intake form and check for completeness• Provide estimated wait time• Provide location of public restrooms• Answer questions within scope of training and qualifications• Refer client questions to health educator, as appropriate• Watch for clients who appear ill and direct to off-site
medical services per protocol• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients
Field Training Guide for Team Leaders 24
INTA
KE TEA
M JA
S
• Direct requests for additional resources to appropriate Runner
• Provide regular reports to Team Leader• Perform other duties as assigned
GREETER CONTINUED
Mass Prophylaxis/POD Operations25
INTA
KE
TEA
M J
AS
Answer questions and provide education to clients upon entering and exiting the POD.
REPORTS TO: Intake Team Leader
PREFERRED QUALIFICATIONS: Public health or medical background; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with intake form, materials, and POD flow• Assist clients by answering questions related to the agent/
pathogen, symptoms, treatment, or otherwise • Identify clients with limited English proficiency and alert
interpreters to assist• Assist clients in understanding health education materials or
provide them with language appropriate materials • Answer questions within scope of training and qualifications• Work with Information Technology Staff to set up electronic
and AV equipment to help communicate information, as needed
• Accompany clients through POD, as needed• Watch for clients who appear ill and direct to off-site
medical services per protocol• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
HEALTH EDUCATOR
Field Training Guide for Team Leaders 26
INTA
KE TEA
M JA
SINTERPRETER
Assist clients with limited English proficiency in understanding intake form, health education materials, and POD procedures.
REPORTS TO: Intake Team Leader
PREFERRED QUALIFICATIONS: Ability to read and speak the needed language; strong communication skills; cultural competency training
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with all intake form, materials, and POD flow• Work with Greeter and Health Educator to identify and
assist clients with limited English proficiency• Assist clients with completing intake form• Assist clients in understanding health education materials or
provide them with language-appropriate materials• Accompany clients through the POD, as needed• Refer client questions to a health educator, as needed• Watch for clients who appear ill and direct to off-site
medical services per protocol• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
Mass Prophylaxis/POD Operations27
SCR
EEN
ING
TEA
M J
AS
Provide leadership and direction and serve as a resource for the Screening Team.
REPORTS TO: Mass Prophylaxis/POD Supervisor
PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; appropriate licensure for specified duties
• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Screening Team• Familiarize self with equipment, supplies, and forms needed
for Screening Team• Familiarize self with appropriate infection control
measures/precautions, isolation and quarantine guidelines, and PPE required for Screening Team
• Familiarize self with I-JITT Field Training Guide and Go Guide
• Conduct I-JITT with assigned responders• Delegate responders to perform any necessary tasks not
specifically assigned on JAS• Ensure appropriate screening of intake forms among
assigned responders• Ensure needs of clients with limited English proficiency
are met• Request personnel, equipment, and other resources to meet
response needs, as needed • Maintain Screening Team log• Order demobilization of the Screening Team
SCREENING TEAM LEADER
Field Training Guide for Team Leaders 28
SCR
EENIN
G TEA
M JA
SSCREENING TEAM LEADER CONTINUED
• Prepare report of Team activities and events (i.e. use ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor
• Perform other duties as assigned
Mass Prophylaxis/POD Operations29
SCR
EEN
ING
TEA
M J
AS SCREENER
Conduct initial screening of intake form and assess for contraindications.
REPORTS TO: Screening Team Leader
PREFERRED QUALIFICATIONS: Strong understanding of algorithms; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review client intake form for completeness and errors• Work with Triage Staff (if available) to assess client intake
forms for contraindications:• If contraindications exist, direct clients to Health Assessment
Team for more in-depth screening• If no contraindications exist, direct clients to appropriate
prophylaxis station
• Direct clients with questions to a Health Educator or Secondary Screener, as needed
• Alert Team Leader, Security, or Behavioral Health Staff to difficult clients
• Direct requests for additional resources to appropriate Runner
• Provide regular reports to Team Leader• Perform other duties as assigned
Field Training Guide for Team Leaders 30
SCR
EENIN
G TEA
M JA
SSECONDARY SCREENER
Conduct secondary screening of clients with potential contraindications or concerns.
REPORTS TO: Screening Team Leader
PREFERRED QUALIFICATIONS: Appropriate licensure for specified duties; strong communication skills
• Obtain I-JITT from Team Leader• Review secondary review of client intake forms referred
from Screeners, Triage Staff, or otherwise• Identify contraindications with clients and prescribe
appropriate treatment plan• Provide medical information and answer clients’ questions,
as needed• If client clears secondary screening, direct to dispensing/
vaccination station• If client does not clear screening, refer to off-site medical
facility for follow-up per protocol, as appropriate• Watch for clients who appear ill and direct to off-site
medical facility per protocol, as appropriate• Direct requests for additional resources to appropriate
Runner• Alert Team Leader, Security or Behavioral Health Staff to
difficult clients• Provide regular reports to Team Leader• Perform other duties as assigned
Mass Prophylaxis/POD Operations31
DIS
PEN
SIN
G/V
AC
CIN
ATI
ON
TEA
M J
AS DISPENSING/VACCINATION
TEAM LEADER
Oversee and ensure efficient/effective dispensing of medication and vaccine to the public and serve as a resource for the Dispensing/Vaccination Team.
REPORTS TO: Mass Prophylaxis/POD Supervisor
PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; persons qualified to dispense medicine or administer prophylaxis under state law, or who can be legally delegated to do so under appropriate supervision
• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review emergency protocol/standing order• Review roster of responders assigned to Dispensing/
Vaccination Team• Familiarize self with equipment, supplies, and forms needed
for Dispensing/Vaccination Team• Familiarize self with appropriate infection control measures/
precautions, isolation and quarantine guidelines, and PPE required for Dispensing/Vaccination Team
• Familiarize self with I-JITT Field Training Guide and Go Guide
• Conduct I-JITT with assigned responders• Delegate responders to perform any necessary tasks not
specifically assigned on JAS• Ensure proper handling of pharmaceuticals and vaccine• Ensure appropriate dispensing/vaccination to clients• Ensure availability of medication or vaccination information
sheets• Ensure needs of clients with limited English proficiency
are met
Field Training Guide for Team Leaders 32
DISPEN
SING
/VAC
CIN
ATIO
N TEA
M JA
S
• Request personnel, equipment, and other resources to meet response needs, as needed
• Maintain Dispensing/Vaccination Team log• Order demobilization of the Dispensing/Vaccination Team• Prepare report of Team activities and events (i.e. use
ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor
• Perform other duties as assigned
DISPENSING/VACCINATION TEAM LEADER CONTINUED
Mass Prophylaxis/POD Operations33
DIS
PEN
SIN
G/V
AC
CIN
ATI
ON
TEA
M J
AS DISPENSER/VACCINATOR
Dispense medication or administer vaccine to clients.
REPORTS TO: Dispensing/Vaccination Team Leader
PREFERRED QUALIFICATIONS: Appropriate licensure to dispense medicine or administer vaccine under state law, or legally delegated to do so under appropriate supervision; strong communication skills
Dispensing Duties:
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Set up station with appropriate forms, equipment, and
supplies• Review client intake form for approval of medication to be
dispensed and verify consent• Complete labels for unit of usage, per requirements• Place labels on dispensed medicine and intake form• Dispense medicines to clients• Ensure client has medication information sheet• Maintain security and proper storage of medications • Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional supplies to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
Field Training Guide for Team Leaders 34
DISPEN
SING
/VAC
CIN
ATIO
N TEA
M JA
S
Vaccination Duties:
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Set up station with appropriate forms, equipment, and
supplies• Coordinate with Vaccination Assistant, as necessary• Review client forms for approval of vaccine to be
administered and verify consent• Administer vaccine to clients• Ensure client has vaccination information sheet• Assess client for immediate reaction• Maintain security and proper storage of vaccine• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional supplies to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
DISPENSER/VACCINATOR CONTINUED
Mass Prophylaxis/POD Operations35
DIS
PEN
SIN
G/V
AC
CIN
ATI
ON
TEA
M J
AS
Assist with the preparation of vaccine and related materials for the vaccination of clients.
REPORTS TO: Dispensing/Vaccination Team Leader
PREFERRED QUALIFICATIONS: Persons qualified to administer vaccine under state law or legally delegated to do so under appropriate supervision; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Assist with setting up vaccination station• Ensure all supplies are available• Assist Vaccinator by:
• Preparing needle and vaccine, as needed• Reviewing client’s paperwork, as needed• Documenting administration of vaccination on client forms,
as needed• Assisting with bandaging, as needed
• Collect completed forms• Fill in for Vaccinator, as necessary• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
VACCINATION ASSISTANT
Field Training Guide for Team Leaders 36
DISPEN
SING
/VAC
CIN
ATIO
N TEA
M JA
S
Support dispensing and vaccination operations and provide subject matter expertise, as needed.
REPORTS TO: Dispensing/Vaccination Team Leader
PREFERRED QUALIFICATIONS: Licensed pharmacist; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review emergency protocol/standing order• Instruct Dispensing/Vaccination Team on policies and
methods for preparation of medicine or vaccination• Check and assist with set-up of pharmaceutical supplies and
medication information sheets• Ensure appropriate dispensing/vaccination to clients• Ensure appropriate labeling of medication/vaccination• Act as technical resource for Dispensing/Vaccination Team• Provide consultation to clients• Compound, dilute and/or create drug suspensions, as
needed• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
PHARMACIST
Mass Prophylaxis/POD Operations37
LOG
ISTI
CS
TEA
M J
AS LOGISTICS TEAM LEADER
Ensure efficient and effective operations within the POD and serve as a resource for the Logistics Team.
REPORTS TO: Mass Prophylaxis/POD Supervisor
PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; experience with coordinating logistics; facilities management; security background
• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Logistics Team• Familiarize self with equipment, supplies, and forms needed
for Logistics Team• Familiarize self with appropriate infection control
measures/precautions, isolation and quarantine guidelines, and PPE required for Logistics Team
• Familiarize self with I-JITT Field Training Guide and Go Guide
• Conduct I-JITT with assigned responders• Delegate responders to perform any necessary tasks not
specifically assigned on JAS• Ensure needs of clients with limited English proficiency
are met• Request personnel, equipment, and other resources to meet
response needs, as needed• Maintain Logistics Team log • Order demobilization of the Logistics Team• Prepare report of Team activities and events (i.e. use
ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor
• Perform other duties as assigned
Field Training Guide for Team Leaders 38
LOG
ISTICS TEA
M JA
S
Maintain good working order of computers, communication equipment, and devices.
REPORTS TO: Logistics Team Leader
PREFERRED QUALIFICATIONS: Information and communications technology experience; strong communication skills; ability to engage in moderate physical activity
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Set up computers or ensure working status of on-site
computers• Ensure internet access and printer and fax connection• Test communication devices and assign to responders, as
appropriate• Give training on use of computers and communication
devices to responders, as appropriate• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
INFORMATION TECHNOLOGY STAFF
Mass Prophylaxis/POD Operations39
LOG
ISTI
CS
TEA
M J
AS
Assist Runner with maintaining necessary medication(s) and supplies at all POD stations.
REPORTS TO: Logistics Team Leader
PREFERRED QUALIFICATIONS: Strong organization skills; strong communication skills; ability to remain on feet and carry supplies for an extended period of time
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Ensure receipt of supplies required to set up and operate
the POD• Utilize pharmaceutical inventory management forms for
receiving, tracking, and ordering pharmaceuticals (e.g. Bin Card, Room Record, Order Form)
• Direct Runner to restock POD station supplies, as needed• Keep track of medication inventory• Direct requests for additional resources to appropriate
Runner• Assist with off-loading and storage of incoming supplies• Assist Team Leader with inventory control tasks• Assist Runner with monitoring supplies at dispensing/
vaccination stations, as needed• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
INVENTORY & SUPPLY STAFF
Field Training Guide for Team Leaders 40
LOG
ISTICS TEA
M JA
SRUNNER
Obtain and provide requested medication(s) and supplies to all POD staff.
REPORTS TO: Logistics Team Leader
PREFERRED QUALIFICATIONS: Strong organizational skills; strong communication skills; ability to remain on feet and carry supplies for an extended period of time
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Deliver messages to POD stations, as needed • Deliver/carry supplies to POD stations as directed• Run errands for POD responders, as needed• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Provide regular reports to Team Leader• Perform other duties as assigned
Mass Prophylaxis/POD Operations41
LOG
ISTI
CS
TEA
M J
AS
Ensure efficient flow of clients through the POD.
REPORTS TO: Logistics Team Leader
PREFERRED QUALIFICATIONS: Understanding of POD set-up and flow; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Direct clients to appropriate entrances/exits, stations, and
other personnel• Monitor overall POD flow• Trouble-shoot “bottlenecks”• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
FLOW MONITOR
Field Training Guide for Team Leaders 42
FAC
ILITY TEA
M JA
SFACILITY TEAM LEADER
Ensure efficient and effective operations inside/outside the POD and serve as a resource for the Facility Team.
REPORTS TO: Mass Prophylaxis/POD Supervisor
PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; facilities management and security experience
• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Facility Team• Familiarize self with equipment, supplies, and forms needed
for Facility Team• Familiarize self with appropriate infection control measures/
precautions, isolation and quarantine guidelines, and PPE required for Facility Team
• Familiarize self with I-JITT Field Training Guide and Go Guide
• Conduct I-JITT with assigned responders• Delegate responders to perform any necessary tasks not
specifically assigned on JAS• Ensure needs of clients with limited English proficiency
are met• Request personnel, equipment, and other resources to meet
response needs, as needed• Maintain Facility Team log• Order demobilization of the Facility Team• Prepare report of Team activities and events (i.e. use
ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor
• Perform other duties as assigned
Mass Prophylaxis/POD Operations43
FAC
ILIT
Y T
EAM
JA
S
Coordinate internal and external POD security and safety measures.
REPORTS TO: Facility Team Leader
PREFERRED QUALIFICATIONS: Law enforcement or security background; strong communication skills; crowd control experience
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Review security plan with Team Leader, or work with Team
Leader to perform security assessment if a site-specific plan is not in place
• Work with Personnel Coordinator to confirm identification of responders
• Maintain security of POD supplies, entrances, and exits• Unlock doors for personnel and clients, as needed• Monitor behavior of responders and clients• Assist responders with difficult or disruptive clients; call for
backup, as needed• Work with Traffic Controller to direct and confirm
identification of delivery vehicles• Report security incidents and threats to Team Leader• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
SECURITY STAFF
Field Training Guide for Team Leaders 44
FAC
ILITY TEA
M JA
STRAFFIC CONTROLLER
Control and monitor the flow of pedestrian and vehicle traffic outside of the POD.
REPORTS TO: Facility Team Leader
PREFERRED QUALIFICATIONS: Law enforcement or security background; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Determine and get approval of traffic flow pattern• Direct all vehicular traffic• Direct the public to appropriate POD entrances/exits• Monitor and resolve traffic flow problems• Work with Security Staff to identify and direct delivery
vehicles• Record and report traffic control incidents to Team Leader
or appropriate law enforcement• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
Mass Prophylaxis/POD Operations45
FAC
ILIT
Y T
EAM
JA
S
Responsible for receipt and storage of medication, vaccine, and supplies.
REPORTS TO: Facility Team Leader
PREFERRED QUALIFICATIONS: Strong organizational skills; strong communication skills; inventory control experience
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Work with Traffic Controller and Security Staff to
coordinate activities for arrival, receipt and storage of medicine and other supplies, which may include:
• Preparing off-loading site• Ensuring storage needs (e.g. temperature control)• Working with Security Staff to secure medications and
supplies
• Establish documentation and sign-off procedures for supply delivery
• Coordinate with Inventory Staff and Runners for delivery of supplies to POD stations
• Confirm location of needed furniture, equipment, and supplies
• Confirm availability of refrigeration• Assist with set-up of POD-related equipment• Trouble-shoot electrical, equipment, or other facility-related
problem• Follow schedule for garbage removal from break areas,
restrooms, and POD stations• Follow medical waste management protocols• Provide additional facility support, as needed
FACILITY STAFF
Field Training Guide for Team Leaders 46
FAC
ILITY TEA
M JA
SFACILITY STAFF CONTINUED
• Alert Team Leader, Security, or Behavioral Health Staff to difficult clients
• Direct requests for additional resources to appropriate Runner
• Provide regular reports to Team Leader• Perform other duties as assigned
Mass Prophylaxis/POD Operations47
HEA
LTH
ASS
ESSM
ENT
TEA
M J
AS
Oversee assessment of patients needing medical evaluation and serve as a resource for the Health Assessment Team.
REPORTS TO: Mass Prophylaxis/POD Supervisor
PREFERRED QUALIFICATIONS: Proven leadership skills; strong communication skills; medical background; appropriate licensure for specified duties
• Obtain briefing from Mass Prophylaxis/POD Supervisor• Review roster of responders assigned to Health Assessment
Team• Familiarize self with equipment, supplies, and forms needed
for Health Assessment Team• Familiarize self with appropriate infection control measures/
precautions, isolation and quarantine guidelines, and PPE required for Health Assessment Team
• Familiarize self with I-JITT Field Training Guide and Go Guide
• Conduct I-JITT with assigned responders• Delegate responders to perform any necessary tasks not
specifically assigned on JAS• Oversee triage of clients prior to entering the POD• Ensure appropriate health assessment of clients with
potential contraindications to medication or vaccine• Ensure needs of clients with limited English proficiency
are met• Request personnel, equipment, and other resources to meet
response needs, as needed• Maintain Health Assessment Team log
HEALTH ASSESSMENT TEAM LEADER
Field Training Guide for Team Leaders 48
HEA
LTH A
SSESSMEN
T TEAM
JAS
HEALTH ASSESSMENT TEAM LEADER CONTINUED
• Order demobilization of the Health Assessment Team • Prepare report of Team activities and events (i.e. use
ICS 214 Unit Log) and submit to Mass Prophylaxis/POD Supervisor
• Perform other duties as assigned
Mass Prophylaxis/POD Operations49
HEA
LTH
ASS
ESSM
ENT
TEA
M J
AS
Provide initial screening of clients for specific medical needs prior to entering the POD.
REPORTS TO: Health Assessment Team Leader
PREFERRED QUALIFICATIONS: Medical background; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Familiarize self with all need forms and materials, and POD
flow• Monitor clients arriving at the POD• Make regular announcements to arriving clients that the
POD does not provide medical treatment; redirect ill clients to a medical treatment facility, as appropriate
• Respond to responders who have identified an ill client• Direct clients needing further assessment to a Secondary
Screener• Alert Team Leader, Security, or Behavioral Health Staff to
difficult clients• Direct requests for additional resources to an appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
TRIAGE STAFF
Field Training Guide for Team Leaders 50
HEA
LTH A
SSESSMEN
T TEAM
JAS
BEHAVIORAL HEALTH STAFF
Assist clients or responders with individual counseling or support.
REPORTS TO: Health Assessment Team Leader
PREFERRED QUALIFICATIONS: Licensed mental health professional, chaplain, crisis counselor, intervention specialist, or otherwise with appropriate licensure for specified duties; strong communication skills
• Obtain I-JITT from Team Leader• Use PPE as directed by Team Leader• Set up station and ensure a private area to assist clients
and responders• Provide mental health support, education, or therapeutic
intervention, as needed• Refer persons to outside sources of support as necessary • Assist client or responder into or out of the POD, as needed• Respond to responders who identify an ill client• Conduct follow-up with client or responder, as appropriate• Document all therapeutic activities and actions taken• Direct requests for additional resources to appropriate
Runner• Provide regular reports to Team Leader• Perform other duties as assigned
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