Strategic National Stockpile (SNS): Strategic National Stockpile (SNS): What it means to you!What it means to you!

Jacquelyn Roberson, RN, BSNJacquelyn Roberson, RN, BSN

Maine CDCMaine CDC

Michael Radke, RRT, A.S., B.S. Michael Radke, RRT, A.S., B.S.

Portland Public HealthPortland Public Health

WelcomeWelcome

IntroductionsIntroductions Objectives for this session:Objectives for this session:

1.1. Provide an overview of the Strategic National Provide an overview of the Strategic National Stockpile (SNS)Stockpile (SNS)

2.2. Describe the Federal, State and Local roles in the Describe the Federal, State and Local roles in the planning and deployment of the SNSplanning and deployment of the SNS

3.3. Review the main functions of SNS with focus area of Review the main functions of SNS with focus area of mass medication dispensing effortsmass medication dispensing efforts

4.4. Discuss the importance of partnershipsDiscuss the importance of partnerships

The Federal Focus:The Federal Focus:What is the Strategic National What is the Strategic National

Stockpile?Stockpile? National Security AssetNational Security Asset Reason for existence Reason for existence Deployment of assetsDeployment of assets

– 12 hour Push Package12 hour Push Package– Managed InventoryManaged Inventory

Main Functions of the SNSMain Functions of the SNS

PlanPlan RequestRequest Command and ControlCommand and Control Receive, Stage and Store (RSS)Receive, Stage and Store (RSS) DistributionDistribution DispensingDispensing

Main SNS Functions (cont.)Main SNS Functions (cont.)

CommunicationsCommunications Security SupportSecurity Support Training, Exercise, EvaluationTraining, Exercise, Evaluation

What is the DSNS?What is the DSNS?

Services and professionalsServices and professionals Mission: Deliver pharmaceuticals and other Mission: Deliver pharmaceuticals and other

medical material to the site of a large scale medical material to the site of a large scale emergencyemergency

Prior to emergencyPrior to emergency

EducateEducate AssistAssist Procure, stock and manageProcure, stock and manage Establish and maintain transportationEstablish and maintain transportation

During an emergencyDuring an emergency

Ship medical materielShip medical materiel Technical supportTechnical support

The State Responsibility:The State Responsibility:Maine Department of Health and Maine Department of Health and

Human ServicesHuman ServicesMaine CDCMaine CDC

Key responsibilities:Key responsibilities:1.1. SurveillanceSurveillance2.2. EducationEducation3.3. Incident managementIncident management4.4. EvaluationEvaluation5.5. Building partnershipsBuilding partnerships6.6. Planning a coordinated, integrated and effective Planning a coordinated, integrated and effective

ResponseResponse

Local/County RolesLocal/County Roles

Assist in determining points of dispensing- Assist in determining points of dispensing- PODsPODs

Identification of support personnelIdentification of support personnel Coordinate with public safety to assist with Coordinate with public safety to assist with

security supportsecurity support Coordinate with local EMA in SNS Coordinate with local EMA in SNS

response planning/effortsresponse planning/efforts Coordinate with the state SNS planCoordinate with the state SNS plan

Cities Readiness InitiativeCities Readiness Initiative

Maine’s initial CRI cities were defined as Maine’s initial CRI cities were defined as Portland, South Portland and BiddefordPortland, South Portland and Biddeford

Metropolitan Services Area (MSA) includes Metropolitan Services Area (MSA) includes Cumberland, York and SagadahocCumberland, York and Sagadahoc

Ultimate objective=minimize loss of lives by mass Ultimate objective=minimize loss of lives by mass dispensing meds and supplies to 100% of cities dispensing meds and supplies to 100% of cities population within 48 hours!population within 48 hours!

CRI cont.CRI cont.

Portland Public Health and it’s key partnersPortland Public Health and it’s key partners Planning progress in the past 2 yearsPlanning progress in the past 2 years Challenges remainingChallenges remaining Plans for moving forwardPlans for moving forward

Mass DispensingMass Dispensing

Tactics and ResourcesTactics and Resources

Determine the number, size and location of Determine the number, size and location of clinicsclinics

What resources will be neededWhat resources will be needed Adjust site staffingAdjust site staffing

TPTP(HPP-S)(HPP-S)PPH=PODsPPH=PODs

Develop clinic processesDevelop clinic processes

Determine optimal clinic layoutDetermine optimal clinic layout– Issues to consider:Issues to consider:

» Separating out illSeparating out ill

» Adapting to changing needsAdapting to changing needs

» Providing roamersProviding roamers

» Enabling batchingEnabling batching

» Providing for a “Family Lane”Providing for a “Family Lane”

List staff neededList staff needed Determine documentation needsDetermine documentation needs

Current Clinic OrganizationCurrent Clinic Organization Develop clinic structure & roles Develop clinic structure & roles

– POD ManagerPOD Manager– Security/Traffic/Facility Team LeaderSecurity/Traffic/Facility Team Leader– Education/Forms LeaderEducation/Forms Leader– Clinic Flow Team LeaderClinic Flow Team Leader– Clinical Task Force LeaderClinical Task Force Leader

Integrate with local “All-Hazards” Planning Integrate with local “All-Hazards” Planning with the local EMAwith the local EMA

Clinic organization, cont.Clinic organization, cont.

Mass dispensing floor planMass dispensing floor plan Instructions for patient flowInstructions for patient flow Clinic staffing guidelinesClinic staffing guidelines

– Mass medicationsMass medications– VaccinationsVaccinations

TrainingTraining

Key PartnersKey Partners

MEMAMEMA Portland Public Health/Bangor Public HealthPortland Public Health/Bangor Public Health County & Local EMACounty & Local EMA Law enforcementLaw enforcement FireFire EMSEMS National GuardNational Guard Hospitals/RRCHospitals/RRC

Key Partners (cont.)Key Partners (cont.)

Medical ProvidersMedical Providers DOTDOT Red Cross and other volunteersRed Cross and other volunteers Federal partnersFederal partners PharmacistsPharmacists Other Maine CDC programs and divisionsOther Maine CDC programs and divisions

Individual PreparednessIndividual Preparedness

Personal Preparedness: MEMAPersonal Preparedness: MEMA– Make a planMake a plan– Be informedBe informed– Be safeBe safe

Explore professional/job commitmentsExplore professional/job commitments Evaluate where you will be in an Evaluate where you will be in an

emergencyemergency Think about your community involvementThink about your community involvement

It takes all of us!It takes all of us!

How do you see your role in an public How do you see your role in an public health emergency such as an SNS event?health emergency such as an SNS event?

How might you get involved?How might you get involved? Do you think you might help in an SNS Do you think you might help in an SNS

deployment?deployment? Would you like to be involved in Would you like to be involved in

training/exercising/participating?training/exercising/participating?

Thank you !Thank you !

Jacquelyn RobersonJacquelyn Roberson

SNS CoordinatorSNS Coordinator

Maine CDCMaine CDC

207-287-4224207-287-4224

Michael RadkeMichael Radke

CRI CoordinatorCRI Coordinator

Portland Public Portland Public HealthHealth

207-756-8052207-756-8052