Transcript Strategic National Stockpile Overview

Strategic National Stockpile
Overview: Volunteer Training
WASHTENAW COUNTY HEALTH
DEPARTMENT
555 TOWNER ST.
YPSILANTI, MI 48197
734-544-6700
SNS Objectives
 Discuss what SNS is
 How it works
 Chain of authority
 Dispensing of material
 Roles for Volunteers
Definition
 A national repository of medical materials used to
augment public health agencies in a disaster or
emergency
Background
 Originated as the National Pharmaceutical Stockpile
Program in 1999
 Designed to assist the civilian population in responding
to a terrorist attack
 In March of 2003 it was renamed the Strategic
National Stockpile Program and is presently
coordinated by the Department of Health and Human
Services.
Content
 Pharmaceuticals
 Medical Supplies
 Medical
equipment
2 Forms
 12-hour Push Packs
 Managed Inventory
12-Hour Push Package
 12 undisclosed
locations
 Designed for rapid
delivery
 12 hours or less
 Contain all items
within the SNS
formulary
Managed Inventory
 Arrives within 24-36 hours
 97% of the SNS assets
 Role:
 Re-supply the Push Packages
 Offers larger amounts of
supplies
 Contains extra items that
Push Packs don’t have
 In some cases, managed
inventory may be sent instead
of Push Package
SNS Use
 In
the event of a:
 Major disease outbreak
 Natural disaster
 Terrorist attack
 Other national emergency
 When local resources are depleted or expected to
be inadequate
Steps for Acquiring SNS Assets
 Request for assistance
 Receipt, Stage, Store of materials
 Inventory Management of materials
 Distribution of materials
 Dispensing materials
 Security of materials
Request
1. Collaborative decision process
2. Local
 Health Officer/Director
 Consultation with Wash. Co.
Emergency Management
Division
3. State
 Notification to State Emergency
Operation Center and Comm.
Health Emergency Coord.
Center
 Governor formally requests SNS
assets from the Centers for
Disease Control
Flow of Supplies/Assets
 Federal
State
Michigan
RSS
SNS Assets
County
Distribution
Node
Treatment
Center
Dispensing
Site 1
Dispensing
Site 2
Dispensing
Site 3
Transporting Assets
Receiving
Federal role
 Deliver SNS assets to state RSS
 Provide technical assistance &
personnel
State:
 Receives & accepts custody of
supplies from CDC
 Supplies are staged and stored
 Supplies are distributed to distribution
node or treatment centers.
County:
 Receives & accepts custody of
supplies from the state
RSS: Staging Function
 Breakdown the
contents of the SNS
containers
 Materials placed on
pallets for distribution
RSS: Storing Function
 Materials are stored in the
warehouse for easy
identification and
movement.
 Supplies are stored until
they are needed for
repackaging and delivery
to Distribution Nodes and
Treatment Centers.
Spring H1N1 2009 – Warehouse Activities
Flow of Supplies/Assets: Distribution Nodes
 Federal
State
Michigan
RSS
SNS Assets
County
Distribution
Node
Treatment
Center
Dispensing
Site 1
Dispensing
Site 2
Dispensing
Site 3
County Level: Distribution Node
 State to County:
Local Health
Department
Distribution Nodes
 Chain of Custody
 Each site is secured

SNS Dispensing Function
 The Dispensing Function
provides prophylactic
medication to the general public.
 Responsibility of local health
department.
 Mass dispensing of medications
often relies heavily on local
partnerships and volunteers like
YOU!.
Point of Dispensing (PODs)
 Open PODs
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
Sites are open to the public
Large facilities with plenty of parking and space for crowd and traffic
control
Strategically located within the local jurisdiction (by population and
distance)
Rely heavily on volunteers to help staff the PODs
 Closed PODs

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Pre-identified partnerships
Transfer custody of supplies to point of contact at facility
SNS supplies are dispensed to the agency’s staff, families of staff, and
patients (if applicable).
The agency identifies personnel from within to dispense medications
H1N1 Indoor Open Dispensing Site
Seasonal Flu Drive-thru Dispensing Site
What You Should Know About SNS Meds
 The medicine is FREE for everyone
 Stockpile is large enough to protect people in several
large cities at the same time
 There is a plan to ensure that there are enough
supplies to protect all community members
Security
 Escort for transportation
vehicles moving SNS assets
 Security at the State RSS
site, local distribution
nodes, and dispensing sites
 Security of volunteers and
personnel
Possible Roles for Volunteers
 Medical Staff (e.g. doctors, nurses, EMT)
 Dispensing of medication
 Emergency transportation
 Security
 Directing traffic (vehicles or people)
 Data collection, signing people in, handing out wrist bands
 Handing out supplies
 Staffing the Points of Dispensing (PODs)
 Running errands
 Animal care (?)
Volunteers
Are there any questions we may answer?
Special Thanks
 Susan Cerniglia
 Jennifer Hankinson, Michigan Department of
Community Health