1. Strategic National Stockpile (SNS): What it means to you! Jacquelyn Roberson, RN, BSN Maine CDC Michael Radke, RRT, A.S., B.S. Portland Public Health

2. Welcome Introductions Introductions Objectives for this session: Objectives for this session: 1.Provide an overview of the Strategic National Stockpile (SNS) 2.Describe the Federal, State and Local roles in the planning and deployment of the SNS 3.Review the main functions of SNS with focus area of mass medication dispensing efforts 4.Discuss the importance of partnerships

3. The Federal Focus: What is the Strategic National Stockpile? National Security Asset National Security Asset Reason for existence Reason for existence Deployment of assets Deployment of assets –12 hour Push Package –Managed Inventory

4. Main Functions of the SNS Plan Plan Request Request Command and Control Command and Control Receive, Stage and Store (RSS) Receive, Stage and Store (RSS) Distribution Distribution Dispensing Dispensing

5. Main SNS Functions (cont.) Communications Communications Security Support Security Support Training, Exercise, Evaluation Training, Exercise, Evaluation

6. What is the DSNS? Services and professionals Services and professionals Mission: Deliver pharmaceuticals and other medical material to the site of a large scale emergency Mission: Deliver pharmaceuticals and other medical material to the site of a large scale emergency

7. Prior to emergency Educate Educate Assist Assist Procure, stock and manage Procure, stock and manage Establish and maintain transportation Establish and maintain transportation

8. During an emergency Ship medical materiel Ship medical materiel Technical support Technical support

9. The State Responsibility: Maine Department of Health and Human Services Maine CDC Key responsibilities: Key responsibilities: 1.Surveillance 2.Education 3.Incident management 4.Evaluation 5.Building partnerships 6.Planning a coordinated, integrated and effective Response

10. Local/County Roles Assist in determining points of dispensing- PODs Assist in determining points of dispensing- PODs Identification of support personnel Identification of support personnel Coordinate with public safety to assist with security support Coordinate with public safety to assist with security support Coordinate with local EMA in SNS response planning/efforts Coordinate with local EMA in SNS response planning/efforts Coordinate with the state SNS plan Coordinate with the state SNS plan

11. Cities Readiness Initiative Maines initial CRI cities were defined as Portland, South Portland and Biddeford Maines initial CRI cities were defined as Portland, South Portland and Biddeford Metropolitan Services Area (MSA) includes Cumberland, York and Sagadahoc Metropolitan Services Area (MSA) includes Cumberland, York and Sagadahoc Ultimate objective=minimize loss of lives by mass dispensing meds and supplies to 100% of cities population within 48 hours! Ultimate objective=minimize loss of lives by mass dispensing meds and supplies to 100% of cities population within 48 hours!

12. CRI cont. Portland Public Health and its key partners Portland Public Health and its key partners Planning progress in the past 2 years Planning progress in the past 2 years Challenges remaining Challenges remaining Plans for moving forward Plans for moving forward

13. Mass Dispensing

14. Tactics and Resources Determine the number, size and location of clinics Determine the number, size and location of clinics What resources will be needed What resources will be needed Adjust site staffing Adjust site staffing TP (HPP-S) PPH=PODs

15. Develop clinic processes Determine optimal clinic layout Determine optimal clinic layout –Issues to consider: »Separating out ill »Adapting to changing needs »Providing roamers »Enabling batching »Providing for a Family Lane List staff needed List staff needed Determine documentation needs Determine documentation needs

16. Current Clinic Organization Develop clinic structure & roles Develop clinic structure & roles –POD Manager –Security/Traffic/Facility Team Leader –Education/Forms Leader –Clinic Flow Team Leader –Clinical Task Force Leader Integrate with local All-Hazards Planning with the local EMA Integrate with local All-Hazards Planning with the local EMA

17. Clinic organization, cont. Mass dispensing floor plan Mass dispensing floor plan Instructions for patient flow Instructions for patient flow Clinic staffing guidelines Clinic staffing guidelines –Mass medications –Vaccinations Training Training

18. Key Partners MEMA MEMA Portland Public Health/Bangor Public Health Portland Public Health/Bangor Public Health County & Local EMA County & Local EMA Law enforcement Law enforcement Fire Fire EMS EMS National Guard National Guard Hospitals/RRC Hospitals/RRC

19. Key Partners (cont.) Medical Providers Medical Providers DOT DOT Red Cross and other volunteers Red Cross and other volunteers Federal partners Federal partners Pharmacists Pharmacists Other Maine CDC programs and divisions Other Maine CDC programs and divisions

20. Individual Preparedness Personal Preparedness: MEMA Personal Preparedness: MEMA –Make a plan –Be informed –Be safe Explore professional/job commitments Explore professional/job commitments Evaluate where you will be in an emergency Evaluate where you will be in an emergency Think about your community involvement Think about your community involvement

21. It takes all of us! How do you see your role in an public health emergency such as an SNS event? How do you see your role in an public 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 deployment? Do you think you might help in an SNS deployment? Would you like to be involved in training/exercising/participating? Would you like to be involved in training/exercising/participating?

22. Thank you ! Jacquelyn Roberson SNS Coordinator Maine CDC 207-287-4224 Michael Radke CRI Coordinator Portland Public Health 207-756-8052