SNS_Strategic National Stockpile

							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
                   Welcome
    Introductions
    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
        The Federal Focus:
    What is the Strategic National
              Stockpile?
 National Security Asset
 Reason for existence
 Deployment of assets
    – 12 hour Push Package
    – Managed Inventory
    Main Functions of the SNS
 Plan
 Request
 Command and Control
 Receive, Stage and Store (RSS)
 Distribution
 Dispensing
    Main SNS Functions (cont.)
 Communications
 Security Support
 Training, Exercise, Evaluation
          What is the DSNS?
 Services and professionals
 Mission: Deliver pharmaceuticals and other
  medical material to the site of a large scale
  emergency
          Prior to emergency

 Educate
 Assist
 Procure, stock and manage
 Establish and maintain transportation
        During an emergency
 Ship medical materiel
 Technical support
        The State Responsibility:
     Maine Department of Health and
            Human Services
              Maine CDC
    Key responsibilities:
    1.   Surveillance
    2.   Education
    3.   Incident management
    4.   Evaluation
    5.   Building partnerships
    6.   Planning a coordinated, integrated and effective
         Response
         Local/County Roles
 Assist in determining points of dispensing-
  PODs
 Identification of support personnel
 Coordinate with public safety to assist with
  security support
 Coordinate with local EMA in SNS
  response planning/efforts
 Coordinate with the state SNS plan
       Cities Readiness Initiative
   Maine’s initial CRI cities were defined as
    Portland, South Portland and Biddeford
   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!
                CRI cont.
 Portland Public Health and it’s key partners
 Planning progress in the past 2 years
 Challenges remaining
 Plans for moving forward
Mass Dispensing
        Tactics and Resources
 Determine the number, size and location of
  clinics
 What resources will be needed
 Adjust site staffing
    TP(HPP-S)PPH=PODs
        Develop clinic processes
   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
 Determine documentation needs
        Current Clinic Organization
   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
       Clinic organization, cont.
 Mass dispensing floor plan
 Instructions for patient flow
 Clinic staffing guidelines
    – Mass medications
    – Vaccinations
   Training
                 Key Partners
   MEMA
   Portland Public Health/Bangor Public Health
   County & Local EMA
   Law enforcement
   Fire
   EMS
   National Guard
   Hospitals/RRC
        Key Partners (cont.)
 Medical Providers
 DOT
 Red Cross and other volunteers
 Federal partners
 Pharmacists
 Other Maine CDC programs and divisions
        Individual Preparedness
   Personal Preparedness: MEMA
    – Make a plan
    – Be informed
    – Be safe
 Explore professional/job commitments
 Evaluate where you will be in an emergency
 Think about your community involvement
          It takes all of us!

 How do you see your role in an public
  health emergency such as an SNS event?
 How might you get involved?
 Do you think you might help in an SNS
  deployment?
 Would you like to be involved in
  training/exercising/participating?
              Thank you !

Jacquelyn Roberson   Michael Radke
SNS Coordinator      CRI Coordinator
Maine CDC            Portland Public Health
207-287-4224         207-756-8052