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Inclusive Just-in-Time Training Toolkit - the Advanced Practice

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					  Inclusive Just-in-Time Training Toolkit
  for
  Mass Prophylaxis/Point of Dispensing (POD)
  Operations




  Multnomah County Health Department
  Advanced Practice Center
  Revised October 2011




Each component of the toolkit is included in this
comprehensive MS Word document. Components will
need to be separated by the adopting local health
department, as needed (e.g. separating out the Go
Guide for the Dispensing/Vaccination Team). For
technical assistance using this product, please contact
apc@multco.us.
I-JITT for MP/POD – Revised October 2011


IMPLEMENTATION GUIDE

OBJECTIVES
 To assist local health department (LHD) preparedness planners integrate the
  Inclusive Just-in-Time Training (I-JITT) model into a rapid training program before
  and during a public health emergency requiring mass dispensing activities.
 To increase volunteer and surge capability and capacity within LHDs.

TARGET AUDIENCE
 Preparedness planners and trainers
 Leadership positions within the Operations Section of the Incident Command System

TARGET LENGTH
This toolkit should take approximately one hour to implement. A breakdown of the
timeline for the three major components is as follows:
 Operational Period Briefing:           10 mins.
 I-JITT Curriculum Delivery:            30 mins.
 I-JITT Practice Sessions:              20 mins.

I-JITT PRINCIPLES
This toolkit is based on an inclusive approach to training, or one that considers the
following adult learning theory principles:

 Learning Dimensions: Cognitive, behavioral and affective needs of responders;
 Learning Styles: Visual, auditory, kinesthetic; and
 Cultural Context: Individual, group and organizational influences.




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I-JITT for MP/POD – Revised October 2011


TOOLKIT CONTENTS:
  Mass Prophylaxis/POD Supervisor Briefing Checklist
  Operational Period Briefing Notes Page
  Field Training Guide for Team Leaders
  Go Guide for Responders
  Inclusive JITT Evaluation Form

MASS PROPHYLAXIS/POD SUPERVISOR BRIEFING CHECKLIST
Who: Mass Prophylaxis/POD Supervisor
What: A checklist that allows mass prophylaxis/POD leadership to confidently and
succinctly brief responders on the current operational period
Where: In-person group meeting; conference call may be needed to brief field staff
When: Start of each operational period (e.g. every 8, 10 or 12 hrs)
Why: Ensures all responders have an understanding of objectives and expectations for
the current operational period
How: The Mass Prophylaxis/POD Supervisor should work with the Operations Section
Chief when preparing the Checklist to ensure information is consistent with that included
in the Incident Action Plan (IAP)
Print Format: 8.5” x 11”

OPERATIONAL PERIOD BRIEFING NOTES PAGE
Who: Team Leaders
What: A resource for notetaking during the operational period briefing
Where: Operational period briefing
When: While the Mass Prophylaxis/POD Supervisor delivers the operational period
briefing
Why: Ensures Team Leaders are able to communicate incident-specific information
while they deliver I-JITT to responders
How: The Mass Prophylaxis/POD Supervisor will give each Team Leader a notes page
to record information from the operational period briefing
Print Format: 8.5” x 11” (double sided)

FIELD TRAINING GUIDE FOR TEAM LEADERS
Who: Team Leaders (based on span of control) for each functional activity (e.g.
Screening, Dispensing/Vaccination)
What: A color and icon-coded resource to allow Team Leaders to easily deliver a pre-
scripted I-JITT curriculum to responders
Where: Predetermined sites where job duties of each functional activity will be carried
out
When: Immediately following the operational period briefing
Why: Assists Team Leaders in training responders for job assignments
How: Using I-JITT principles and the integration of notes from the operational period
briefing, Team Leaders will verbally deliver each section of the Guide to responders
Print Format: Booklet Style or Fit to Page/Scale to Fit for portrait orientation

GO GUIDE FOR RESPONDERS
Who: General response staff (staff and volunteers working in non-leadership positions)
What: A reference guide with general response and job-related information
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I-JITT for MP/POD – Revised October 2011


Where: On-site where job duties will be carried out
When: Team Leaders will give Go Guides to responders during I-JITT session
Why: Allows responders to reference general response information as well as job action
sheets
How: Responders will reference Go Guides for general information or to review job
duties
Print Format: 3.375” x 5” or 8.5” x 11”

EVALUATION FORM
Who: Responders who received I-JITT at the beginning of a shift or at a shift change
What: A survey to measure effectiveness of I-JITT
Where: On-site prior to ending a shift
When: Prior to ending a shift
Why: Ensures I-JITT is meeting the cognitive, behavioral, and affective needs of
responders, is addressing various learning styles, and is enabling responders to engage
in effective intercultural communication
How: Responders complete a brief hard-copy survey at the end of each shift that
informs I-JITT for the next operational period. The feedback collected will aid planners
in tailoring future I-JITT sessions
Print Format: 8.5” x 11”

I-JITT TOOLKIT PLANNING & IMPLEMENTATION CONSIDERATIONS

   1. Planning should never end. Users of this toolkit must understand the extent of
      pre-planning involved in making I-JITT successful. A complete understanding of
      its application will happen only after leadership has engaged in I-JITT training
      activities and exercises prior to an incident. Although this toolkit is not required
      for responder training to be successful, evaluative data suggests its promise in
      enhancing local training programs and improving operational response.

   2. Know the I-JITT model inside and out. A thorough understanding of the I-JITT
      model at all levels of leadership (e.g. Incident Commander, Operations Section
      Chief, Team Leaders) within the Incident Command System (ICS) is critical to its
      success.

   3. Allow for practice. I-JITT brings with it a commitment to practice—a concept
      key to the proficiency of responders. Each I-JITT session should include an
      opportunity for responders to practice key job duties in order to foster confidence
      and competence with assigned positions. In order for practice sessions to be
      successful, Mass Prophylaxis/POD Supervisors, together with operational staff
      and Team Leaders, will need to spend time developing resources and gathering
      reference information to aid in practice sessions. Examples may include
      developing culturally-significant role plays for Greeters, gathering screening
      algorithms for Screeners to review, or generating inventory requests for Inventory
      Staff to practice managing. Much of the planning of these activities should be
      done prior to a response, so that templates can be easily adapted for the
      emergency at hand and ready for use during I-JITT sessions.

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I-JITT for MP/POD – Revised October 2011


   4. Address culture. Leaders should collect and share accurate cultural information
      about individuals, groups, and organizations working together on, or benefiting
      from, response efforts. At a minimum, responders should understand key
      characteristics (e.g., race/ethnicity, beliefs, attitudes, geographic location) of the
      community they will be interacting with. Cultural information can be disseminated
      to responders through visual displays of information (e.g. GIS mapping, posters),
      fact sheets, or practice activities. Effectively addressing intercultural context and
      enhancing intercultural context is critical to the success of an operation. This
      happens only when time and resources have been committed to building
      relationships with culturally-specific agencies and leaders prior to a public health
      incident.

   5. Review Job Action Sheets (JAS). Adequate time should be spent orienting
      responders to JAS. Likewise, Group Supervisors should also spend time
      reviewing their JAS in order to adequately prepare for operations (e.g. site set-
      up, Team Leader briefing).

   6. Understand the I-JITT time commitment. It should take approximately sixty
      minutes to conduct a comprehensive I-JITT session using this toolkit, which
      includes delivering a concise operational period briefing, delivering the I-JITT
      curriculum from the Field Training Guide, and conducting a practice session with
      responders.

ADDITIONAL RESOURCES
The following are additional resources that may help preparedness planners in adapting
and implementing this toolkit:
 Orientation to Inclusive Just-in-Time Training: An Online Course –
  http://www.nwcphp.org/training/courses/ijitt
 www.diversitypreparedness.org – A Web site through Drexel University’s School of
  Public Health that works to advance emergency preparedness for culturally diverse
  communities
 POD Staff Training Series – APC product available at apc.naccho.org
 Additional related resources can be downloaded at apc.naccho.org.

CUSTOMIZATION
Each component of the toolkit is available in hard-copy and electronic MS Word and
Portable Document Format (PDF). A limited supply of hard-copy toolkits developed prior
to 2011 are available for order through NACCHO. The 2011 version is available
electronically at apc.naccho.org. The MS Word version allows users to easily tailor
information to incident and/or exercise needs. Possible adaptations may include:
 Changing position titles or job duties on Job Action Sheets
 Inserting incident-specific information into the sample language included in the Field
   Training Guide
 Adding agency logos and contact information

Due to formatting difficulty, graphics are not included in the MS Word version of this
toolkit, but are available upon request. Printing specifications and cost estimates to
produce hard-copy materials in their original form are also available.
                                                                                 Page 5 | 56
I-JITT for MP/POD – Revised October 2011



We request that funding information, as well as the public health logo and original
contact information, remain on adapted versions.

CONTRIBUTORS
Thanks to the following individuals for their endless contributions to the development
and revision of this toolkit:

MCHD preparedness staff
  Torrie Bordokoff, MPH | APC Program Evaluator
  Beth McGinnis, MPH | APC Program Supervisor
  Bimal RajBhandary, MS, AICP | APC Program Evaluator
  Aron Stephens, MPH | APC Program Specialist

Subject matter experts
   Michael A. Stoto, PhD | Professor of Health Systems, Administration, and
    Population Health, Georgetown University School of Nursing and Health Studies |
    Washington, D.C.
   Hugo Vilchis-Licon, MD, MPH | Director, Border Epidemiology and Environmental
    Health Center | Associate Professor, New Mexico State University—Las Cruces |
    Las Cruces, NM
   Joseph Vitale, MS | Public Health Advisor, CDC Division of Strategic National
    Stockpile Program | Atlanta GA

MCHD Advanced Practice Center Technical Advisory Group
  Sonya Czerniak, MPH | SNS Coordinator, State of Oregon, Division of Public
   Health | Portland, OR
  Adrienne Donner, MBA | Senior Regional Cities Readiness Initiative Coordinator,
   Clackamas, Multnomah | Washington Counties, OR
  Dave Houghton, MPH, BSN | Director, Multnomah County Office of Emergency
   Management, Portland, OR
  Larry Howlett, MPA, EdD | Staff Development & Training Manager, Multnomah
   County Health Department | Portland, OR
  Maria Maribona, BS, GCPH | Mass Dispensing SNS/CRI Coordinator, Clark County
   Public Health | Vancouver, WA
  Martha Salyers, MD, CEM | Public Health Regional Surveillance Team 6 | Ashville,
   NC
  Claire Smith, MURP | Research Analyst, Multnomah County Health Department |
   Portland, OR
  Jennifer Snarski | Web Communications Specialist, Multnomah County Health
   Department | Portland, OR
  James Spitzer, MS, MBA, CEM | Emergency Preparedness Manager, Multnomah
   County Health Department | Portland, OR
  Amy Sullivan, PhD, MPH | Communicable Disease Services Manager, Multnomah
   County Health Department | Portland, OR
  Hai Ta, MPH, RN | Program Supervisor, Multnomah County Health Department |
   Portland, OR
                                                                               Page 6 | 56
I-JITT for MP/POD – Revised October 2011


    Lori Van De Wege | Training & Education Program Manager, Washington State
     Department of Health | Tumwater, WA

Copy edit provided by Amy Jackson | Portland State University | Portland, OR

Graphic design provided by Barbra McClendon, Graphic Designer | Multnomah County
Health Department | Portland, OR & Jennifer Messinger | Portland Community College |
Portland, OR

We thank the following agencies whose resources helped inform the development of
this toolkit: North Carolina Center for Public Health Preparedness; San Francisco
Department of Public Health; Tacoma-Pierce County Health Department; National
Resource Center for Advancing Emergency Preparedness for Culturally Diverse
Communities

2011 revisions to this toolkit were based largely on evaluative feedback from the
following agencies: Montgomery County Health Department, NC; Multnomah County
Health Department, OR.

NEED ADDITIONAL INFORMATION?
For help using this tool kit and for further information, please contact
apc@multco.us.

The development of this product was supported by Grant/Cooperative Agreement
Number H75TP000309-02 from the Centers for Disease Control and Prevention (CDC)
through the National Association of County and City Health Officials (NACCHO). Its
contents are solely the responsibility of the authors and do not necessarily represent the
official views of CDC or NACCHO.




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I-JITT for MP/POD – Revised October 2011


MASS PROPHYLAXIS/POD SUPERVISOR
BRIEFING CHECKLIST
KEY POINTS
 Provide operational objectives
 Provide situation status
 Address intercultural considerations

 Welcome and thank everyone for being present

 Remind Team Leaders to take notes using the Operational Period Briefing Notes
  page in preparation for Inclusive Just-in-Time Training sessions

 Underscore importance of the mass prophylaxis operation and scope of work
  involved

 Communicate objectives for the current operational period in accordance with
  Incident Action Plan (IAP)

 Provide situation status

 Review chain of command
        o Operations Section Chief
        o Mass Prophylaxis/POD Supervisor
        o Team Leaders
        o Surge responders (staff & volunteers)

 Address how to handle media requests

 Share key characteristics of the community and cultural considerations of
  individuals, groups, and organizations (e.g. race/ethnicity, refugee/immigration
  status, income level, access to transportation, housing status, immunization status,
  health status, literacy levels, religions)

 Review health/safety precautions and resources (e.g. personal protective equipment
  (PPE), on-site emergency protocol, behavioral health support)

 Provide shift information (e.g. check-in/check-out procedures, length of time)

 Send responders to stations to receive I-JITT from Team Leaders




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I-JITT for MP/POD – Revised October 2011


OPERATIONAL PERIOD BRIEFING NOTES
Team Leaders should use this page to take incident-specific notes for each section of
the I-JITT curriculum.

Welcoming Responders
(e.g. value to response)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Mass Prophylaxis/POD Overview
(e.g. situation status, operational objectives)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Chain of Command
(e.g. lines of communication)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Intercultural Considerations
(e.g. key characteristics of impacted communities, language resources)
____________________________________________________________
____________________________________________________________
____________________________________________________________

____________________________________________________________



                                                                             Page 9 | 56
I-JITT for MP/POD – Revised October 2011



Responder Safety & Health
(e.g. Personal Protective Equipment (PPE) considerations, first aid resources)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Other
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
___________________________________________________________


                                                                                 Page 10 | 56
I-JITT for MP/POD – Revised October 2011


FIELD TRAINING GUIDE FOR TEAM LEADERS
HOW TO USE THIS GUIDE
Welcome 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)




Below is an overview of the elements included in this 2-part guide:

Part 1: Inclusive Just-in-Time Training
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 one hour, including 30 minutes of
training and a 20 minute skill building practice session.

I-JITT Curriculum
Section One: Welcoming Responders……………………………………………………..13
Section Two: Mass Prophylaxis/POD Operation Overview……..…………….…..…….14
Section Three: Chain of Command………………………………………………...………14
Section Four: Intercultural Considerations……………………………………….……......16
Section Five: Responder Safety & Health…………………………………………..….....17
Section six: Job Action Sheets……………………………………………………...……...18
Section seven: Practice & Demonstration………………………………………..……….19

Each section in the curriculum consists of a list of bulleted 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, you will see how each section of the curriculum is linked to the I-JITT model and
the principle that is emphasized within that section.




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I-JITT for MP/POD – Revised October 2011


I-JITT in Action

Section One: Welcoming Responders
I-JITT principle emphasized: Learning Dimensions (Emotional need)


Section Two: Mass Prophylaxis/POD Operation Overview
I-JITT principle emphasized: Learning Dimensions (Cognitive need)


Section Three: Chain of Command
I-JITT principle emphasized: Learning Dimensions (Cognitive need)


Section Four: Intercultural Considerations
I-JITT principle emphasized: Cultural Context


Section Five: Health & Safety
I-JITT principle emphasized: Learning Dimensions (Emotional need)


Section Six: Job Action Sheets
I-JITT principle emphasized: Learning Dimensions (Behavioral need)


Section Seven: Practice & Demonstration
I-JITT principle emphasized: Learning Styles (Kinesthetic)

Part 2: Job Action Sheets (JAS)
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:

Mass Prophylaxis/POD Leadership Team JAS
Page 21

Intake Team JAS
Page 23

Screening Team JAS
Page 25

Dispensing/Vaccination Team JAS
Page 27

Logistics Team JAS
Page 30
                                                                               Page 12 | 56
I-JITT for MP/POD – Revised October 2011



Facility Team JAS
Page 32

Health Assessment Team JAS
Page 34

GOOD LUCK!

TEAM LEADER PREPARATORY CHECKLIST

Before 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.


SECTION 1: WELCOMING RESPONDERS
See Go Guide p.3

KEY POINTS
     Hand out Go Guides
     Team introductions

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 out 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

                                                                                  Page 13 | 56
I-JITT for MP/POD – Revised October 2011


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 reference for you to keep on
hand at all times, and includes key response information as well as your Job Action
Sheet.”

Any Questions?

SECTION 2: MASS PROPHYLAXIS/POD OPERATION OVERVIEW
See Go Guide p.3

KEY POINTS
     Provide operational objectives
     Describe POD layout

By the end of this section responders will:
    Understand the public health emergency at hand
    Know the operational period objectives
    Know key epidemiologic and medical information related to the
     agent/pathogen/threat

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.”

Any questions?




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I-JITT for MP/POD – Revised October 2011


SECTION 3: CHAIN OF COMMAND
See Go Guide p.2

KEY POINTS:
     Review chain of command
     Review media interaction protocol

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 organization
of the 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.”

Any questions?




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I-JITT for MP/POD – Revised October 2011




SECTION 4: INTERCULTURAL CONSIDERATIONS
See Go Guide p.3

KEY POINTS:
     Share demographic information of impacted community
     Identify language resources available
     Emphasize the need for respectful communication

By the end of this section responders will:
    Understand unique needs of special and culturally-specific populations
    Understand where to access language resources

                                                                              Page 16 | 56
I-JITT for MP/POD – Revised October 2011


   Understand other agencies involved in the response

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 and meet the needs of community members.”

“Also, keep in mind the partner agencies responding and working together in 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.”

Any questions?

SECTION 5: RESPONDER SAFETY & HEALTH
See Go Guide p.4

KEY POINTS
     Safety first
     Review safety/health resources
     Review on-site emergency protocol

By the end of this section responders will:
    Understand that their 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
                                                                            Page 17 | 56
I-JITT for MP/POD – Revised October 2011


    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.”

“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, should 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 provide emergency contact
information].

Any questions?

SECTION 6: JOB ACTION SHEETS (JAS)
See Go Guide p.7

KEY POINTS
     Review pre/post-shift checklists
     Review Job Action Sheets

By the end of this section responders will:
    Know how to start and end a shift
    Be familiar with assigned job duties

Pre-shift checklist
   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 checklist
   Brief replacement, as necessary
   Demobilize station, as directed
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I-JITT for MP/POD – Revised October 2011


   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

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.”

Any questions?

SECTION 7: PRACTICE & DEMONSTRATION

KEY POINTS:
 Reinforce importance of practice
 Review practice activities
 Check for understanding

By the end of this section responders will:
    Practice key job duties through 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.”


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I-JITT for MP/POD – Revised October 2011


Note for Team Leader: Conduct practice session with responders and evaluate
progress for the remainder of the I-JITT session.

Any questions?

The following table lists all Job Action Sheets included in this toolkit and examples of
practice activities. Activities should be developed by Operations Section leadership and
Team Leaders prior to I-JITT.

          Job Action Sheet                             Example Practice Activity
Mass 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 play
Health Educator                              Work in dyad to answer questions from a
                                             client via role play
Interpreter                                  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 medicine
Vaccination Assistant                        Become familiar with intake form
Pharmacist                                   Practice delivering policies for prophylaxis
                                             preparation to Dispenser/Vaccinator
POD Logistics Team Leader                    **
Information & Technology Staff               Test all communication devices
Inventory & Supply Staff                     Fill out inventory supply tracking sheet
Runner                                       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                         **
Security Staff                               Review part of or complete security plan
Traffic Controller                           Review traffic flow plan
Facility Staff                               Review applicable parts of POD plan
Health 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
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I-JITT for MP/POD – Revised October 2011


**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.

MASS 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 operation. 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 Job Action Sheets, the terms
“Task Force Leader” or “Strike Team Leader” may be more appropriate depending on
the size and scope of the event.

Each Job Action Sheet 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 SUPERVISOR

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:
      o Internal and external security measures are in place
      o Materials, supplies, prophylaxis, or vaccine are on-site or in transit
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I-JITT for MP/POD – Revised October 2011


      o 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
   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 Mass Prophylaxis/POD Supervisor
   Debrief with Operations Section Chief prior to ending shift
   At completion of operations, oversee demobilization of POD

PERSONNEL 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
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I-JITT for MP/POD – Revised October 2011


   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

INTAKE TEAM LEADER

Provide leadership and direction and serves 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 Guides
   Conduct I-JITT with assigned responders
   Delegate responders to perform any necessary 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
   Collect regular reports from assigned responders
   Provide regular briefings and reports to Mass Prophylaxis/POD Supervisor
   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

GREETER

Greet clients upon arrival 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
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I-JITT for MP/POD – Revised October 2011


   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:
      o Enter POD
      o Fill out form
      o Turn in form
      o Get medicine
      o 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
   Direct requests for additional resources to appropriate Runner
   Provide regular reports to Team Leader
   Perform other duties as assigned

HEALTH EDUCATOR

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
   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

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I-JITT for MP/POD – Revised October 2011


   Perform other duties as assigned

INTERPRETER

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 competence 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

SCREENING TEAM LEADER

Provide leadership and direction and serve as a resource for 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

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I-JITT for MP/POD – Revised October 2011


   Request personnel, equipment, and other resources to meet response needs, as
    needed
   Maintain Screening Team log
   Order demobilization of the Screening Team
   Provide regular briefings and reports to Mass Prophylaxis/POD Supervisor
   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

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:
      o If contraindications exist, direct clients to Health Assessment Team for more
          in-depth screening
      o 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

SECONDARY SCREENER

Conducts 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
                                                                               Page 26 | 56
I-JITT for MP/POD – Revised October 2011


   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

DISPENSING/VACCINATION TEAM LEADER

Oversee and ensure efficient and 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 Guides
   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
   Request personnel, equipment, and other resources to met 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




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I-JITT for MP/POD – Revised October 2011


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 who can be 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

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




                                                                           Page 28 | 56
I-JITT for MP/POD – Revised October 2011


VACCINATION ASSISTANT

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
who can be 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:
      o Preparing needle and vaccine, as needed
      o Reviewing client’s paperwork, as needed
      o Documenting administration of vaccination on client forms, as needed
      o 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

PHARMACIST

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
                                                                             Page 29 | 56
I-JITT for MP/POD – Revised October 2011


   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

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,
    according to incident protocol
   Maintain Logistics Team log
   Order demobilization of 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

INFORMATION TECHNOLOGY STAFF

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

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I-JITT for MP/POD – Revised October 2011


   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

INVENTORY & SUPPLY STAFF

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

RUNNER

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 supplies to POD stations
   Run errands for POD responders, as needed
   Alert Team Leader, Security, or Behavioral Health Staff to difficult clients
                                                                               Page 31 | 56
I-JITT for MP/POD – Revised October 2011


   Provide regular reports to Team Leader
   Perform other duties as assigned

FLOW MONITOR

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

FACILITY 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 I-JITT 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 I-JITT Field Training Guide and Go Guide
   Communicate response objectives and work strategies to responders
   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,
    according to incident protocol
   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

                                                                             Page 32 | 56
I-JITT for MP/POD – Revised October 2011


SECURITY STAFF

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

TRAFFIC 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



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I-JITT for MP/POD – Revised October 2011


FACILITY STAFF

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:
      o Preparing off-loading site
      o Ensuring storage needs (e.g. temperature control)
      o 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 other facility support, 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

HEALTH ASSESSMENT TEAM LEADER

Oversee triage 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
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I-JITT for MP/POD – Revised October 2011


   Conduct I-JITT with assigned responders
   Delegate responders to perform any necessary tasks not specifically assigned on
    JAS
   Advise team on Personal Protective Equipment (PPE) requirements, as needed
   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,
    according to incident protocol
   Maintain Health Assessment Team log
   Order demobilization of 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

TRIAGE STAFF

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

BEHAVIORAL HEALTH STAFF

Assist clients or staff/volunteers with individual counseling or support.

Reports to: Health Assessment Team Leader
Preferred qualifications: Licensed mental health professional, chaplin, crisis
counselor, intervention specialist, or otherwise with appropriate licensure for specified
duties; strong communication skills

   Obtain I-JITT from Team Leader
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I-JITT for MP/POD – Revised October 2011


   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




                                                                           Page 36 | 56
I-JITT for MP/POD – Revised October 2011



GO GUIDE
CHAIN OF COMMAND




PUBLIC HEALTH INFORMATION OVERVIEW
PURPOSE
To dispense medication or administer vaccine to the public during a public health
emergency.
                                                                            Page 37 | 56
I-JITT for MP/POD – Revised October 2011


THE IMPORTANCE OF YOUR ROLE
Welcome! Your role in this mass prophylaxis/POD operation is significant. Every hour
you contribute adds to the success of this operation in responding to the public health
emergency our community is facing.

INTERCULTURAL CONSIDERATIONS
Be mindful of the different values, perceptions, attitudes, and beliefs that individuals,
groups, and organizations bring to this response. Keep in mind any populations that
have been disproportionately impacted by this emergency.

SAFETY & HEALTH

SAFETY PRINCIPLES
  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

PERSONAL PROTECTIVE EQUIPMENT (PPE)
  The type of PPE you will need depends on the type of incident and your role in the
   response
  Always use PPE assigned to you when you are working in an area where there are
   risks
  Follow local safety and health protocols

PRE-SHIFT CHECKLIST
  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 CHECKLIST
  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
                                                                                Page 38 | 56
I-JITT for MP/POD – Revised October 2011


MASS PROPHYLAXIS/POD SUPERVISOR

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:
      o Internal and external security measures are in place
      o Materials, supplies, prophylaxis, or vaccine are on-site or in transit
      o 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
   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 Mass Prophylaxis/POD Supervisor
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I-JITT for MP/POD – Revised October 2011


   Debrief with Operations Section Chief prior to ending shift
   At completion of operations, oversee demobilization of POD

PERSONNEL 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

INTAKE TEAM LEADER

Provide leadership and direction and serves 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 Guides
   Conduct I-JITT with assigned responders
   Delegate responders to perform any necessary tasks not specifically assigned on
    JAS
   Distribute intake form
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I-JITT for MP/POD – Revised October 2011


   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
   Collect regular reports from assigned responders
   Provide regular briefings and reports to Mass Prophylaxis/POD Supervisor
   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

GREETER

Greet clients upon arrival 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:
      o Enter POD
      o Fill out form
      o Turn in form
      o Get medicine
      o 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
   Direct requests for additional resources to appropriate Runner
   Provide regular reports to Team Leader
   Perform other duties as assigned




                                                                              Page 41 | 56
I-JITT for MP/POD – Revised October 2011


HEALTH EDUCATOR

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
   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

INTERPRETER

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 competence 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
                                                                              Page 42 | 56
I-JITT for MP/POD – Revised October 2011


   Direct requests for additional resources to appropriate Runner
   Provide regular reports to Team Leader
   Perform other duties as assigned

SCREENING TEAM LEADER

Provide leadership and direction and serve as a resource for 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
   Provide regular briefings and reports to Mass Prophylaxis/POD Supervisor
   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

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:
      o If contraindications exist, direct clients to Health Assessment Team for more
         in-depth screening
                                                                             Page 43 | 56
I-JITT for MP/POD – Revised October 2011


      o 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

SECONDARY SCREENER

Conducts 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

DISPENSING/VACCINATION TEAM LEADER

Oversee and ensure efficient and 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
                                                                                Page 44 | 56
I-JITT for MP/POD – Revised October 2011


   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 Guides
   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
   Request personnel, equipment, and other resources to met 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

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 who can be 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

Vaccination Duties:
   Obtain I-JITT from Team Leader

                                                                             Page 45 | 56
I-JITT for MP/POD – Revised October 2011


   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

VACCINATION ASSISTANT

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
who can be 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:
      o Preparing needle and vaccine, as needed
      o Reviewing client’s paperwork, as needed
      o Documenting administration of vaccination on client forms, as needed
      o 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




                                                                            Page 46 | 56
I-JITT for MP/POD – Revised October 2011


PHARMACIST

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

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,
    according to incident protocol
   Maintain Logistics Team log
                                                                             Page 47 | 56
I-JITT for MP/POD – Revised October 2011


   Order demobilization of 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

INFORMATION TECHNOLOGY STAFF

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

INVENTORY & SUPPLY STAFF

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
                                                                              Page 48 | 56
I-JITT for MP/POD – Revised October 2011


   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

RUNNER

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 supplies to POD stations
   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

FLOW MONITOR

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




                                                                               Page 49 | 56
I-JITT for MP/POD – Revised October 2011


FACILITY 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 I-JITT 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 I-JITT Field Training Guide and Go Guide
   Communicate response objectives and work strategies to responders
   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,
    according to incident protocol
   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

SECURITY STAFF

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
                                                                               Page 50 | 56
I-JITT for MP/POD – Revised October 2011


   Perform other duties as assigned

TRAFFIC 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

FACILITY STAFF

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:
      o Preparing off-loading site
      o Ensuring storage needs (e.g. temperature control)
      o 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

                                                                                Page 51 | 56
I-JITT for MP/POD – Revised October 2011


   Follow schedule for garbage removal from break areas, restrooms, and POD
    stations
   Follow medical waste management protocols
   Provide other facility support, 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

HEALTH ASSESSMENT TEAM LEADER

Oversee triage 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
   Advise team on Personal Protective Equipment (PPE) requirements, as needed
   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,
    according to incident protocol
   Maintain Health Assessment Team log
   Order demobilization of 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




                                                                            Page 52 | 56
I-JITT for MP/POD – Revised October 2011


TRIAGE STAFF

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

BEHAVIORAL HEALTH STAFF

Assist clients or staff/volunteers with individual counseling or support.

Reports to: Health Assessment Team Leader
Preferred qualifications: Licensed mental health professional, chaplin, 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




                                                                                Page 53 | 56
I-JITT for MP/POD – Revised October 2011


EMERGENCY CONTACT SHEET
Team 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




                                                           Page 54 | 56
I-JITT for MP/POD – Revised October 2011


I-JITT EVALUATION FORM
Responding to a public health emergency can be stressful. Our goal is to provide high
quality Just-in-Time Training to build competency, confidence, and a valued team
approach to response.

Please complete the following questionnaire to help us continue to improve training for
future operational periods.

Please complete the following information.
Shift Date:
________________________________________________________________

Location:
________________________________________________________________

Name of Team Leader:
________________________________________________________________

For the training you participated in today, please circle the number below that
best represents your level of agreement with each statement.

1. I am satisfied with the I-JITT I received today:

1……..……..............….2………......….....…….…3………........…....………4
Strongly           Somewhat                  Somewhat                Strongly
Disagree            Disagree                  Agree                   Agree

2. I recognize my value and contributions as a part of the emergency response:

1……..……..............….2………......….....…….…3………........…....………4
Strongly           Somewhat                  Somewhat                Strongly
Disagree            Disagree                  Agree                   Agree


3. I received adequate information from my Team Leader to perform my job:

1……..……..............….2………......….....…….…3………........…....………4
Strongly           Somewhat                  Somewhat                Strongly
Disagree            Disagree                  Agree                   Agree


4. I received adequate time to practice key job duties:

1……..……..............….2………......….....…….…3………........…....………4
                                                                             Page 55 | 56
I-JITT for MP/POD – Revised October 2011


Strongly          Somewhat                 Somewhat            Strongly
Disagree           Disagree                 Agree               Agree

5. I felt comfortable communicating with and addressing the cultural needs of
colleagues and clients I worked with:

1……..……..............….2………......….....…….…3………........…....………4
Strongly          Somewhat                 Somewhat            Strongly
Disagree           Disagree                 Agree               Agree

6. My questions and concerns were addressed appropriately:

1……..……..............….2………......….....…….…3………........…....………4
Strongly          Somewhat                 Somewhat            Strongly
Disagree           Disagree                 Agree               Agree

7. Please describe any challenges you faced during the I-JITT session or
throughout your shift:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

8. Please share any additional comments or concerns you have regarding your
shift:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________


        Thank you for your assistance in improving the training program.




                                                                      Page 56 | 56

				
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