Proficiency Training for Medication Distributors ERHC (2)

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Proficiency Training for Medication Distributors : 

Proficiency Training for Medication Distributors Training for first responder & fixed facility organizations preparing for a public health emergency & the distribution of medications. Developed by the Essex Regional Health Commission

Purpose of Proficiency Training for Medication Distributors : 

Purpose of Proficiency Training for Medication Distributors Who will distribute medications Overview of bioterrorism (BT) agents Concept of public health (PH) emergency Definitions of common terms & parameters used by PH professionals Your role in an event

Medication Distribution at Fixed Facilities & First Responding Agencies : 

Medication Distribution at Fixed Facilities & First Responding Agencies The term “fixed facility” includes various facilities/agencies but not limited to: ► Local/County/Federal Corrections facilities ► Residential Care facilities ► Colleges & Universities (students & employees) ► Private industry (minimum # of employees = 100) ► Service Sector (public utilities, electric, water, etc.) The term “first responders” includes but not limited to: ► Public health (including volunteers, i.e. MRC) ► OEM ► Law enforcement ► Fire fighters ► Rescue squads ► Elected “policy makers”

Overview of Bioterrorism Agents : 

Overview of Bioterrorism Agents What is Bioterrorism?   The use or threatened use of germs (biological weapons) in order to create fear and disease among a population for religious, political, ideological, financial, or personal purposes. *AZ Department of Health Services 1991   Bioterrorism is not new. It is dated back as early as 1346, and you may remember more recently in 1984 when a religious cult in Oregon contaminated salad bars with Salmonella to influence the outcomes of an election.   The Center for Disease Control (CDC) has classified six diseases as high priority agents or “A” list because they meet some or all of the following criteria   Can be spread person to person High death rate or potential for public health impact Potential for panic and social disruption Special action is needed for public health preparedness

Category A Bioterrorism Agents/Diseases (CDC) : 

Category A Bioterrorism Agents/Diseases (CDC) Anthrax (Bacillus anthracis) Botulism (Clostridium botulinum toxin) Plague (Yersinia pestis) Smallpox (variola major) Tularemia (Francisella tularensis) Viral hemorrhagic fevers (filoviruses [e.g., Ebola, Marburg] and arenaviruses [e.g., Lassa, Machupo]) http://www.bt.cdc.gov/agent/agentlist-category.asp#a

What is a Public Health Emergency? : 

What is a Public Health Emergency? An incident or event, either naturally occurring or manmade, which can cause or lead to an adverse affect on the health of the public

Activity #1 : 

Activity #1 Think for a moment… What does a public health emergency mean to you and your agency/organization/facility? Jot down some of your ideas. Then proceed to the next slide to see some possible responses.

What Does a PH Emergency Mean For Me? : 

What Does a PH Emergency Mean For Me? For First Responders: - you’ll most likely be called on the scene - you’ll follow your agency’s plan to distribute meds to co-workers and their family members For Fixed Facilities: - your health will be threatened - you’ll have to follow your facility’s emergency plans

Psychological Response During A Crisis : 

Psychological Response During A Crisis Crisis Reaction: A Normal Response to an Abnormal Situation □ Guilt □ Anger, Outrage □ Insecurity, Fear □ Anxiety □ Feeling overwhelmed, Inadequate

Psychological Response During A Crisis : 

Psychological Response During A Crisis People (including you!) may behave differently than they normally would: □ Self-centered □ Impatient □ Blaming others □ Confused, poor concentration □ Heightened or lowered alertness

What Is Prophylaxis? : 

What Is Prophylaxis? Prophylaxis is different from treatment. Prophylaxis = Prevention of disease Treatment = Therapy to cure disease People who are sick need treatment. People who are well need prophylaxis.

Your Role During a Biological Public Health Event : 

Your Role During a Biological Public Health Event 1st: You will distribute the ‘Employee Medical Information Form’ to all employees. 2nd: Collect all employees’ forms and complete the ‘Fixed Facility (or First Responder) Prophylaxis Request Form’ 3rd: Return Request Form to your local health department or LINCS agency. 4th: When medications arrive at your facility, according to your facility's plan, distribute to employees (using their ‘employee medical information’ form as a guide).

Slide 13: 

Employee Medical Fixed Facility Information Form Request Form

Employee Medical Information Form : 

Employee Medical Information Form Be sure each employee completes the entire form. Each member of the household should be listed in the first column. Then one box should be checked for each family member. For the purposes of this program, FAMILY MEMBERS are defined as those living in the same household as the facility employee.

Fixed Facility Request Form : 

Fixed Facility Request Form Your facility must collect all of your employees’ medical information forms and transfer the data to the Fixed Facility Request form. This form will be sent to your local health department or the LINCS agency to request the number of medications to be delivered to your facility for your employees and their family members.

What Should You Do If….. : 

What Should You Do If….. If an employee requests information on either medication listed on the ‘Employee Medical Information Form’, share with them the following….

Doxycycline is: : 

Doxycycline is: The generic name ( not a brand name) for an antibiotic in the tetracycline family which is approved for anthrax exposure and/or infection, a type of bacteria. The medication is also used to treat many other bacterial infections. The medication should NOT be taken by pregnant women children under 8 years old, people with severe liver disease or have experienced previous allergies to tetracyclines (e.g. Vibramycin,) or sulfites (e.g. preservative in wine). Consult healthcare provider. The medication may cause nausea, vomiting, diarrhea but these are lessened if taken with food. The medication may also cause sensitivity to sunlight. The medication should NOT be taken at the same time as antacids, iron, or milk or alcohol (lessens absorption of medication).

Ciprofloxacin is: : 

Ciprofloxacin is: The generic name ( not a brand name) for an antibiotic in the quinolone family which is approved for anthrax exposure and/or infection, a type of bacteria. The medication is also used to treat many other bacterial infections. The medication should NOT be taken by women who are pregnant or breastfeeding or have experienced previous allergies to ciprofloxacin or drugs in the quinolone family (e.g. levofloxacin). Consult healthcare provider . The medication should be taken cautiously (under health care provider supervision) by those with kidney disease, history of seizures or had a stroke or who are taking medications such as warfarin (Coumadin) or theophylline (Theodur). Consult healthcare provider. The medication may cause nausea, vomiting, diarrhea, and dizziness. Drink plenty of liquids. The medication should NOT be taken at the same time as antacids, iron, or an antiulcer medication call sucralfate( Carafate ).

Maintenance of Forms : 

Maintenance of Forms The employee medical information forms you collect from each employee at your facility, will remain at your facility. You should determine a safe spot to store these forms (to retain for recordkeeping purposes). Be sure the forms are kept in a locked file and that two other colleagues are aware of their location (in case of your absence).

Activity #2 : 

Activity #2 Think for a moment… In your opinion what would be the best way to distribute medication using these forms? Jot down some of your ideas. Then proceed to the next slide to see some possible responses.

How Can You Distribute Medications Using Completed Forms : 

How Can You Distribute Medications Using Completed Forms Alphabetize the collected forms. Select a distribution day & time. Call employees in by alphabetized groupings (eg A-F, G-L, M-S, T-Z) Using the forms, as an employee enters to pick up medication, refer to form for number of medications for that employee and his/her family.

Resources & Further Information : 

Resources & Further Information Your Local Health Department Essex Regional Health Commission LINCS Agency 2 Babcock Place West Orange, NJ 07052 973.325.3212

Program Evaluation Course Title: __________________________________________________Date(s) of Course: ________ : 

Program Evaluation Course Title: __________________________________________________Date(s) of Course: ________ Please answer the following questions: Would you recommend this course to others in your profession? ○ Yes ○ No Why or why not? ________________________________________________________________________________________ What (if any) public health skill/knowledge did you acquire as a result of attending this course? ______________________________________________________________________________________________________ Suggested future public health topics ________________________________________________________________________ Additional Comments _____________________________________________________________________________________ SEND TO: ERHC, 2 Babcock Place, West Orange, NJ 07052 The purpose of this form is to provide you with an opportunity to give feedback on the course you have just attended. This evaluation is important because it gives information to improve this course.

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