Download OPOD-EEG-OH-SCO-MassProphylaxis

Medical Countermeasure Dispensing / Mass Prophylaxis
Exercise Evaluation Guide
Exercise Evaluation Guide Submittal
As the evaluator you will need to submit your Observations, Recommendations and Performance Ratings into the ONX
System following the completion of the exercise.
Following the exercise access www.onxsystem.com then login using your USER NAME and PASSWORD. Once you
have logged in click on the exercise you are evaluating listed under the header “Your Exercises” in the upper left hand
corner. You will then be able to access the electronic version of this Exercise Evaluation Guide to submit your
observations, recommendations and performance ratings.
HSEEP Exercise Evaluation Guide
1
Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Medical Countermeasure Dispensing / Mass Prophylaxis
DHS Capability Description: Mass Prophylaxis is the capability to protect the health of the population through administration of critical interventions (e.g.,
antibiotics, vaccinations, antivirals) to prevent the development of disease among those who are exposed or potentially exposed to public health threats. This
capability includes the provision of appropriate follow-up and monitoring of adverse events, as well as risk communication messages to address the concerns of
the public.
CDC Capability Description (Public Health Preparedness Capability # 8): Medical countermeasure dispensing is the ability to provide medical
countermeasure (Including vaccines, antiviral drugs, antibiotics, etc.) in support of treatment of prophylaxis (oral or vaccination) to the identified population in
accordance with public health guidelines and / or recommendations)
Capability Outcome: Appropriate drug prophylaxis and vaccination strategies are implemented in a timely manner upon the onset of an event to prevent the
development of disease in exposed individuals. Public information strategies include recommendations on specific actions individuals can take to protect their
family, friends, and themselves.
Activity 1: Direct Medical Countermeasure Dispensing / Mass Prophylaxis Tactical Operations
Activity Description: In response to notification of an incident requiring medical countermeasure dispensing / mass prophylaxis, provide overall management
and coordination of dispensing / mass prophylaxis operations.
1.1
Task / Observation Keys
Performance
Increase epidemiological surveillance activities.
Monitor the Ohio Disease Reporting System (ODRS), National Outbreak Reporting System (NORS),

Epidemic Information Exchange (EPI-X), National Retail Data Monitor (NRDM) and EPI-Center
Monitor school absenteeism

Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak

Local healthcare providers are reminded to increase surveillance activities
Observations:
Improvement Recommendations:
1.2
In response to the pending arrival of antivirals begin preparation for receipt of Strategic National Stockpile
(SNS) equipment and supplies.
Notification of drop-site locations


Establish a staffing play for drop-site locations

Request equipment and supplies
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
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Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Coordinate distribution / administration of medical countermeasure / mass prophylaxis.
Establish Department Operations Center (DOC) develop / assign Incident Command structure

1.3

Establish and test / confirm redundant tactical communications between DOC and POD operations

Identify and train POD leadership prior to activation

Ensure sufficient staff levels to address expected throughput
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Observations:
Improvement Recommendations:
1.4
Coordinate public information regarding point of dispensing (POD) locations.
Citizens provided necessary information (e.g., location of PODs, hours of operation, transportation,

etc.)
Online information available


Plain English used in press releases and press conferences

Information translated into foreign languages wherever appropriate

Information available and accessible to individuals who are hearing impaired, visually impaired, etc.
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
3
Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Activity 2: Activate Medical Countermeasure Dispensing / Mass Prophylaxis
Activity Description: Upon notification, activate PODs for mass prophylaxis operations.
Task / Observation Keys
2.1
Performance
Ensure medical countermeasure dispensing / mass prophylaxis site operations are established in
accordance with Memoranda of Agreement (MOAs) / Memoranda of Understanding (MOUs).
Follow Centers for Disease Control and prevention and Strategic National Stockpile program planning

guidance and State / local plans in the selection of dispensing sites

Ensure access to building promptly provided

Assign personnel appropriately
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Observations:
Improvement Recommendations:
2.2
Assemble needed supplies and equipment for POD operations including materials to prepare oral
suspension.
Pharmaceuticals (e.g., vaccines)


Medical supplies

Administrative supplies (e.g., paper, pens, clipboards)

Communications devices (e.g., two-way radios, cell phones)
Observations:
Improvement Recommendations:
Prepare informative materials for POD staff, patients and media.
Information regarding the dispensing site (e.g. location, hours, steps in the dispensing process)

2.3

Detailed information regarding the nature of the emergency

Signs and symptoms of the disease

Key phone numbers (e.g., hotlines) and websites

Answers to frequently asked questions
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
4
Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Provide internal and external security for POD sites.
2.4
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Identify and contact on-site security personnel
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Secure private health information and personal information (e.g., social security number, dates of birth)
in accordance with local, State or Federal regulations
Obtain equipment to support security function
Perform security checks prior to the opening of the facility
Establish procedures to secure the facility and critical supplies during non-operational hours
Credential and provide access rosters for all site staff
Provide security escort for critical supplies (e.g., vaccines)
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Provide continuous on-site security of critical medications
Provide secure space to store critical medical supplies
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
5
Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Activity 3: Conduct Medical Countermeasure Dispensing
Activity Description: Provide patients with appropriate medical countermeasure / prophylaxis and maintain inventory control.
Task / Observation Keys
Performance
Implement dispensing plan in accordance with state / local plans.
Prescription order verified

3.1

Patient's identity is verified

Appropriate medication is dispensed

If applicable, instructions are provided for home administration of the medication

Information provided on medication packages consistent with State and Federal requirements (e.g.,
drug name, strength, and quantity)
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Observations:
Improvement Recommendations:
3.2
Maintain a system for inventory management to ensure availability of critical medical countermeasure /
prophylaxis medicines and medical supplies.
Redundant systems in place for asset management

Inventory usage forecasted

Observations:
Improvement Recommendations:
3.3
Ensure availability and distribution of pre-printed drug information sheets.
Information made available in all languages spoken in community, or readily translated


Phone number included where public could call for additional information
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
6
Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Provide situational awareness to local, regional and state partners.
Activate public health regional Coordination Center (RRC)

3.4

Provide updates of local health department activities to local partners

Share public health press releases / messages with local and regional healthcare partners and the
state department of health.
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
7
Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Activity 4: Adverse Events Monitoring
Activity Description: Through monitoring, identify individuals who have an adverse reaction to prescribed medical countermeasure and initiate alternate
therapies.
4.1
Task / Observation Keys
Performance
Track outcomes and adverse events following mass distribution of medical countermeasure / prophylaxis.
System in place to track adverse events

Documentation established on each case of adverse reaction

Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Observations:
Improvement Recommendations:
Inform patients about follow-up requirements (e.g., vaccine take assessment).
4.2
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
8
Caduceus Shield Exercise Initiative – www.CaduceusShield.org
Activity 5: Demobilize
Activity Description: Upon completion, stand down POD operations, return site to normal operations, and release or re-deploy staff.
Task / Observation Keys
5.1
Performance
Debrief POD staff and support personnel.
Initial lessons learned conducted


Issues and accomplishments of mission documented

Plan described to personnel to return to prior readiness state
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Strong
Adequate
Unsure
Non-Existent
Not Applicable
Weak
Observations:
Improvement Recommendations:
5.2
Complete administrative items following the order to demobilize.
Determine who will take possession of all records pertinent to the medical countermeasure /

prophylaxis process


Log of all documentation being turned over
Packing and transfer of records to appropriate local or State official
Observations:
Improvement Recommendations:
HSEEP Exercise Evaluation Guide
9
Caduceus Shield Exercise Initiative – www.CaduceusShield.org