Transcript Slide 1

Objective 1: Participants will have an opportunity to view and touch one model of the physical
characteristics and equipment used to operate an indoor medication dispensing site for a potential or
suspected Anthrax exposure event.
-Name the primary difference of the Anthrax POD vs. other mass dispensing
Objective 2: Participants will be introduced to the function and purposes associated with each station
of the Anthrax POD and have an opportunity to ask questions and discuss best practices.
-Name the stations
-Give an example of the primary function of each
Objective 3: Participants will experience a demonstration of the Just-In-Time Training process.
-Define Just-In-Time Training
-List tools & resources available to conduct JITT
ANTHRAX PROPHYLAXIS REGISTRATION FORM
POD(Name /#):
_________________________ County Health Department.
Enter your home address and contact information:
Your Home Street Address:
City:
State:
As Head of Household, you must
enter the name and age, as well as
circle any condition that applies to
EACH person for whom you are
picking up medications. *You must
also enter a weight for all children or
any person that weighs less than
90lbs.
Zip Code:
Does anyone have any
of the following
symptoms:
-Fever
-Non-productive cough
-Muscle or joint aches
-Extreme tiredness
YES/NO (Circle one)
Date:
Contact Phone Number: Home: (
)
-____________
Cellular:(
)
-_____________
Work:(
)
-_____________
Is anyone
-Pregnant
-Breast Feeding
-Renal Failure
-Not able to
swallow pills
YES/NO (Circle
one)
Drug Allergies
-CIPRO
(Ciprofloxacin)
-Tetracycline
(Doxycycline)
-Penicillin
(Amoxicillin)
-NONE (if none)
******* STAFF USE ONLY *******
PHARMACUETICAL INFORMATION
Prescribing Agency: Kentucky Dept. for Public Health
Prescribing Official:_____________________________
(Named in General Medical Order)
Dispenser:_____________________________________
(Signature & Date)
ATTACH LABEL IF APPLICABLE
1) Name:
Age:
2) Name:
Wt.*:
lbs
Age:
3) Name:
Wt.*:
lbs
Age:
4) Name:
Wt.*:
lbs
Age:
5) Name:
Wt.*:
lbs
Age:
6) Name:
Wt.*:
lbs
Age:
7) Name:
Wt.*:
lbs
Age:
8) Name:
Wt.*:
lbs
Age:
9) Name:
Wt.*:
lbs
Age:
10) Name:
Wt.*:
lbs
Age:
Wt.*:
lbs
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
Medication:
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Lot #
Signature of person picking up medications:________________________________________________________________
WARNING:
If anyone listed above is currently taking medications, consult with medical staff or your physician for possible adverse drug interactions.
POD(Name /#):
POD #1 Central Church
Lexington-Fayette County Health Department.
Enter your home address and contact information:
Your Home Street Address: 123 Main St
City: Lexington
State: Ky
As Head of Household, you must
enter the name and age, as well as
circle any condition that applies to
EACH person for whom you are
picking up medications. *You must
also enter a weight for all children or
any person that weighs less than
90lbs.
Does anyone have any
of the following
symptoms:
-Fever
-Non-productive cough
-Muscle or joint aches
-Extreme tiredness
YES/NO (Circle one)
Date: 1 January, 2010
Contact Phone Number: Home: ( 555 ) 555 -_1234
Cellular:(
)
-____________
Zip Code: 40507
Work:(
)
-____________
Is anyone
-Pregnant
-Breast Feeding
-Renal Failure
-Not able to
swallow pills
YES/NO (Circle
one)
Drug Allergies
-CIPRO
(Ciprofloxacin)
-Tetracycline
(Doxycycline)
-Penicillin
(Amoxicillin)
-NONE (if none)
******* STAFF USE ONLY *******
PHARMACUETICAL INFORMATION
Prescribing Agency: Kentucky Dept. for Public Health
Prescribing Official:_____________________________
(Named in General Medical Order)
Dispenser:_____________________________________
(Signature & Date)
ATTACH LABEL IF APPLICABLE
1) Name: Doe, John
Age:
30
Wt.*: --- lbs
2) Name: Doe, Jane
Age: 27
Wt.*:
3) Name: Doe, Baby
Age:
6 Months
4) Name:
89 lbs
Wt.*:
25 lbs
Age:
5) Name:
Wt.*:
lbs
Age:
6) Name:
Wt.*:
lbs
Age:
7) Name:
Wt.*:
lbs
Age:
8) Name:
Wt.*:
lbs
Age:
9) Name:
Wt.*:
lbs
Age:
10) Name:
Wt.*:
lbs
Age:
Wt.*:
lbs
YES / NO
YES / NO
NONE
YES / NO
YES / NO
NONE
YES / NO
YES / NO
NONE
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
Medication:
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Medication:
Lot #
Dose:
# of Days Dispensed:
Lot #
Signature of person picking up medications:___John Doe_______________________________________________________
WARNING:
interactions.
If anyone listed above is currently taking medications, consult with medical staff or your physician for possible adverse drug
For more information about Anthrax, please log on to the Centers for Disease Control and Prevention (CDC), at http://www.bt.cdc.gov/agent/anthrax/index.asp
Bullitt County Health Department. Call 24 hrs a day at (502) 543-2415
ANTHRAX
GENERAL DESCRIPTION: Bacterial disease caused by bacillus anthracis, that affects mammals, and can be aerosolized for bio-terrorism purposes.
HOW YOU CAN CATCH IT
TIME FROM EXPOSURE TO ILLNESS
No person-to-person spread. You can catch inhalational anthrax by breathing
anthrax spore from infected animal products (e.g. wool), or in an intentional or bioterrorist release into the air.
Incubation period for inhalational anthrax is 71-7 days. In some cases, symptoms
of inhalational anthrax can take up to 60 days to show up.
MAJOR SYMPTOMS
PREVENTION AFTER EXPOSURE
Inhalational anthrax usually has a flu-like presentation, with sore throat, nausea,
mild fever and muscle aches followed by cough, chest discomfort, shortness of
breath and tiredness. Some people experience upset stomach.
A 60-day course of antibiotics such as Ciprofloxacin, Doxycycline, Amoxicillin, or
Penicillin is required. Be sure to inform your doctor of what medication you are
taking.
PROPHYLAXIS INFORMATION
TETRACYCLINE
QUINOLONE
CLASS
SEMI-SYNTHETIC
ANTIBIOTIC
Amoxicillian 250mg
capsules or 250
mg/5ml suspension
Doxycycline 100
mg
Ciproflaxacin
(Cipro 500 mg)
ANTIBIOTIC
DISPENSING DIRECTIONS
DRUG INTERACTION
SIDE EFFECTS
WARNING
Take this antibiotic as prescribed: one tablet by
mouth, two times a day. Keep taking your
antibiotic until it is finished, unless your doctor
tells you to stop. Drink plenty of water while
you are taking Cipro. It is best if taken 2 hours
after a meal. Do not take 2 doses at the same
time!
Do not take this antibiotic if you have had
an allergic reaction to ciprofloxacin
(Noroxin, Ofloxacin (Floxin), or Nalidixic
acid (negGrram).
There may be mild diarrhea, stomach
pain, dizziness. Seek medical attention
right away if you are having: rapid
heart rate, rash or hives; swelling of
face, throat, or lips; shortness of breath
or trouble breathing; seizure; or severe
diarrhea.
Tell emergency healthcare workers
if you are pregnant, have epilepsy
or kidney disease, or are
breastfeeding. Avoid driving or
using machinery until you know
how the antibiotic will affect you.
Use sunscreen to avoid sunburn.
Take this antibiotic as prescribed; one tablet by
mouth, two times a day. Keep taking your
antibiotic until it is finished, unless your doctor
tells you to stop. Food or milk may help you
avoid upset stomach. Do not take 2 doses at
the same time!
Do not take this medicine if you have had
an allergic reaction to any tetracycline
antibiotics. Do not take the following
medicines within 2 hours of taking
Doxycline; antacids such as Maalox or
Mylanta; calcium or iron supplements,
cholestyramine (Questran), or cholestipol
(Colestid).
There might be diarrhea, upset
stomach, nausea, sensitivity to sunlight,
or itching. Seek medical attention right
away if you are having: rapid heart
rate, skin rash, hives, or itching;
wheezing or trouble breathing; swelling
of the face, lips or throat.
Tell emergency health care workers
if you are or might be pregnant or if
you are breastfeeding. Use
sunscreen to avoid sunburn.
Take amoxicillin as prescribed; 3 times a day or
every 8 hours as directed by health care
workers. For oral suspension, shake well before
using; keep refrigerated. Keep taking your
antibiotic until it is finished, unless your doctor
tells you to stop. Food or milk may help you
avoid upset stomach. Do not take 2 doses at
the same time!
Do not take amoxicillin if you have had an
allergic reaction to amoxicillin, penicillin, or
cephalosporin antibiotics such as keflex or
Ceclor. Inform your doctor if you are taking
the medicine probenecid. Use a birth
control method other than pills; they may
not work as well while taking amoxicillian.
There may be mild diarrhea, nausea,
upset stomach, itching. Seek medical
attention right away if you are having:
Rapid heart rate, wheezing or trouble
breathing; skin rash, hives or itching;
swelling of the face, lips or throat; or
throat; or severe diarrhea.
Considered safe in pregnancy and
while breastfeeding.
If you are taking any other medication or are pregnant, be sure to inform your doctor of what medication you have just received. He/She will advise you of adverse interactions.
Objective 1: Participants will have an opportunity to view and touch one model of the physical
characteristics and equipment used to operate an indoor medication dispensing site for a potential or
suspected Anthrax exposure event.
-Name the primary difference of the Anthrax POD vs. other mass dispensing
Screening – due to the 48 hour requirement, “well” clients will be moved through the POD as
quickly as possible. “Symptomatic” patients will be referred to appropriate medical care at
the door or directed to the Medical Station, to avoid bottlenecks.
Objective 2: Participants will be introduced to the function and purposes associated with each station
of the Anthrax POD and have an opportunity to ask questions and discuss best practices.
-Name the stations
-Give an example of the primary function of each
GREETER – direct well clients to POD entrance and divert/refer symptomatic patients to
medical care facility. Direct Special Needs clients to designated lane or Medical Station.
Direct client flow to improve capacity – keep ‘em movin’
FORMS – deliver forms, answer questions, assist with reading/writing and/or refer to
interpreters, direct client flow, divert symptomatic patients to Medical Station
SCREENING – collect and review form, direct client flow to best dispensing station or Medical
Station
DISPENSING – review form and dispense appropriately, deliver information package and
answer questions, direct client flow to exit, or divert symptomatic patients to Medical Station
MEDICAL – evaluate symptomatic and special needs clients, direct to proper care depending
on situation
Objective 3: Participants will experience a demonstration of the Just-In-Time Training process.
-Define Just-In-Time Training
Instruction, training & practice received prior to assuming duties
-List tools & resources available to conduct JITT
Job Action Sheets (JAS), lanyards, IAPs & ICS charts, credentialing, opportunities to practice
skills and ask questions, fact sheets