Transcript Slide 1

PHARMACIST’S
ROLE & RESPONSE
IN
EMERGENCY PREPAREDNESS
Rich Palombo, R Ph
Ernest Mario School of Pharmacy
Stakeholders
Pharmacist’s Role and
Response
Federal Network
• Center for Disease Control
http://www.cdc.gov
• National Incident Management System
• National Response Plan
• US Dept. of Homeland Security
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Stakeholders
State & Local Network
• State Emergency Management
Agency
• County Dept. of Public Health
Ernest Mario School of
Pharmacy
Stakeholders
Pharmacist’s Role and
Response
State & Local Network
• County Directives through their
Office of Emergency Management
• Local 1st responders teams:
fire, police & emergency medical
• American Red Cross, Local chapters
Ernest Mario School of
Pharmacy
Model
Emergency & Disaster
Preparedness & Response
Plan
Ernest Mario School of Pharmacy
Pharmacist’s Role and
Response
Emergency & Disaster Preparedness and Response Plan:
Staff
What are your staffing needs?
Pharmacists
Technicians
Support staff/IT personnel
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Emergency & Disaster Preparedness and Response Plan:
Pharmacists
• Emergency Dispensing Provisions
• Designate Pharmacists as First
Responders
• Access to prophylactic medications
& vaccines
• Educate licensees in Disaster
roles/expectations
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Emergency &
Emergency & Disaster Preparedness and
Disaster
Preparedness
Response
Response
Plan: Physicaland
Emergency
&
Disaster Preparedness and Response Plan:
Physical Resources Resources
Pharmacists
Plan:
Limited time to respond! Pre-plan!
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Storage sites for drugs, supplies
Shipping facilities
Transportation resources
Housing & welfare for emergency staff
Telecommunication
resources/alternates
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Emergency & Disaster Preparedness and Response Plan:
Contacts
• Local law enforcement informed
• Identify & Plan for Security resources
• NABP & State Board of Pharmacy
for assistance/coordination
• Insurance Providers/FEMA/CMS
• National & State Pharmacy Associations
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Routinely Update Contact Lists
Federal---NIMS/CDC
Governor’s Office
State Emergency
Management
Local Law
Enforcement
American Red Cross
Ernest Mario School of
Pharmacy
Pharmaceutical
Manufacturers
Wholesale
Distributors
Volunteers/local
Pharmacies
Pharmacists
Technicians
National Lists of
Volunteers
Pharmacist’s Role and
Response
Crisis Response
(first 72 hrs)
• Governor’s Proclamation: SOE
• Board of Pharmacy initiates Plan
• Post Website Emergency/Disaster
Regulations
• Post Emergency re-location,
contact information
• Website is Public Source of Info
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Crisis Response
Ernest Mario School of
Pharmacy
(first 72 hrs)
Pharmacist’s Role and
Response
Crisis Response
(first 72 hrs)
• Link to Internet &
Telecommunication Providers
• State Board of Pharmacy verify
resident licenses
• State boards contact NABP to
expedite non-resident licensure
& verification
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Crisis Response
(first 72 hrs)
• Establish license/credential
protocols for Staff to pass
through security checkpoints
• Coordinate distribution of
national stockpiles of vaccines
& medications
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Crisis Response
(first 72 hrs)
• Coordinate & network federal, state
& local agencies
• HIPAA compliant national
clearinghouse
of patient information
http://katrinahealth.org/
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Pharmacist’s Role
• Lead Pharmacist Contact:
Responsible to coordinate
staffing needs & duties
Emergency Contact for all staff
members
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Pharmacist’s Role
Who will be served?
Victims (adult vs. peds)
Health care givers
1ST responders
Support staff
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Pharmacist’s Role
• Triage for Health & Allergy
Questionnaires
DUR Issues
• Fill prescriptions for
emergency/existing needs
• Continue normal therapeutic
regimens
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Pharmacist’s Role
RECORDS & PAPER WORK:
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Supervise Re-packaging of meds
Create Inventory Lists
Storage & distribution of meds for
biohazards (doxy, cipro, amoxicillin)
Records for prescription medications &
controlled substances
Incidentals
(pens, clipboards, inventory control sheets)
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Pharmacist’s Role
• Insure that Patient Education Sheets
accompany dispensed prescription
medications
• Complete all necessary paper work for the
prescription medications dispensed to
clinics or PODS
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Pharmacist’s Role
• Final Inventory List for all meds
not dispensed during crisis
• Insure the security & storage of
remaining meds
Ernest Mario School of
Pharmacy
Pharmacist’s Role and
Response
Recent incidents for the pharmacists’ role in
Emergency Preparedness & Response
• 2001: NYC, Pentagon, rural PA
• 2005: Gulf Coast/Katrina & Rita
• Threats of bioterrorism, pandemics
(SARS, Bird Flu)
Ernest Mario School of
Pharmacy
Be Prepared!
Pharmacist’s Role and
Response
Pharmacist’s role is vital in the face of
the next emergency
Ernest Mario School of
Pharmacy