Rescuing a Nation: Post Earthquake Pharmacy Operations and Patient Care Challenges in Haiti - PowerPoint PPT Presentation

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Rescuing a Nation: Post Earthquake Pharmacy Operations and Patient Care Challenges in Haiti

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Describe the roles and responsibilities of a Coast Guard pharmacist 2. Discuss collaborative inter-agency ... Haiti Earthquake 7.0 Magnitude 16 miles west of ... – PowerPoint PPT presentation

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Title: Rescuing a Nation: Post Earthquake Pharmacy Operations and Patient Care Challenges in Haiti


1
Rescuing a Nation Post Earthquake Pharmacy
Operations and Patient Care Challenges in Haiti
  • LCDR Aaron Middlekauff US Coast Guard
  • Air Station Miami, Florida

2
CPE Information and Disclosures
LCDR Middlekauff declares no conflicts of
interest, real or apparent, and no financial
interests in any company, product, or service
mentioned in this program, including grants,
employment, gifts, stock holdings, and
honoraria. To receive credit for this activity,
participants will be required to actively
participate in the entire session and complete an
online evaluation and CPE recording form using
the voucher code assigned to this session.
The American Pharmacist Association is
accredited by the Accreditation Council for
Pharmacy Education as a provider of continuing
pharmacy education.
3
Learning Objectives
  • 1. Describe the roles and responsibilities of a
    Coast Guard pharmacist
  • 2. Discuss collaborative inter-agency
    cooperation efforts
  • 3. Describe pharmacy logistical and operational
    surge during relief operations
  • 4. Identify limitations and opportunities to
    excel during a time of crisis

4
Self-Assessment Questions
  • 1. The roles and responsibilities of a Coast
    Guard pharmacist are multi-faceted. True or
    False.
  • 2. Personnel processing through Air Station
    Miami required
  • a. Anti-malarial agent
  • b. H1N1
  • c. Typhoid
  • d. DEET
  • e. All of the above
  • 3. The Coast Guard AOR expanded to include
    transiting cutters and personnel from other
    agencies downrange into theater operations. True
    or False.

5
Coast Guard Mission Structure
  • Forces - Active Duty (42,000), Reservists
    (7,500), Auxiliarists (29,000), Civilians (7,700)
  • Primary Missions Humanitarian, SAR, Law
    Enforcement, Alien Migrant Interdiction
    Operations, Port Security, Ice Operations, etc.
  • Medical Structure health care is provided
  • by Public Health Service Officers
  • - 60 Physicians
  • - 7 Mid-Level Providers (30 CG)
  • - 55 Dentists
  • - 15 Pharmacists
  • - 675 Corpsmen

6
My Introduction to the Coast Guard
7
Coast Guard Assimilation
  • 1.
  • 2.

8
Personal Background The UPOC Guy
9
Coast Guard Pharmacy
  • 15 pharmacists (13 field billets and 2 admin)
  • Ambulatory Care Clinics
  • Collateral duty assignments
  • Regional Pharmacy
  • Executive (RPE) role
  • Provide oversight for tech
  • training, PT, CSAB, logistics,
  • inspections, AOR, and patient care.

10
Haiti Earthquake
  • 7.0 Magnitude
  • 16 miles west of capital
  • Tuesday 12 Jan 2010
  • 52 aftershocks greater than 4.5 by 24 Jan
  • Estimated 230,000 dead
  • Essential services and damage to infrastructure

11
Presidential Palace Before and After
12
Cathedral Before and After
13
Coast Guard Response - Evolution
  • 12 Jan 2010 earthquake occurred
  • 13 Jan 2010 four CG cutters and nine aircraft
    operating aid
  • 13 Jan 2010 CO of AS Miami interviewed by
    multiple news networks

14
Coast Guard Response - Evolution
  • 15 Jan 2010 four simultaneous emergency prime
    vendor orders to meet mission requirements
  • 15 Jan 2010 CGC Tahoma Mohawk feedback
  • 19 Jan 2010 collaborative delivery arranged
    from ASCW/ASCC/ASM
  • 20 Jan 2010 USNS Comfort arrived on scene

15
Force Health Protection Guidance
  • Anti-Malarial Medication
  • Typhoid Vaccine
  • DEET
  • Sunscreen
  • IV Fluids
  • Oral Rehydration Packs
  • AMIO Supplies
  • Rabies Immunoglobulin/Vaccine
  • H1N1 vaccine

16
Other Issues and Concerns
  • Coordinating with D-7 Incident Management Team
    (IMT)
  • Positive control of narcotic delivery into
    theater
  • Accounting Issues
  • Coast Guard Strategic Priorities
  • Medevac personnel
  • Conduct port assessment
  • Humanitarian supplies
  • Deter mass migration

17
Answers To Self-Assessment Questions
  • 1. The roles and responsibilities of a Coast
    Guard pharmacist are multi-faceted. True or
    False.
  • 2. Personnel processing through Air Station
    Miami required
  • a. Anti-malarial agent
  • b. H1N1
  • c. Typhoid
  • d. DEET
  • e. All of the above
  • 3. The Coast Guard AOR expanded to include
    transiting cutters and personnel from other
    agencies downrange into theater operations. True
    or False.

18
Closing Remarks and Questions
Picture references from this talk are available
upon request
  • LCDR Aaron P. Middlekauff
  • USCG Air Station Miami
  • aaron.p.middlekauff_at_uscg.mil
  • 786-999-4184
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