Preparation for Smallpox Vaccination

1
Preparation for Smallpox Vaccination

• Considerations in Choosing a Clinic Site

2
Size

• Facility should have large floor space
• Accommodate separate areas for triage, referral
  pre-and post vaccination education and
  vaccination
• Examples schools, auditoriums, arenas,
  conference halls, large churches or temples

Image http//wakefieldhs.net/
3
Size

• Established public health clinic sites can be
  utilized depending on number expected

4
Physical Space

• Triage area
• Isolate contacts or symptomatic patients
• Should be out of doors or at front entrance if
  someone presents with symptoms

5
Physical Space

• Waiting area protected from weather
• Adequate sanitary facilities
• Adequate space to have food service and rest
  areas for staff

6
Accessibility

• Handicapped accessible
• Adequate parking feasibility of
• off- site parking
• Accessible to public transportation

Image http//www.raleigh-nc.org/transit/
7
Security

• Ability to provide security/crowd control

Image http//www.raleigh-nc.org/police/
Image http//www.ncshp.org/
Image http//rtpnet.org/wcso/
8
Contact Vaccination and Voluntary Vaccination

• Establish separate clinics for smallpox contacts
  as opposed to those providing voluntary
  vaccination to the general public

9
Preparation for Smallpox Vaccination

• Planning Considerations

10
Vaccination Strategy-Pre-event Response

• Pre-Event Vaccination predetermined essential
  healthcare workers/Public Health to respond to a
  Smallpox event
• Stages I, II and III
• Stage 1-First likely encounter with smallpox case
• (public health surveillance team members,
  local health department disease investigation
  specialists, staff at likely treatment
  facilities, clinical laboratory workers)
• Stage II-expected to be in field after release of
  small pox-designated first responders
• (EMS, HAZMAT, police, fire, staff at most
  medical treatment facilities, etc.
• Stage III-General public (depends on licensed
  product)
• IND Protocols
• Vaccine Contraindications

11
Vaccination Strategy-Event Response

• Ring Vaccination-small numbers of cases and
  contacts identified
• Mass vaccination-large numbers of cases and
  contacts identified (or projected)
• NO vaccine contraindication

12
Pre-Event Planning Checklist

• Staffing Plan
• Epi Team
• Clinic Manager
• Nurses
• Administrative Support (support for medical
  records, traffic flow, supplies, registration)
• IT Support

13
Pre-Event Planning Checklist-Staff

• Determine staff function and responsibilities in
  clinic
• Use community resources creatively
• Management responsibilities
• Emergency protocol
• Clinic supplies and equipment
• When planning for staff consider
• Number needed
• Number available
• Contact information
• Credentials (Nursing staff)
• Training

14
Pre-event Planning Checklist-Supplies

• Administrative, educational, medical
• What needed, where obtained, where stored
• Disposal of needles, medical supplies, waste

15
Pre-Event Planning Checklist-Clinic Flow

• Number needed
• Location
• Handicapped access
• Parking
• Restroom Availability
• Waiting areas
• Break room for staff
• Registration area
• Video viewing area
• Vaccine administration area
• Area for those with adverse reactions

16
Pre-Event Planning Checklist-Pre-event Plan

• Plan/agreement for staggering staff from the
  involved organizations
• Prioritized list for vaccine
• Contact information

17
Planning Checklist-Training

• Train the trainer
• Vaccine Administration
• Who needs training
• What type
• When
• Where

18
Pre-Event Planning Checklist-Communication

• Medical Community
• Staff
• Media
• Community at large

19
Pre-event Planning Checklist

• Vaccine Receipt Plan
• Location for receipt
• Storage
• Security
• Distribution

20
Event Planning Checklist

• Extend pre-event check list
• Staffing-add incident command, triage staff,
  public health educators, pharmacists, security,
  translators, traffic control and mental health
  support
• MOUs
• Post event plan-contact tracing, plan for triage
  etc.
• Security
• Who, from where, ID badges, etc.