MODULE 5: PODs Bread

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MODULE 5 PODs Bread Butter Operations
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Bread Butter Operations

• POD setup
• Line Control
• POD flow
• Screening
• Dispensing
• Security

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Common Concepts in PODs

• One regional form
• Command Control standardized regionally
• Non-Medical algorithm same in every POD
• Education takes place at HOME
• One way in, one way out
• Multiple dispensing queues
• 24 hr operations

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Different Modalities

• Rapid dispensing in all lines (no specialized
  lines)
• Specialized dispensing lines
• i.e. special needs line, fast track etc.
• Walk-ins vs. Drive-thru models
• Pre-screened POD (first responder PODs)
• Dispensing using a roster

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STEP 2 SHOW FORM (enter queue line)
STEP 3 PICK UP MEDICATION INFO SHEETS
MEDS
MEDS
MEDS
MEDS
MEDS
STEP 1 PICK UP FORM FILL OUT IN LINE
E X I T
STEP 4 DROP OFF FORM (Also Drop off pens and
clipboards)
ENTRANCE
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• ONE REGION.ONE FORM
• Available in English and Spanish (other
  languages forthcoming)
• Form is typically filled out while waiting in
  the main line
• Forms may be mass printed on newsprint
• Some people may need help filling out their
  formconsider line floaters

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• Screener/Queue Stop this is the choke point
  where the main line gets split into queues
• Two methods screen before putting into
  dispensing lines (specialized dispensing)
• OR
• Screen right at the dispensing table

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• Step 3 will consist of
• Picking the right bottle of medication
• Picking the proper quantity of bottles
• Writing CIPRO recipient(s) name(s) on bottles
• Picking appropriate medication information
• Dropping form into a collection box
• Placing medications handouts into bag
• Directing person to listen to TV/Radio for more
  instructions

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• Exit staff
• Ensures that no one leaves with their form
• Reminds people to watch TV/listen to radio for
  medication instructions
• Directs to exit
• Prevents backflow

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POD SET UP

• Command Post
• Keep a visual on operations but far enough
  away to avoid chaos
• Communications Unit
• Should be close enough to relay information,
  but able to perform without distracting others

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Supply Unit

• Secured area where supplies and medication are
  stored
• Should be climate controlled, protected from
  elements, crowd etc.
• Doorway must be wide enough to accommodate a
  pallet (48)
• Accessible via elevator or ground level (no
  stairs!)

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Supply Unit

• Loading dock access is idealmost SNS assets
  arrive via 53 tractor trailer. Forklifts will
  be needed if no loading dock.
• At least one pallet jack should be on hand
• Handtruck, dolly or other sturdy cart to move
  equipment/supplies
• Worst case bucket brigade methodonly works
  effectively if you have lots of staff on-hand.

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Dont forget to take care of staff!
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POD SET UP

• Central feed line
• Whenever possible, try to protect line from
  weather. snaking fits more in a line but
  typically requires stanchions that are at least
  waist high.

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Line Control

• Keep lines/lanes TIDY
• Snake the line fits more in a room (walking only)
• More queues faster thru-put. but will require
  more personnel to control
• Use signaling devices (flags, traffic wands etc.)
• Always put staff in high-visibility vests
• Use traffic cones, stanchions, caution tape etc.
  to define lines

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Which line is easier to control?
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Screening

• One method is to establish lines based on what
  the person is picking up. This requires that the
  form is tabulated before they are sent to a
  dispensing queue.
• Fast-track Doxy Only
• General Dispensing Cipro and Doxy
• Peds Needs Have kids under 9 and/or any other
  special needs that may hold up the line

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For Example
EXIT
Cipro
Doxy
Peds Needs
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Other Screening Setups

• Some counties may COMBINE screening
  dispensingPerson in line goes to the FIRST
  available dispensing station regardless of what
  they are picking up.
• The form is given to the dispensing table to
  determine meds give appropriate bottles/printed
  matter.

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Or
EXIT
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Use Fixed Ushers to Keep the Line Moving

• Ushers are not Runners
• Primary purpose is to keep the line flowing in
  the right direction
• Construction flags and light-up wands work well

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Dispensing

• Bottom of form has medication totals
• Only Cipro recipients get name written on the
  bottle
• Give handouts appropriate to the meds you are
  dispensing
• If picking up for children, include Pediatric
  dosing handout
• Place all items in bag
• Collect form and drop into bin
• NEVER SEND ANYONE BACKWARDS THROUGH THE LINE!

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Security and Ushers

• Physical presence will have psychological
  effectdeterrent to trouble makers
• Keep line moving and orderly
• One entry.one line direction.one exit
• Use the police officer at the POD when needed
• Mental Health professionals may help
  diffuse/reassure anxious, agitated (non-violent)
  people
• Use the physical layout/structure to assist with
  Security

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Use All Available Resources
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Outside planning is important too!

• Remember to keep car traffic flowing in one
  directionuse your police, security and other
  resources!
• A few orange cones can go a long way
• THINK SAFETY!

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QUESTIONS???