Field Team Leader

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Exotic Disease Response (EDR) Training

• Field Team Leader

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Training Agenda

• During this session we will cover the following
  processes
• Organise Surveillance Teams
• Prepare for Surveillance Visit
• Conduct Surveillance Visit
• Evaluate and Record Surveillance Visit
• Evaluate and Record lab Results from Surveillance
• Stand Down Resources

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Session Outcomes

• At the end of this session you should be able to
• deliver briefings / debriefings to surveillance
  teams
• decide whether to escalate as a result of
• Field Veterinarian report from a farm
• exceptions uncovered during a debrief
• complete visit documentation
• make a diagnosis after receiving lab results
• verify stand down requirements

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Surveillance Process
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The Role of a Field Team Leader in an Exotic
Disease Response

• Managing teams (up to 7 people)
• Act as Interface with Field Visit Coordinator
• Daily briefing / debriefings
• Deciding whether to escalate as result of
• field visits
• lab results
• Standing down resources

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Escalation Path
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Organise Surveillance Field Teams
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Organise Surveillance Field Teams

• At the end of this topic you should be able to
• describe some of the key things to be aware of
  when delivering briefings
• use the SMEAC Checklist to perform the initial
  briefing of a surveillance team

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Delivering Briefings

• Briefing should be relaxed and reasonably
  informal, and
• Brief Only the information that they need
• Clear Avoid unfamiliar technicalities, acronyms
• Interesting Use examples that the group will
  recognise
• In control Arrange the group so that you are
  its focus
• Confident Stick to the information, relax

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Surveillance Briefings Key Points

• Are a method of getting the key information to
  people regularly and quickly
• Follow a consistent agenda
• Highlight Changes especially policy
• Is a two way process not just about informing
  people but listening and responding to questions
  and concerns
• Contain important points from training

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Prepare for Surveillance Visit
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Prepare for Surveillance Visit

• At the end of this topic you should be able to
• perform daily briefing to teams on latest disease
  information, policy changes and issues of concern
  

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Conduct Surveillance Visit 1 of 3
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Conduct Surveillance Visit 2 of 3
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Conduct Surveillance Visit 3 of 3
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Conduct Surveillance Visit

• At the end of this topic you should be able to
• take the appropriate action when a Field
  Veterinarian reports clinical signs from a farm

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Evaluate and Record Surveillance Visit
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Evaluate and Record Surveillance Visit
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Evaluate and Record Surveillance Visit

• At the end of this session you should be able to
• conduct the surveillance debrief
• determine whether to escalate an exception
  uncovered during a surveillance visit debriefing
• complete the Office Use Only section of the visit
  documentation

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Evaluate and Record Lab Results
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Evaluate and Record Lab Results
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Evaluate and Record Lab Results

• At the end of this session you should be able to
• track the status of lab results
• review surveillance results recorded in IRS
• complete the Lab Diagnosis form

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Lab Submission Screen
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Place Details
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Surveillance Task History Report
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Sensitivity and Specificity

• Sensitivity (SE) Measures the ability of the
  test to correctly identify infected animals
• Specificity (SP) Measures the ability of a test
  to correctly identify disease free animals
• Predictive Value (PV) Probability that an animal
  testing ve (ve and ve) (or ve) is actually
  diseased (or not).
• Depends on SP, SE and prevalence

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Example interpretation 1

• 1000 pigs, 60 sampled
• SE 95, SP 60
• No clinical signs
• Prevalence 5, ve PV 11
• Prevalence 10, ve PV 21
• Prevalence 50, ve PV 70

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Example interpretation 2

• 1000 sheep, 60 sampled
• SE 95, SP 85
• No clinical signs
• Prevalence 5, ve PV 25
• Prevalence 10, ve PV 41
• Prevalence 50, ve PV 86

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Stand Down Resources
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Stand Down Resources
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Stand Down Resources

• At the end of this session you should be able to
• confirm
• which Veterinarians visited an infected place
• which other places they have visited, and
• if those visits were made during the stand down
  period
• stand down potentially infectious team members

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Stand Down Resources
Stand Down Period
Risk Period
Farm declared Infected
farm visits
farm visits
1. Determine At Risk People who visited the
Infected Place? 2. Determine At Risk Places
where have they been before and after? 3.
Determine who should be stood down has stand
down period already elapsed? 4. Determine
Surveillance Requirements what risk is
associated with these visits?
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Stand Down Report
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Stand Down Report
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Summary

• During this session we covered
• delivering briefings / debriefings to
  surveillance teams
• deciding whether to escalate as a result of
• Field Veterinarian report from a farm
• exceptions uncovered during a debrief
• completing visit documentation
• making a diagnosis after receiving lab results
• verifying stand down requirements