1 Preparing for Smallpox: Post-event Smallpox Response.
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Transcript of 1 Preparing for Smallpox: Post-event Smallpox Response.
1
Preparing for Smallpox:Post-event Smallpox Response
2
Smallpox
• Viral infection
• Person to person spread
• 30% death rate
• 1949 – Last case in US
• 1972 – Stopped routine vaccination in US
• 1977 – Last naturally occurring case in world
3
Smallpox
• Vaccination is effective in preventing infection if given in advance or within 3 days of exposure
4
Smallpox
• Recent intelligence indicates four countries have stockpiles of the virus– Iraq– North Korea– France– Russia
5
Mass Vaccination Plan
• We must be prepared for the possibility of a terrorist attack in which smallpox is used as a biological weapon
• The Centers for Disease Control (CDC) has instructed state public health agencies to develop and be ready to implement plans to immunize the entire population of the state in a 10-day period if such an attack were to occur
6
Mass Vaccination Plan
• Clinic demographics– One clinic per 50,000 population, 117 clinics
statewide– Each clinic serves 5000 patients per day– Each clinic operates 2 shifts per day, for 10
days straight– Each clinic staffed by over 200 people, over
100 per shift
7
Mass Vaccination Plan
• Where possible, the number of people identified to work in clinics should be increased by 20% with cross-trained personnel to allow for no-shows, breaks, surge needs and other contingencies
8
Clinic Volunteers
• 25,000-30,000 people needed to staff 117 clinics statewide
• Only 4,500 public health staff in the state
• In order to assure our ability to protect our families and communities, we need volunteers to work with public health staff to operate these clinics
9
KNOX COUNTY MASS VACCINATION PLAN
• 8 Clinics planned in Knox County – High school sites– Transportation, parking, security plan– Administration plan
• Two 8 hour shifts a day (16 hour days)
• Approximately 2,000 - 3,000 volunteers needed
• Volunteers would be vaccinated first, along with their family members
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Mass Vaccination Plan
– Clinic Flow• Triage
• Forms Distribution
• Patient Education / Informed Consent
• Vaccination
• Exit Review
• Special Processes for Select Groups– Patients with symptoms of smallpox
– Contacts to a case of smallpox
– Individuals with possible contraindications to vaccination
11
Mass Vaccination Plan
– Clinic Support Functions• Interpreter services
• Ability of deal with medical emergencies
• Security and traffic control
• Vaccine preparation
• Supply management
• Transportation plan
• Waste disposal plan
• Media plan
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TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
13
TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
14
Clinic Flow and Staff Functions
• Triage– Screen out those individuals that may have
smallpox (fever and rash) or contacts of a possible or confirmed case of smallpox and separate them from the mainstream clinic flow
15
TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
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Clinic Flow and Staff Functions
• Ill Evaluation Area– Evaluate/examine triaged ill persons and provide
back-up to Medical Screeners and/or Contact Evaluation Area and/or EMT
– Possible cases of smallpox will be referred to hospital or other health care provider for diagnosis/treatment
– Patients approved for vaccination will reenter mainstream clinic flow
– Staff working in this area should be fitted for N-95 masks
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TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
18
Clinic Flow and Staff Functions
• Contact Evaluation Area– One-stop shopping for the most at-risk population
– Medical screening
– Vaccination
– Register for surveillance of symptoms
– Identification of contacts
– Education and special instructions
– On-site data entry
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TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
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Clinic Flow and Staff Functions
• Forms Distribution– Put together and distribute patient forms
and information packets– Direct patients to video area
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TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
22
Clinic Flow and Staff Functions
• Video Areas– The same process takes place in staggered sessions in different
locations where the patient:• Views educational video• Completes informed consent
– Staff• Run video• Review informed consent forms • Direct persons with all “no” checked boxes to vaccination area• Direct persons with any “yes” or “maybe” checked box to
either exit the clinic or to another area of the clinic for further evaluation
23
TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
24
Clinic Flow and Staff Functions
• Special Assistance Unit– Patients with special needs (disability,
literacy problem, language barrier, etc) are referred here for the same processes that occur in the other video areas
– Interpreter(s) will be available in this area
25
TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
26
Clinic Flow and Staff Functions
• Medical Screening and Counseling Area– Patients with self-identified potential
contraindications to vaccination are sent to this area if they they still desire vaccination or need/want further counseling
– Patients may either exit clinic from this area or proceed to vaccination area
27
TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
28
Clinic Flow and Staff Functions
• Vaccination Area– Multiple vaccination stations per shift
– 2 Trained vaccinators at each station• Ideally, 1 of the vaccinators at each station is a nurse
• During any given time period, 1 vaccinator is vaccinating while the other is dealing with paperwork and serving as a witness. The two will trade off on a regular basis.
– 1 Non-vaccinator support person at each station to assist in the compilation of paperwork and distribution of vaccine site care supplies
29
TRIAGE
2 Staff
Forms Distribution
9 Staff
Ill Evaluation Area 2 Staff ( Minimum 1 MD )
Video Area
3 Staff
Video Area
3 Staff
Video Area
3 Staff
Special Assistance
4 Staff ( 1 interpreter )
Video Area
3 Staff
Video Area
3 Staff
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
Vaccination Area 1 non med non vaccinator 2 vaccinators ( prefer 1 RN )
EXIT REVIEW
2 Staff
Medical Screening & Counseling Area 7 Staff
Contact Evaluation & Vacc Area 4 Staff ( RN/Epi/ PH Rep ) 1 Data Entry
OK to Vacc
Clinic Administration 1 Manager 1 Assistant Mgr 1 Float Staff
1 Emergency Medical Technician
Supply Area 1 Manager 1 Asst Mgr 2 Vacc Prep 1 Float Staff
Public Health MD, NP, RN, Pharmacist ( Not Necessairly PH ) Non-Medical
TRAFFIC Security Staff
1 Float Staff ( RN )
TENNESSEE MODEL
30
Clinic Flow and Staff Functions
• Exit Review– Staff answer any final questions about site
care, adverse event symptoms, non-take reporting procedures, or other issues following vaccination
– Assures patients exit with all information sheets and instructions
31
Other Clinic Support Staff
• Clinic Administration– Assure smooth clinic operation
– Coordinate/communicate with regional public health office
– Address problems as they arise
• Supply Area– Assure all clinic workstations have access to needed
supplies
– Oversee vaccine storage and preparation
32
Other Clinic Support Staff
• EMT to deal with medical emergencies
• Float nurse to oversee non-medical vaccinators
• Security / traffic control staff to maintain order
33
Public Health Regional Director
County Health
Director
Clinic Manager
( 1 )
Asst Clinic Manager
( 1 )
Float Staff ( 1 )
Medical Team Leader
Medical Screeners /
Counselors (7)
Exit Review
Staff ( 2 )
Vaccinators ( 10 ) Medical
( 10 ) Non
Float RN ( 1 )
EMT ( 1 )
Illness Evaluation Staff ( 2 )
Vaccinator Support
Staff ( 10 )
Triage Staff ( 2 )
Forms Distribution
Staff ( 9 )
Administrative Support
Team Leader
Video / Referral
Staff ( 15 )
Special Assistance Staff ( 4 )
Security / Traffic
Team Leader
Security / Traffic
Staff ( 22 )
Contact Eval / Vacc
Team Leader
Contact Eval / Vacc Staff ( 4 )
Data Entry Staff ( 1 )
Asst Supply Manager ( 1 )
Supply Manager
( 1 )
Vaccine Preparation Staff ( 2 )
Float Staff ( 1 )
Security Staff Public Health MD, NP, RN, Pharmacist Non-Medical
Vaccination Clinic Organizational Chart
34
Clinic Volunteers/Staff
• Should not have any contraindication to vaccination if they are going to work in the Illness Evaluation, Contact Evaluation or Vaccination Areas
• Volunteers and other members of their households will be the first to be offered vaccination in a post-event response
35
Thank you for volunteering!
Your help will be vital to the health and safety of our community.
