Insert local logo here

Practical Tools for Point-of-Dispensing Site Training

and Client Communication

APC Road ShowOrlando FLJuly 2009

Who we are

Cambridge Materials

Pictograms

Dispensing Site Planning

Trainings for Dispensing Sites

Personal Preparedness

Upcoming Materials

Getting to know you

• How prepared is your general population?

• Who are your vulnerable populations?

• What methods do you use for dispensing sites?

Cambridge APC

• Multi-disciplinary team

• Continual engagement in– Assessment of preparedness needs and gaps– Generation of solutions for local public health– Promotion of APC program and products

• Utilizing learning laboratory

Massachusetts Public Health Emergency Preparedness Regions

PHP Region 4b Community Characteristics

• Population of communities range from 7,261 to 101, 355 residents

• Great diversity in local government structures

• Public health departments range from 2 to 63 full time employees

Local Preparedness Planning Realities

• Federal/state mandates for local public health emergency response planning

• Limited capacity and training of local public health departments

Cambridge APC Products

• Regional Dispensing Sites –Planning–Communication Tools –Trainings

• Evaluation

• Mutual Aid for Public Health

• Model legislation for regionalization

• Regional Epidemiology

Who we are

Cambridge Materials

Dispensing Site Planning

Trainings for Dispensing

Sites

Personal Preparedness

Upcoming Materials

Prepare Clients for POD Experience

• Information:

• What will happen • How will it happen• What they will be asked

• Delivery:• Perceive• Understand• Personally Applicable

Identify the groups within the at-risk population with special needs

Determine resources available/needed to serve these groups

Initiate the special populations plan

Special Effort for Special Populations

Population Vulnerability

• Physical disability• Cognitive disability• Language barrier (e.g., English,

literacy)• Conditional impairments

– Mental noise– Environmental barriers– Trust – Knowledge barriers

A Preparedness Paradigm Shift

1. Many will be “vulnerable” in an emergency

2. Specialized services deters those with “special needs”

3. Specialized preparedness is unsustainable for local health

Access Umbrella

Universal Design in Our Lives

Source: http://www.design.ncsuedu/cud/about_ud/udprincipleshtmlformat.html#top

Making Dispensing Sites Universally Accessible

• Physically accessible

• Information to communicate to many

• Information to exchange interpersonally

Universal De-SIGN

Communicate through trusted sources

Identify station purpose with a picture

Simple one-wordstation description

Provide language translation

Mass Communication: Signage

• Outlines Service & Process information

• Identifies station purpose

• Improves efficiency• Decreases anxiety• Expands usability• Increases access to

service

Pocket Communicator

Worker to client Internal

communication tool

Clerical & clinical functions

Does not replace other forms of communication

Language Barriers

• Identifies barriers early

• Provides client with visual reassurance

• Affords easier access to translation

Provide Directions

“Please go to the blue Children area.”

Key Concepts

Cambridge APC Sign Requests

Who are we?

Dispensing Site Planning

Pictogram Development

Trainings for Dispensing Sites

Personal Preparedness

Future Products

Behavioral Health?

Mental Health

Counseling

Behavioral Health

Support

Children – before

Children – after

Who are we?

Dispensing Site Planning

Pictogram Development

Trainings for Dispensing Sites

Personal Preparedness

Future Products

Session 1 The Mechanics

Lesson Framework

Goal & Objectives

• Knowledge– Job Action Sheets– Incident Command/Management Principles– Fundamental Tasks

• Skills– Serving clients with varying language, physical,

and cognitive abilities

• Teamwork

Session 2: Facilitating Clients

Lesson Framework

Training Outcomes

• Knowledge

• Skills

• Teamwork

Training Resources

• Trainer guide

• Training materials

• Evaluation tools

Who are we?

Dispensing Site Planning

Pictogram Development

POD Trainings

Personal Preparedness

Future Products

Accessible Personal Preparedness

Accessible Personal Preparedness

Accessible Personal Preparedness

Accessible Personal Preparedness

Who are we?

Dispensing Site Planning

Pictogram Development

Trainings for Dispensing Sites

Personal Preparedness

Future Products

Cambridge APC Tools in development• MAVEN Exercise

• Evaluation Training

• Epidemiology Just in Time Training

• Health Data Reports Tool

• Alternate Care Site Signs

• Decontamination Unit Signs

• Product Recall tool

Communicating Recalls Differently

Cambridge Advanced Practice Center for Public Health

Preparedness

kdunnell@challiance.org

It started with toothpaste..

• Recall of toothpaste product• Cambridge Public Health mobilizes

inspectors• Toothpaste sold in non-English

speaking markets• Toothpaste being purchased and

sent home to Haiti and Latin America

Response

Cambridge Public Health first issued a press release

• 119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888•

For Immediate Release Contact: Susan Feinberg, MPH • June 20, 2007 Communications Specialist• Cambridge Public Health Dept.

617-665-3833 •• FDA Issues Toothpaste Warning• The U.S. Food & Drug Administration has issued two warnings this month about certain toothpastes

manufactured in China and South Africa that may contain a toxic chemical called diethylene glycol (DEG).

• In the U.S., these products are typically being sold at "dollar-type" discount stores, convenience stores, and small food markets.

• Suspect tubes of toothpaste have reportedly been found in Somerville and Sturbridge, as well as in New York, New Jersey, Pennsylvania, Maryland, and Florida.

• As of June 8, there were no U.S. reports of poisonings from toothpaste containing DEG. The chemical, which is commonly found in antifreeze, is sometimes used illegally as an inexpensive sweetener and thickening agent.

• Cambridge residents should throw away or return to the store for refund:• 1) Any toothpaste labeled as "Made in China."• 2) Any fake “Colgate” toothpaste, which is: • Labeled as "Manufactured in South Africa"• A 5-oz. or 100 ml tube• Contains misspelled words on the label, including "South African Dental Assoxiation," "SOUTH

AFRLCA,” and "isclinically"

119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888

Implementation

Translation challenges arose

Someone asked about pictograms

Cambridge tried something different…

Product Recalls-What we know now

Current state

• Food recalls impact all communities• Current communication of recall

information is targeted to media outlets• Translation and communication are

resource intensive• Local health departments are challenged

to provide timely information to constituents in accessible formats

Other Countries Requirements

• Vendor must advertise recall in newspaper

• Format and size are by regulation

• This border is a universal recall symbol in Australia

Cambridge APC Proposal

• A readily usable tool to create simple & effective communication material for recalls

Cambridge APC Proposal - How

• Build upon successful use of pictograms for Dispensing Sites

• Develop pictograms for food recalls• Develop food recall flyer template• Include instructions on pulling

information from FDA press releases• Include pictogram images for use in

template

Cambridge APC Proposal

What would this look like?

Discussion

Contact Information

Kerry Dunnellkdunnell@challiance.org