Requesting Strategic National Stockpile

November 2013

Identify components of Strategic National Stockpile (SNS)

Ensure understanding of the process of requesting/receiving SNS

Goal

The mission of the DSNS is to deliver critical medical assets to the site of a national emergency. The DSNS stands ready for immediate deployment to any U.S. location in the event of an terrorist attack, or a natural or technological disaster.

Stockpile elements that DSNS maintains include:◦ 12-hour Push Packages◦ Managed Inventory◦ Federal Medical Stations◦ Other Medical Resources through a Rapid Procurement

System◦ Technical Assistance to State and Project Areas.

Division of Strategic National Stockpile

CBRNE event – chemical, biological, radioactive, nuclear, or explosive

Medical emergency brought on by natural disaster

Information from intelligence or law enforcement

Clinical, lab or epidemiological indications Unexplainable increase in emergency

medical service requests Unexplainable increase in antibiotic

prescriptions or OTC medication use

What would justify SNS?

A variety of medical resources which includes:◦ Federal Medical Stations◦ Antibiotics (oral and IV)◦ Vaccines, antivirals, antitoxins◦ Chemical Antidotes◦ Personal Protective Equipment◦ Portable Ventilators◦ Wound care supplies◦ Items for radiation, burns, and blast◦ IV administration supplies◦ Airway management supplies (pediatric/adult)

What is Maintained in the Cache?

* An emergency declaration must be made before activation of the stockpile.

Significant event occurs requiring receipt of the

SNS

Hospitals use current resources to continue treatment of hospital personnel/population

Hospital/Treatment centers contact Local Health Jurisdiction to

request and coordinate additional resources

LHJs will access local resources according to

plansWhen local supplies are

depleting...Request may forwarded

on to local EOC/ECC

Local EOC/ECC then forwards the request to the region and the state

State will attempt to obtain resources or move

request to the federal level (SNS)

Federal Responsibilities

State Responsibilities Local Responsibilities

Act on Governor’s request for SNS.

Once approved, ship SNS to state officials at the designated Receiving, Staging and Storage (RSS) facility.

Assess need for supplemental medications, vaccines, medical supplies and equipment in collaboration with local requesting agencies.

Formally request SNS from federal authorities

Receive SNS; break down, repackage into unit doses, and affix labels.

Ship SNS elements to point of dispensing (POD) locations designated by LHJ.

On arrival, break down and transport SNS needs to distribution locations.

Work with local authorities and local or regional EOC/ECC to assess need for deployment of the SNS.

Communicate need for SNS to health officials at State EOC.

Setup emergency clinics in communities as situation dictates.

Dispense medications or immunize residents. Assist the local EOC/ECC under unified

command in determining needs and distribution for other critical medical supplies (during an event of public health significance).

SNS Summary of Responsibilities

Establish communications. Assess your needs! Request ONLY when it is

anticipated resources will be exhausted and cannot be procured locally.

Request capabilities, not specific items or drugs unless absolutely necessary.

Track utilization of assets. Provide information upon request to local

EOC/ECC.

Hospitals and Medical Centers

Questions?