Logistics and Maintenance of CHEMPACK Containers

1. Logistics and Maintenance of CHEMPACK Containers New Mexico CHEMPACK Training Program Module 3

2. CHEMPACK Logistics and Maintenance • What does it mean to be a CHEMPACK host agency? • What are the host agency’s responsibilities? • How are CHEMPACK assets maintained? • When and how should CHEMPACK assets be mobilized?

3. CHEMPACK Logistics and Maintenance What is the CHEMPACK program? Allow rapid response to nerve agent events Pre-position nerve agent antidotes Increase state & local capability

4. CHEMPACK Logistics and Maintenance New Mexico Allocations New Mexico has 12 CHEMPACK containers strategically located throughout the state.

5. CHEMPACK Logistics and Maintenance What Is A Host Agency? • A hospital to which a CHEMPACK container has been assigned. • In New Mexico, only hospitals serve as host facilities. • Locations have been strategically selected to ensure geographic coverage.

6. CHEMPACK Logistics and Maintenance What Are The Host Agencies Responsibilities? • To store CHEMPACK assets per state and federal specifications • To ensure security of CHEMPACK assets • To respond to requests for CHEMPACK assets in the event of an emergency

7. CHEMPACK Logistics and Maintenance How Are CHEMPACK Assets Maintained? • CHEMPACK Storage Conditions Requirements • Shelf Life Extension Program (SLEP) • CHEMPACK Security Requirements

8. CHEMPACK Hospital Container Configuration CHEMPACK Logistics and Maintenance

9. CHEMPACK Logistics and Maintenance CHEMPACK Containers • Wire-lexan Mesh • 60.5” x 32.5” x 60.5” • ~800 pounds (full) • Approved by DEA for storage of schedule IV controlled substances

10. CHEMPACK Logistics and Maintenance Sensaphone Automatically notifies CDC if: • The container is opened • Storage or security requirements are breached

11. CHEMPACK Logistics and Maintenance Security Requirements for CHEMPACK • Stored in a hospital pharmacy, locked room, or metal cage • Access restricted to authorized personnel • Monitored 24/7 by intrusion detection device • Equipped with Sensaphone

12. CHEMPACK Logistics and Maintenance Security for CHEMPACK

13. CHEMPACK Logistics and Maintenance CHEMPACK Storage Requirements • Area of approximately 50 square feet • Climate controlled environment • Temperature: 59-86 F • Humidity maintained below 60% • Adequate lighting, ventilation, fire suppression, protection from water damage • Uninterrupted power source • Operational analog telephone line

14. CHEMPACK Logistics and Maintenance CHEMPACK Storage Power Requirements • Electricity to power the Sensaphone • Connection to facility’s emergency power grid • Use of uninterrupted power source (UPS)

15. CHEMPACK Logistics and Maintenance Shelf Life Extension Program (SLEP) • FDA program to extend the shelf life of pharmaceuticals beyond their expiration date • SLEP Criteria • Federally owned pharmaceuticals only • Drugs cannot be exposed to unknown environmental conditions

16. CHEMPACK Logistics and Maintenance Maintaining CHEMPACK Assets: CDC’s Role • AnnualCDC visit to host facilities • Check storage locations • Refresh items not a part of SLEP • Rotate pharmaceuticals nearing manufacturer indicated expiration date • Re-label pharmaceuticals in the SLEP with updated expiration dates and rotated to other containers

17. CHEMPACK Logistics and Maintenance When Should CHEMPACK Assets Be Mobilized? • CHEMPACK containers should be mobilized during a nerve agent event that: • Will potentially overwhelm local supplies of antidotes • Puts multiple lives at risk • Threatens the health of the community

18. CHEMPACK Logistics and Maintenance When Should CHEMPACK Assets Be Mobilized? Agricultural Accident Involving Organophosphates Intentional Release Of A Nerve Agent

19. CHEMPACK Logistics and Maintenance How Are CHEMPACK Assets Be Mobilized? • Potential nerve agent event recognized • Request received for CHEMPACK assets • Local Emergency Manager notified • CHEMPACK container (s) opened • Required materials prepared for transfer • Document transfer of custody • CHEMPACK assets delivered to scene and/or other requesting hospital • New Mexico Department of Health Emergency Operations Center Representative notified • Unused materiel reconciled • CDC notified

20. Requests For CHEMPACK Assets CHEMPACK Logistics and Maintenance • Incident Commander on scene notifies dispatch of potential nerve agent event • Dispatch notifies nearest host hospital to mobilize CHEMPACK assets • Dispatch notifies local emergency manager of event

21. Opening CHEMPACK Containers CHEMPACK Logistics and Maintenance Unlock the padlock Break the plastic seal Slide the deadbolts on either side of the container

22. Opening CHEMPACK Containers CHEMPACK Logistics and Maintenance Use the canvas strap to pull the front door panel upwards to the top of the container Pull the door panel out from the bottom and remove completely to access antidotes

23. Preparing For Transfer CHEMPACK Logistics and Maintenance

24. CHEMPACK Logistics and Maintenance CHEMPACK Labels • GREEN Labels: transfer to EMS in the field • PINK Labels: transfer to non-host facility • RED Labels: keep for host hospital to use

25. CHEMPACK Logistics and Maintenance Transfer Of Custody Forms • Forms are located in pouch on CHEMPACK container • Complete appropriate forms prior to transfer • FAX copies of completed forms to New Mexico Department of Health Emergency Operation Center Representative

26. CHEMPACK Logistics and Maintenance Transferring CHEMPACK Assets • CHEMPACK assets will be transferred by local or state police agencies • To the scene • To non-host hospitals

27. CHEMPACK Logistics and Maintenance Reconciling Unused Material • Unused CHEMPACK assets should NOT be returned to the container • Agencies will take inventory of unused assets • The State CHEMPACK Coordinator will be given the original inventory sheet and the host facility will keep a copy • The CHEMPACK Coordinator and the host facility will coordinate with CDC for pick up of the opened container

28. CHEMPACK Logistics and Maintenance Deployment Report • The State CHEMPACK Coordinator will notify the CDC within 24 hours of an emergency deployment • The Deployment Report should identify: • Amount of materiel used in the deployment • Amount of materiel remaining • Transport agency, transport agent, transfer forms

29. CHEMPACK Logistics and Maintenance Developing a Deployment Plan • Conditions of Deployment • Administrative Authority • Access Guidelines • Maintenance Guidelines • List of Authorized Personnel • 3 Points of Contact • Titles • Phone numbers • Transport Plan • With-in Hospital Deployment Plan

30. CHEMPACK Logistics and Maintenance Module 3 • What does it mean to be a CHEMPACK host agency? • What are the host agency’s responsibilities? • How are CHEMPACK assets maintained? • When and how should CHEMPACK assets be mobilized?

31. CHEMPACK Logistics and Maintenance For More Information Contact: Loretta Sanchez, Assistant State SNS Coordinator 1301 Siler Road Building F Santa Fe, NM 87507 505 476-8758 Special THANKS to Massachusetts CHEMPACK Program & Harvard School of Public Health.