New Mexico Medical Countermeasures POD Administrative Toolkit

The New Mexico Medical Countermeasures Operations Guide contains information about planning and implementing a public health campaign to dispense medicine, vaccines or medical supplies, collectively referred to as medical countermeasures. The Countermeasure POD Administrative Toolkit is a collection of useful resources, templates and forms to help streamline POD setup and operations.

New Documents as of March 11th, 2011

POD Site Plan Template Version 2.0

POD Security Plan Template Version 1.0

 

POD Toolkit Table of Contents

Section 1: Forms

Document No.                                         Title         

    1.1                                   POD Site Template

    1.2                                   POD Assessment Worksheet

    1.3                                  NMDOH POD Intake Screening Form

    1.4                                  Record of Emergency Data

    1.5                                  POD MOU Template

    1.6                                  POD MOU Template Attachment A

    1.7                                  POD MOU Instructions

    1.8                                  POD Tribal MOU Template

    1.9                                  Closed POD MOU Template

    1.10                                POD Security Access Roster

   

Section 2: Job Action Sheets

Document No.                                         Title          

   2.1                                  Job Action Sheets Table of Contents

                                                  POD Director

                                                  Communications Team

                                                  Treatment Team Leader

                                                  Treatment Team

                                                  Screening Team Leader

                                                  Screener

  .                                               Greeter                     

                                                  Inventory and Supply Team Leader

                                                  Inventory and Supply Team

                                                  Security and Traffic Control Team Leader

                                                  Security and Traffic Control Team

                                                  Support Team Leader

                                                  Support Team

                                                  Runner

  

Section 3: NMDOH Volunteer Forms

Document No.                                           Title

                                                        

  3.1                                        NMDOH Volunteer Application

  3.2                                        NMDOH Volunteer Agreement

  3.3                                        DOH HIPAA Mass Prophylaxis Training

  3.4                                        DOH Notice of Privacy Practices

  3.5                                        POD Volunteer Orientation Checklist

Section 4: ICS Forms

Document No.                                           Title

 4 .1                                        NMDOH ICS Forms Table of Contents                                                 

      

Section 5:  Signage

Document No.                                           Title

  

5.1                                                       POD Signage Read Me

5.2                                                       POD Signage

                                                                   Aid

                                                                   Children

                                                                   Clinic Signage Users Guide

                                                                   Enter

                                                                   Exit

                                                                   Pocket Communicator

                                                                   Process 

                                                                   Registration

                                                                   Screening

                                                                   Start

                                                                   Support

                                                                   Treatment

                                                                   Wait

                                                                   NMDOH POD Banner

Section 6:  Protocols

Document No.                                           Title

6.1                                                        NMDOH Protocols for Mass Distribution or Administration of Medical Countermeasures

6.2                                                        NMDOH Treatment Instructions

6.3                                                        NM Board of Pharmacy Protocols

Section 7: Other

Document No.                                           Title

7.1                                                         POD Kit List