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48 <br /> <br /> d. Assess resource request from KCPHD or Emergency Management Agency for <br /> supplemental medications, vaccines, medical supplies, and equipment. <br /> <br /> 2. The Kittitas County Public Health Department will be responsible for the following <br /> medication distribution activities: <br /> a. Request needed resources via Kittitas County Emergency Management <br /> b. Identify POD locations to be utilized <br /> c. Prepare POD locations for operation <br /> d. Dispense medications to and/or immunize residents <br /> e. Coordinate security and management for resources deployed to Kittitas County <br /> f. Follow guidelines from DOH and the CDC regarding dissemination of <br /> resources and medication including priority distribution. <br /> <br />E. KCPHD will utilize local and county law enforcement for POD site security, perimeter <br />control, and facility access. <br /> <br />F. POD site selection will be determined by the local Health Officer or Emergency Manager. <br />Because several locations in Kittitas County are identified for possible consideration as medical <br />countermeasure Points of Dispensing sites (Attachment A) a list of POD site/agency partnerships <br />from previous POD sites is supplied (Attachment B). These sites provide for distribution of <br />medication/vaccines and other supplies in both the upper and lower portions of the county. <br />Depending upon the disease being addressed and the overall situation, the local Health Officer or <br />Emergency Manager, or designee, may decide to immunize or provide chemoprophylaxis for <br />populations at risk or the entire population of Kittitas County. The decision to use any of the <br />mass vaccination/mass dispensing site or PODs will be dictated by the needs of the emergency, <br />the population to be served, staffing requirements, and the availability of sites. <br />Incident Command staff, in conjunction with the local Health Officer may also consider utilizing <br />alternative push and pull dispensing methods, such as a drive-thru pharmacy, drive thru clinic, <br />in-house dispensing (large employers, hospital, etc.) or on-site dispensing (jail, nursing homes, <br />etc.) <br /> <br />G. Site setup will be handled by the appointed Inventory Leader. The Inventory Leader will <br />manage reception, storage, and maintenance of the supplies provided to the PODs. The number <br />of vaccination/dispensing stations needed at a site may change depending on the affected <br />population. <br /> <br />H. Certain pharmaceuticals require proper storage to maintain potency. All vaccines will be kept <br />at the advised temperature, ensuring no breaks in the temperature chain. Refrigeration for <br />pharmaceuticals will be accomplished by utilizing refrigerators on site at facilities, by utilizing <br />mobile refrigeration units, or by using temperature monitored (with a thermometer) Styrofoam <br />containers containing ice packs. The method will vary based on POD location. <br /> <br />I. The Reception, Storage, and Staging (RSS) facility operated by the Washington State <br />Department of Health will be responsible for labeling pharmaceuticals. Individual unit of use <br />bottles are pre-labeled and any bulk material will be repackaged at the RSS or a contractor and