The Hospital PPE Stockpile is separate from the Strategic National Stockpile (SNS). Guidelines for accessing personal protective equipment (PPE) from the Strategic National Stockpile are incident-specific with information available through the Wisconsin Division of Public Health.
This 10-page, color-coded chart provides detailed recommendations and guidelines for healthcare facilities during an influenza pandemic. The initial chart delineates activities in various areas (i.e., administration and planning, communications, operations, and training) by five stages of a pandemic.
In September 2006, The Providence Center for Health Care Ethics and The Hastings Center convened a meeting of public health officials, experts on public health and clinical ethics, and clinicians. The group discussed the challenges of building pandemic plans on an ethically sound framework, and subsequently developed a backgrounder to highlight ethical issues and suggestions.
Stockpiling Solutions represents a thoughtful collaboration between public health and medicine around ethics of care during an influenza pandemic. The task force carefully and thoroughly addressed three significant ethical issues, including: 1) the responsibility of healthcare workers to provide care and to be protected while working; 2) the balance of individual rights and community needs; and 3) the prioritization of limited resources.
New York City Department of Health and Mental Hygiene
The Ventilator Capacity Project surveyed New York City hospitals in order to ascertain several key elements of surge capacity. The survey determined 1) an accurate number of ventilators in city hospitals; 2) health care workers' familiarity with portable ventilators that are part of the Strategic National Stockpile (SNS); 3) hospitals' willingness to use externally purchased ventilators; and 4) hospitals' reliance on oxygen vendors.
A pandemic workgroup convened by the New York State Department of Health and The Taskforce on Life and the Law created a guidance on ventilator allocation in hospitals. The workgroup reviewed several published allocation methods and explained their rationale for using a hybrid approach based on an ethically and clinically sound decision-making system.
A variety of educational materials introduce the benefits of lateral thinking/six hats techniques and apply this approach to collaborative planning for multi-agency pandemic influenza projects. The materials were developed by the Tarrant County, Texas, Advanced Practice Sessions, with funding from NACCHO and the CDC.
The article is a thoughtful assessment of important issues surrounding ventilator allocation during a large-scale disaster. Although the article emphasizes the importance of developing a decision-making process that will be followed during a disaster, it recognizes that some processes and tools will be event-driven. Thus, implementation of certain procedures will depend on the nature of the disaster and occur during the event.
Feel free to download and use materials on this site right away. Please be sure to properly credit the agencies whose work you adapt, and check individual practices for other conditions of use. As always, use of the site and its materials is completely free.