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ID
12-508-1242
Name
Pharmacy Team
Status
Published
Version
1.4
Updated
11/19/2019 1:29:41 PM
Original Release
06/19/2018
Last Major Release
11/19/2019
Description
The Pharmacy Team provides services, including drug and disease information, drug preparation and distribution, vaccinations, and dosage monitoring services, for all patients in an existing hospital (inpatient), outpatient facility, or alternate medical care facility, or via mobile access
Resource Category
Medical and Public Health
Primary Core Capability
Public Health, Healthcare, and Emergency Medical Services
Secondary Core Capability
 
Resource Kind
Team
Overall Function
The Pharmacy Team: 1. Distributes and dispenses pharmaceuticals prescribed to individuals, including refilling prescriptions for maintenance medications 2. Advises patients, physicians, and other health practitioners on the selection, dosages, interactions, and side effects of medications 3. Counsels patients on the use of prescription and over-the-counter medications 4. Consults with and advises clinical providers about medication therapy 5. Assures the accuracy of every prescription filled and accommodates access and functional needs (AFN) or language needs, as appropriate 6. Maintains dispensing records and insures accuracy of all inventories before, during, and after each shift, as appropriate
Composition and Ordering Specifications
1. Discuss logistics for deploying this team, such as working conditions, length of deployment, security, lodging, transportation, and meals, prior to deployment 2. Discuss environment and personal protective measures that may be necessary to protect the staff and patients 3. Discuss security arrangements to protect personnel and pharmaceuticals prior to deployment, such as via law enforcement, military support personnel, or other appropriate personnel 4. Discuss secure facility logistics prior to deployment 5. Specify the need to order an inpatient or outpatient Pharmacy Team and what type of mobile or portable vehicle or equipment might be necessary a. Outpatient pharmacies are usually mobile units but can be portable; portable (fixed) units can take several hours to set up b. Inpatient pharmacies, if not in an existing facility, can be portable temporary hospital settings and are rarely mobile 6. Specify the need to order additional staff to ensure the availability of resources required to safely and effectively support the mission assignment, including administrative, logistics, communications, supply, and clerical personnel 7. Requestor supplements clinical staff with Healthcare Resource Coordination Team if equipment, supplies, information technology, and communications support are necessary 8. Requestor identifies, verifies, and mitigates potentially hazardous conditions 9. To ensure staff is qualified to care for the patient mix, requests for assistance specify the clinical area, specialty services (if necessary), mission assignment, and anticipated length of deployment 10. Temperature control support may be necessary for medical supplies in some environments 11. Address potential biohazard issues 12. Address vehicle maintenance support needs, if necessary
Supporting Core Capabilities
None
Components
Component Notes  
MINIMUM PERSONNEL PER TEAMNot Specified
Component Types
Type Attribute
Type 15
Type 2Same as Type 3
Type 33
MANAGEMENT AND OVERSIGHT PERSONNEL PER TEAMNot Specified
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 31 – National Incident Management System (NIMS) Type 1 Medical Team Leader
SUPPORT PERSONNEL PER TEAMNot Specified
Component Types
Type Attribute
Type 1Same as Type 2, PLUS: 1 – NIMS Type 1 Pharmacist 1 – NIMS Type 1 Pharmacy Technician
Type 2Same as Type 3
Type 31 – NIMS Type 1 Pharmacist 1 – NIMS Type 1 Pharmacy Technician
Inpatient and Outpatient Capabilities Per TeamTypically, an inpatient team can support an outpatient unit; however, an outpatient/mobile team may not have the capability to support an inpatient environment.
Component Types
Type Attribute
Type 1Same as Type 2, PLUS: Outpatient/mobile care for ambulatory patients
Type 2Inpatient care for acute patients in a hospital setting or in portable units augmenting a hospital setting
Type 3Outpatient/mobile care for ambulatory patients
Volume Capabilities Per TeamNot Specified
Component Types
Type Attribute
Type 1Same as Type 2, PLUS: 400 ambulatory patient prescriptions per 12-hour shift
Type 250 inpatient prescriptions per 12-hour shift
Type 3400 ambulatory patient prescriptions per 12-hour shift
Facility Equipment Per Team1. A mobile unit is housed in a self-contained wheeled vehicle or a trailered vehicle. Mobile units vary in size, are able to withstand winds, and include a satellite connection. 2. Portable units are fixed, non-wheeled structures erected in one location to augment a hospital or other fixed clinical care setting. 3. Outpatient teams receive mobile units and adjunct equipment unless otherwise specified. Outpatient teams can use an existing facility in lieu of a mobile unit, if available.
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 3Mobile unit or a portable unit and adjunct equipment provided
Pharmacy Operations Equipment Per TeamInpatient settings may require sterile preparation standards (cleanroom and hood) for dispensing medications.
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3, PLUS: 1. Intravenous (IV) therapy equipment 2. Sterile environment (hood)
Type 31. Range of prescription and over-the-counter pharmaceuticals 2. Pill counter 3. Pharmacy scale 4. Label printer 5. Metric and apothecary weight set 6. Temperature control equipment 7. Hazardous pharmaceutical waste containers
Personal Protective Equipment (PPE) Equipment Per Team MemberThe following regulations address PPE: Occupational Safety and Health Administration (OSHA) 29 Code of Federal Regulations (CFR) Part 1910.1030: Bloodborne Pathogens, OSHA 29 CFR Part 1910.120: Hazardous Waste Operations and Emergency Response, and OSHA 29 CFR Part 1910.134: Respiratory Protection.
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 3PPE is mission specific and may include: 1. Eye protection 2. Masks, such as N95 masks or powered air purifying respirators (PAPR) 3. Protective footwear 4. Protective gloves
COMMUNICATIONS EQUIPMENT PER TEAMNot Specified
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 3Appropriate team communications, such as two-way radios, cell phones, or a satellite phone
Information Technology Equipment Per TeamSoftware is specific to pharmacy-related needs.
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 3Laptop computers and software
743
Notes
References
Reference
FEMA, NIMS 508: Healthcare Resource Coordination Team
FEMA, NIMS 509: Medical Team Leader
FEMA, NIMS 509: Pharmacist
FEMA, NIMS 509: Pharmacy Technician
FEMA, National Incident Management System (NIMS), October 2017
Occupational Safety and Health Administration (OSHA) 29 Code of Federal Regulations (CFR) Part 1910.120: Hazardous Waste Operations and Emergency Response, latest edition adopted
OSHA 29 CFR Part 1910.134: Respiratory Protection, latest edition adopted
OSHA 29 CFR Part 1910.1030: Bloodborne Pathogens, latest edition adopted