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911/Poison Center Interface

911/Poison Center Interface. A plan that works!. What is a Poison Center?. Respond to poison emergency and poison information calls Free-confidential service 24/7/365 service Management by registered nurses specially trained in toxicology Staff of medical and clinical toxicologists 24/7

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911/Poison Center Interface

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  1. 911/Poison CenterInterface A plan that works! Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  2. What is a Poison Center? • Respond to poison emergency and poison information calls • Free-confidential service • 24/7/365 service • Management by registered nurses specially trained in toxicology • Staff of medical and clinical toxicologists 24/7 • Ongoing professional and public education Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  3. Why do Poison Centers exist? NYS Poison Centers were established by law to reduce: • The number • The cost • The severity of poisonings in NYS Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  4. Sites of Poisonings • At home • At work • Healthcare sites • In the field Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  5. Scope • About 40,000 calls annually • 85% of calls are accidents • 82% of calls are managed AT HOME • 55% of calls are about children >5 • Only 3% of calls require an emergency vehicle Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  6. Service area of the Upstate Poison Center Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  7. Rationale for 911/PC Interface • Maximize medical resources in the communities we mutually serve • Provide excellence in medical service in the most cost-efficient manner possible • Provide an opportunity for developing a dynamic collaborative between our centers For every dollar spent on the Poison Center side, seven dollars are saved on the medical intervention side. Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  8. History of 911/UNYPC Interface • 1990-1992Steering Committee was formed for the Start-up of 911 Onondaga County • 1992- The first Protocol and Procedure was developed for the interface of Onondaga County 911 and the Upstate New York Poison Center in Syracuse • 1997- Oswego County 911 signed on • Today,both serve as the benchmark for this effective interface process Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  9. Steps for Initiating 911/PC Interface • 911 director reviews/ approves 911/Poison Center interface • 911 director signs off on P&P, formalized as part of 911 Directives • Training provided by Poison Center using P&P as base Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  10. Training Consists of: • Pre-test, providing examples of typical poisoning scenarios • History of Poison Center • Intro to Poison Center staff & service area • Rationale and purpose of training • Provide P&P, summarized • Discussion • Group post-test Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  11. Typical Call • Call to 911 • Caller has: • Eaten • Swallowed • Spilled or splashed in eyes or on skin • Inhaled • Bite or sting • 911 call-taker assesses the situation according to 911 protocol Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  12. Typical Call • IF there is no: • Loss of consciousness • Blocked airway • Suicide attempt • Suspicious nature • Call is transferred to the Poison Center Exception: If caller demands vehicle be sent, it will be sent. Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  13. Typical Call • Transfer process (depending on center’s capabilities) • 911 call taker ID’s him/herself as 911 + by county • Provides brief history of call • Poison Control will • Take control of call, PC is then liable for call just as if it originated at Poison Control • PC may ask 911 to stay on line till PC asks a few questions Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  14. Typical Call • 911 is welcome to stay on the line to hear how case is managed, however • 911 tells Poison Center they will be remaining on the line to listen • If the PC takes control of call, there can be no continuing discussion of management 82% of calls to Poison Centers are managed on site Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  15. Future Plans • Develop a computer-assisted 6 month post-test for 1st time participants for QA purposes • Develop an annual assessment for all past participants for QA purposes • Develop the training program for video conferencing purposes for 1st time participants Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  16. Interested? Qualified? • Check to see if your county is in the service area of the Upstate NY Poison Center • If so, agree to review the P&P developed by 911 Onondaga and the Upstate NY Poison Center • Sign off on P&P • Arrange for training for your staff Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

  17. Contact information Thanks for participating in today’s program! Gail Banach, MS,IDDE, MS,Ed Director of Public Education Upstate New York Poison Center 315-464-5423 banachg@upstate.edu Gail Banach, MS,IDDE, MS,Ed Upstate New York Poison Center

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