A simple and effective point of distribution (POD) functional exercise

The key to the effective utilization of the Strategic National Stockpile (SNS) lies in the distribution system or PODs (Points of Distribution). In the event of an emergency, these PODs need to be staffed in part by volunteers whose training will be the difference between an effective and efficient distribution system and a slow and ineffective one. This paper describes a simple functional exercise that was developed for both training and evaluating the functionality of volunteers within the POD structure. To increase training efficiency this exercise is designed to be administered as part of the training of volunteers. Further, the evaluation of the exercise is designed to assist state health departments in identifying volunteer training needs and deficiencies. In this example case, the exercise revolves around an Influenza Pandemic (H5N1). Participants are organized into POD Teams, with the number of such teams determined by the number of volunteers and trained/expert staff participating in the exercise. Each POD is given a set of cards representing the type and quantity of supplies to be distributed by the PODs and appropriate record-keeping forms and systems. The requestors/patients are supplied with appropriate requisitions and “request cards” specifying the item and quantity they are to requisition. Evaluators observe the functioning of the PODS and requestors/patients and record measures of incident flow, such as time to process requests, and other critical incidences such as variances from appropriate protocols or difficulty in providing requested services.