Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T06:46:03.040Z Has data issue: false hasContentIssue false
  • English
  • Français

Just-in-Time Training of Dental Responders in a Simulated Pandemic Immunization Response Exercise

Published online by Cambridge University Press:  05 June 2014

Michael D. Colvard ,
Jeremy L. Hirst ,
Benjamin J. Vesper ,
George E. DeTella ,
Mila P. Tsagalis ,
Mary J. Roberg ,
David E. Peters ,
Jimmy D. Wallace II  and
James J. James
Michael D. Colvard*
Affiliation:
University of Illinois at Chicago, College of Dentistry, Department of Oral Medicine and Diagnostic Sciences, Chicago Disaster Medicine Responder and Technology Office, Chicago
Jeremy L. Hirst
Affiliation:
DuPage County Health Department, Office of Risk and Emergency Management, Wheaton
Benjamin J. Vesper
Affiliation:
University of Illinois at Chicago, College of Dentistry, Department of Oral Medicine and Diagnostic Sciences, Chicago Disaster Medicine Responder and Technology Office, Chicago
George E. DeTella
Affiliation:
DuPage County Health Department, Office of Risk and Emergency Management, Wheaton
Mila P. Tsagalis
Affiliation:
Office of Community Initiatives, Wheaton
Mary J. Roberg
Affiliation:
University of Illinois at Chicago, College of Dentistry, Department of Oral Medicine and Diagnostic Sciences, Chicago Disaster Medicine Responder and Technology Office, Chicago University of Illinois, College of Veterinary Medicine, Urbana, Illinois
David E. Peters
Affiliation:
Disaster Medicine Responder and Technology Office, Chicago UIC Police Department, State of Illinois Police, Chicago
Jimmy D. Wallace II
Affiliation:
University of Illinois at Chicago, College of Dentistry, Department of Oral Medicine and Diagnostic Sciences, Chicago Disaster Medicine Responder and Technology Office, Chicago
James J. James
Affiliation:
Society for Disaster Medicine and Public Health, Bethesda, Maryland
*
Correspondence and reprint requests to Michael Colvard, DDS, MTS, MS, University of Illinois at Chicago, College of Dentistry, Department of Oral Medicine and Diagnostic Sciences, 801 S Paulina St, Rm 569B, Chicago, IL 60612 (e-mail: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

The reauthorization of the Pandemic and All-Hazards Preparedness Act in 2013 incorporated the dental profession and dental professionals into the federal legislation governing public health response to pandemics and all-hazard situations. Work is now necessary to expand the processes needed to incorporate and train oral health care professionals into pandemic and all-hazard response events.

Methods

A just-in-time (JIT) training exercise and immunization drill using an ex vivo porcine model system was conducted to demonstrate the rapidity to which dental professionals can respond to a pandemic influenza scenario. Medical history documentation, vaccination procedures, and patient throughput and error rates of 15 dental responders were evaluated by trained nursing staff and emergency response personnel.

Results

The average throughput (22.33/hr) and medical error rates (7 of 335; 2.08%) of the dental responders were similar to those found in analogous influenza mass vaccination clinics previously conducted using certified public health nurses.

Conclusions

The dental responder immunization drill validated the capacity and capability of dental professionals to function as a valuable immunization resource. The ex vivo porcine model system used for JIT training can serve as a simple and inexpensive training tool to update pandemic responders’ immunization techniques and procedures supporting inoculation protocols.

Keywords

dentisthygienistporcine modelinoculationall-hazard
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 8 , Issue 3 , June 2014 , pp. 247 - 251
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. US Department of Health and Human Services. National health security strategy of the United States of America; December 2009. http://www.phe.gov/Preparedness/planning/authority/nhss/Pages/default.aspx. Accessed January 28, 2014.Google Scholar
2.Colvard, MD, Naiman, MI, Mata, D, Cordell, GA, Lampiris, L. Disaster medicine training survey results for dental health care providers in Illinois. J Am Dent Assoc. 2007; 138:519-524; quiz 536-537.Google Scholar
3.Glick, M. Why don't dentists provide immunizations? A missed opportunity. J Am Dent Assoc. 2013; 144:1098-1100.Google Scholar
4.Zohn, HK, Dashkow, S, Aschheim, KW, et al. The ondontology victim identification skill assessment system. J Forensic Sci. 2010; 55:788-791.CrossRefGoogle Scholar
5.American National Standards Institute. Data Format for the Interchange of Fingerprint, Facial and Other Biometric Information. NIST Special Publication 500-290; updated 2013. http://biometrics.nist.gov/cs_links/standard/ansi_2012/Update-Final_Approved_Version.pdf. Accessed January 28, 2014.Google Scholar
6. Pandemic and All-Hazards Preparedness Reauthorization Act of 2013. HR 307. 113th Cong. 1st Sess (2013). http://www.gpo.gov/fdsys/pkg/BILLS-113hr307enr/pdf/BILLS-113hr307enr.pdf. Accessed January 28, 2014.Google Scholar
7.Colvard, MD, Lampiris, LN, Cordell, GA, et al. The dental emergency responder: expanding the scope of dental practice. J Am Dent Assoc. 2006; 137:468-473.CrossRefGoogle ScholarPubMed
8.Tanaka, S, Morita, Y, Fujita, T, et al. Ex vivo pig training model for esophageal endoscopic submucosal dissection (esd) for endoscopists with experience in gastric ESD. Surg Endosc. 2012; 26:1579-1586.Google Scholar
9.Thomas, MB, Dandolu, V, Caputo, P, Milner, R, Hernandez, E. Resident education in principles and technique of bowel surgery using an ex-vivo porcine model. Obstet Gynecol Int. 2010; 2010:852647.Google Scholar
10.Fineberg, HV. Pandemic preparedness and response--lessons from the H1N1 influenza of 2009. N Engl J Med. 2014; 370:1335-1342.Google Scholar
11.Colvard, MDPreface: Dentistry’s role in disaster response. Dental Clin North Am. 2007; 51(4 special issue):xv-xvii.Google Scholar