The Scottish Government

Healthcare group

Service need

Training requirements

GPs and nurses

Awareness and high index of suspicion

• Training on recognition of smallpox and distinguishing smallpox from more common conditions

ID Physicians including SDEs

Awareness and ability to accurately and rapidly diagnose

• Awareness training including information on the smallpox plan case classification

• Diagnostic methods training

RSDRT members

• Ensure timely diagnosis

• Care for suspected cases in the field

• Differential diagnosis of smallpox

• Techniques for taking specimens

• Procedure for dispatching specimens to the laboratory

• Treatment of smallpox and other possible diagnoses

• Appropriate infection control measures

Laboratory staff

• Ability to access/do diagnostic tests

• Awareness of and application of appropriate infection control procedures

• Training in diagnostic tests specific to smallpox

• Training on appropriate laboratory infection control precautions

Healthcare group

Service need

Training requirements

• Physicians

• Nurses

• Other hospital staff

Hospital care

• Training in treating smallpox

• Training in maintaining appropriate infection control facilities

Ambulance staff

Transport to hospital or quarantine centres

• Training on appropriate transport arrangements

Healthcare group

Service need

Training requirements

• GPs

• Community Nurses

Ensuring that contact vaccination and monitoring is undertaken according to the smallpox plan

• Awareness of classification of contacts including criteria for reclassification of contacts who develop symptoms.

• Awareness of the measures to be taken in relation to contacts.

• Awareness of the role of NSOCC and LSOCC

• Information on who to contact for advice and support in dealing with contacts.

CPHMs (CD&EH) and other Public Health staff

Identification and appropriate action in relation to cases and contacts

Training to ensure that all CPHMs (CD&EH) and public health staff are familiar with the smallpox plan and the action that they will be required to take in the event of a case(s).

• Physicians

• Infection control nurses in hospitals

Ensuring that possible cases are not inappropriately exposed to risk from probable and confirmed cases

Training on appropriate isolation/vaccination arrangements for possible probable and confirmed cases at smallpox centres

• Physicians

• Infection control nurses in hospitals

• Occupational health staff

Protection of healthcare workers

Training on vaccination requirements and protection requirements for healthcare workers dealing with possible, probable and confirmed cases

Healthcare group

Service need

Training requirements

Trainers of smallpox vaccinators

Competence in rapidly training large numbers of nurses in smallpox vaccine administration

Training the trainer approach in all aspects of smallpox vaccination, using materials, videos etc

• GPs

• Physicians

• Nurses

• Community Nurses

• School Nurses

Competence in smallpox vaccine administration

Training in administration of smallpox vaccine

• Pharmacists

Stocks of vaccine available as required

Training in procurement, storage, security and allocation of smallpox vaccine

• Physicians

• GPs

• Ability to deal with adverse vaccine reactions

• Ability to recognise a vaccine "take"

Training in dealing with adverse reactions to smallpox vaccine and recognition of failed vaccination.

Healthcare Group

Service Need

Training requirements

• Nurses

• Counsellors

• Social Workers

Counselling of cases and contacts of cases

• Counselling training for smallpox

• Training in assisting with the social consequences of restriction of movement for contacts

Healthcare group

Service need

Training requirements

Nurses

Appropriate infection control procedure

Training in dealing with infectious dead bodies

Mortuary staff

Appropriate disposal of dead bodies

Training in disposal of infected corpses

Healthcare Group

Service Need

Training requirements

• Public Health staff

• Hospital staff

Ensure accurate non alarmist communication with the public to achieve compliance with the measures in the smallpox plan

Training on the importance of observing the appropriate channels of communication in the event of cases or suspected cases

Healthcare Group

Service Need

Training requirements

• CPHMs (CD&EH)

• CPHM

• Health Service Managers

Ensuring that the staff involved at primary and secondary care level receive appropriate training when necessary

Education on the training requirements of primary and secondary care staff

• CPHMs (CD&EH)

• CPHM

• Health Service Managers

Ensure adequate facilities can be made accessible to deal with treatment of cases.

Training on provision of appropriate facilities for dealing with smallpox.

CPHMs (CD&EH)

Ensure adequate numbers of trained staff at local level to carry out vaccination according to an agreed protocol

Training on how to organise mass vaccination systems

CPHMs (CD&EH)

Ensure access to adequate supplies of vaccine stocks

Training on availability and procurement, allocation in conjunction with pharmacists

CPHMs (CD&EH)

Co -ordination of local action with Regional, Scottish and UKAction

Training to ensure that CPHMs (CD&EH) working methods and responses are consistent with agreed Health and Emergency services procedures

Healthcare Group

Service Need

Training requirements

CPHMs (CD&EH)

• Ability to isolate case and perform effective ring vaccination programme to protect the wider community

• Ability to react rapidly and effectively

• Training on vaccination strategies designed to protect the wider population in relation to smallpox.

• Awareness training on what should be in place at local level and how these arrangements should link to regional, Scottish and UK plans