1 exotic disease response (edr) training field team leader

1

Exotic Disease Response (EDR) TrainingField Team Leader

Field Team Leader 2

During this session we will cover the following processes:

• Organise Surveillance Teams• Prepare for Surveillance Visit• Conduct Surveillance Visit• Evaluate and Record Surveillance Visit• Evaluate and Record lab Results from Surveillance• Stand Down Resources

Training Agenda

Field Team Leader 3

Session Outcomes At the end of this session you should be able to:• deliver briefings / debriefings to surveillance teams• decide whether to escalate as a result of:

• Field Veterinarian report from a farm• exceptions uncovered during a debrief

• complete visit documentation• make a diagnosis after receiving lab results• verify stand down requirements

Field Team Leader 4

Surveillance Process

Field Team Leader 5

The Role of a Field Team Leader in an Exotic Disease Response

• Managing teams (up to 7 people)• Act as Interface with Field Visit Coordinator• Daily briefing / debriefings• Deciding whether to escalate as result of:

– field visits– lab results

• Standing down resources

Field Team Leader 6

SurveillanceManager

Public Report Coordinator

GISCoordinator

Field VisitCoordinator

AdministrationCoordinator

InvestigationsCoordinator

TracingCoordinator

Field TeamLeader

FieldVet

SampleReception

TeamLeader

AdminTeam

Leader

AdminOfficer

GISOfficer

Call CentreTeam

Leader

ReportEvaluation

Team Leader

Call CentreOperator

ReportEvaluation

Officer

TracingTeam

Leader

TracingOfficer

FieldInvestigator

Vet

TracingEvaluation

Officer

Escalation Path…

Field Team Leader 7

Organise Surveillance Field Teams

Field Team Leader 8

Organise Surveillance Field Teams At the end of this topic you should be able to:

• describe some of the key things to be aware of when delivering briefings

• use the SMEAC Checklist to perform the initial briefing of a surveillance team

Field Team Leader 9

Delivering Briefings Briefing should be relaxed and reasonably informal, and• Brief – Only the information that they need

• Clear – Avoid unfamiliar technicalities, acronyms

• Interesting – Use examples that the group will recognise

• In control – Arrange the group so that you are its focus

• Confident – Stick to the information, relax

Field Team Leader 10

Surveillance Briefings – Key Points• Are a method of getting the key information to people

regularly and quickly• Follow a consistent agenda• Highlight Changes – especially policy • Is a two way process – not just about informing people

but listening and responding to questions and concerns• Contain important points from training

Field Team Leader 11

Prepare for Surveillance Visit

Field Team Leader 12

Prepare for Surveillance VisitAt the end of this topic you should be able to:• perform daily briefing to teams on latest disease

information, policy changes and issues of concern

Field Team Leader 13

Conduct Surveillance Visit – 1 of 3

Field Team Leader 14

Conduct Surveillance Visit – 2 of 3

Field Team Leader 15

Conduct Surveillance Visit – 3 of 3

Field Team Leader 16

Conduct Surveillance VisitAt the end of this topic you should be able to:

• take the appropriate action when a Field Veterinarian reports clinical signs from a farm

Field Team Leader 17

Evaluate and Record Surveillance Visit

Field Team Leader 18

Evaluate and Record Surveillance Visit

Field Team Leader 19

At the end of this session you should be able to:

• conduct the surveillance debrief• determine whether to escalate an exception uncovered

during a surveillance visit debriefing• complete the Office Use Only section of the visit

documentation

Evaluate and Record Surveillance Visit

Field Team Leader 20

Evaluate and Record Lab Results

Field Team Leader 21

Evaluate and Record Lab Results

Field Team Leader 22

Evaluate and Record Lab ResultsAt the end of this session you should be able to:• track the status of lab results• review surveillance results recorded in IRS• complete the Lab Diagnosis form

Field Team Leader 23

Lab Submission Screen

Field Team Leader 24

Place Details

Field Team Leader 25

Surveillance Task History Report

Field Team Leader 26

Sensitivity and SpecificitySensitivity (SE) Measures the ability of the test to

correctly identify infected animals

Specificity (SP) Measures the ability of a test to correctly identify disease free

animals Predictive Value (PV) Probability that an animal testing +ve (+ve

and –ve) (or –ve) is actually diseased (or not).Depends on SP, SE and

prevalence

Field Team Leader 27

1000 pigs, 60 sampled

SE 95%, SP 60%

No clinical signs

Prevalence 5%, +ve PV = 11%

Prevalence 10%, +ve PV = 21%

Prevalence 50%, +ve PV = 70%

Example interpretation 1

Field Team Leader 28

1000 sheep, 60 sampled

SE 95%, SP 85%

No clinical signs

Prevalence 5%, +ve PV = 25%

Prevalence 10%, +ve PV = 41%

Prevalence 50%, +ve PV = 86%

Example interpretation 2

Field Team Leader 29

Stand Down Resources

Field Team Leader 30

Stand Down Resources

Field Team Leader 31

Stand Down ResourcesAt the end of this session you should be able to:• confirm:

– which Veterinarians visited an infected place– which other places they have visited, and – if those visits were made during the stand down

period• stand down potentially infectious team members

Field Team Leader 32

Stand Down Resources

Farm declared Infected

Risk Period Stand Down Period

1. Determine At Risk People – who visited the Infected Place?

2. Determine At Risk Places – where have they been before and after?

3. Determine who should be stood down – has stand down period already elapsed?

4. Determine Surveillance Requirements – what risk is associated with these visits?

farm visits farm visits

Field Team Leader 33

Stand Down Report

Field Team Leader 34

Stand Down Report

Field Team Leader 35

SummaryDuring this session we covered:• delivering briefings / debriefings to surveillance teams• deciding whether to escalate as a result of:

• Field Veterinarian report from a farm• exceptions uncovered during a debrief

• completing visit documentation• making a diagnosis after receiving lab results• verifying stand down requirements