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Emergency Vaccination Information for
EMS Personnel & Medical Program Directors
To determine if you
need to register as an Emergency Worker, Refer to
RCW 38.52.
Employees of private ambulance services,
or those not belonging to a political subdivision must register
as emergency workers to participate.
To register, contact your local Department of Emergency Management
STATE OF
WASHINGTON
DEPARTMENT OF HEALTH
PO Box 47853
·
Olympia, Washington 98504-7853
To: John Erickson, Special Assistant, PHEPR
Karen Jensen, Assistant Secretary, Health Systems Quality
Assurance (HSQA)
From: Janet Kastl, Director, Office of Community Health Systems, HSQA
RE: EMS Providers and Emergency Immunizations
DATE: September 16, 2009
State law limits emergency medical system personnel
to care in the prehospital setting. EMS providers may only do
immunizations in a declared emergency when all of the following exist:
1. There is a local or state declaration of an emergency under the
provisions of RCW 38.52. A local declaration must be by the local
executive.
2. An emergency incident mission number has been issued.
3. The EMS providers are registered as emergency workers under state
law (RCW 38.52)
4. The EMS providers are acting under the direction of the director of
local or state emergency management or the appointed incident commander.
The attached process reflects these criteria.
EMS providers perform care under the direction of county EMS medical
program directors (MPD). The roles of the county MPDs are established
in law. Each county has a physician appointed and contracted by the
Washington State Department of Health. They provide training and medical
direction through written and verbal patient treatment protocols.
Medical program directors delegate authority to other physicians to help
with training and supervision. The county MPDs may have the county
health officer supervise EMS personnel during an emergency. Most of the
county MPDs have adopted emergency H1N1 protocols (attached).
Based on their scope of practice, paramedics, intermediate life support
technicians and IV technicians have the skills to provide vaccinations
during an emergency.
How to Use EMS
Personnel to Provide Emergency Vaccinations -
Process
1.
The County MPD appoints the local or state health officer (HO) as
the delegate for training and supervision of EMS personnel during public
health emergencies (e.g. pandemic influenza, etc.) The delegation must
be in writing to DOH.
2.
DOH approves EMS prehospital protocols. MPD provides guidance.
·
Sample protocol/guidelines are
available upon request.
3.
EMS Providers register as emergency workers through the county
Department of Emergency Management
4.
An emergency is declared by local or state executive under the
provisions of RCW 38.52. An incident number is issued.
·
For a pandemic influenza, the
medical incident commander should be the local or state health officer
(HO) or delegate.
5.
The health officer requests EMS vaccination assistance through
the Medical Program Director (MPD). The request is received and
approved.
6.
County EMS MPD and HO coordinate needs and resources:
-
Determine number of EMS providers needed
-
Determine number of EMS providers available
-
Send EMS reporting procedures to HO
-
Assign EMS personnel to HO medical control
-
Assign work locations for EMS personnel
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HO coordinates resource allocation with local emergency
management
-
Identify and alert available EMS providers.
-
Account for all responding EMS personnel.
·
Use Incident Command System
(ICS) process and forms when available.
i. Assemble
all reports and documents per ICS, emergency response plans and
agreements.
j. Recover /Demobilize as
incident winds down.
·
Scale down
per emergency response plans and agreements.
For questions, please contact Dane
Kessler at 360-236-2842.
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County Name
EMS MPD Name
Phone #
E-Mail Address |
County Name
EMS MPD Name
Phone #
E-Mail Address |
County Name
EMS MPD Name
Phone #
E-Mail Address |
County Name
EMS MPD Name
Phone #
E-Mail Address |
Adams County
Hofheins, David
(509) 488-5256
drhofheins@cbha.org |
Franklin County
Hodges, Kevin
(509) 737-0911
bfcountympd@gmail.com |
Lewis County
O'Neill, Patrick
(503) 754-7843
dysgeusia@gmail.com |
Snohomish County
Brown, Ron
(425) 551-1270 rbrownmd@snocountyems.org |
Asotin County
Hunter, Jay
208-799-5457
jhunter@moscow.com |
Garfield County
Black, Elisabeth
(509) 751-5500
tarakyan@gmail.com |
Lincoln County
Appel, Anthony
725-1887
no email |
Spokane County
Nania, James
(509) 625-6290
ems@spokanecounty.org |
|
Benton County
Hodges, Kevin
(509) 737-0911
bfcountympd@gmail.com |
Grant County
Murphy, Terry
(509) 760-3349 / 793-9730 tmurphy@samaritanhealthcare.com |
Mason County
Hoffman, Joseph
(360) 789-1960
hoffmanjoe@aol.com |
Stevens County
Artzis, Sam
(509) 684-3701 u.got.ringworm@hotmail.com |
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Chelan County
Jobe, Lance
(509) 665-6163
ljobe.ems@gmail.com |
Grays Harbor County
Canfield, Daniel
(360) 533-6038
ghems@techline.com |
Okanogan County
Craig, Bradley
(509) 826-7664
bcraig@mvhealth.org
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Thurston County
Pellicer, Joseph
(360) 704-2785
joe_pellicer@medic-one.thurston.wa.us |
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Clallam County
Churchley, Steve
(360) 417-7724
isaidnocpr@yahoo.com |
Island County
Zaveruha, Paul
(360) 678-6433
zaverp@whidbeygen.org |
Pacific County
Smith, Kim
(360) 244-4432
kimsmithmd1@gmail.com |
Wahkiakum County
Schneider, Paul
(360) 636-4818
capehorn4.0@netzero.com |
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Clark County
Wittwer, Lynn
(360) 487-7348
(360) 931-9213 wittwermpd@iinet.com |
Jefferson County
Smith-Poling, Sandra
(360) 379-0841
spoling@olympus.net |
Pend Oreille County
Kraus, Angelika
(509) 447-2169 435-3435 brigitte46@aol.com |
Walla Walla County
Underhill, Gary
(509) 520-0527
underhgt@ah.org |
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Columbia County
Luce, Michael
(509) 382-3200 michaell@cchd-wa.org |
King County
Eisenberg, Mickey
(206) 263-8569 mickey.eisenberg@kingcounty.gov |
Pierce County
Waffle, Clark
(253) 798-7722
cwaffle@co.pierce.wa.us |
Whatcom County
Wayne, Marvin
(360) 778-8454
mwayne@cob.org |
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Cowlitz County
Mc Coy, Matt
(360) 425-7866 msmst25@cni.net |
Kitsap County
Bennett, Martin
(206) 384-7635 martin.bennett@comcast.net |
San Juan County
Sullivan, Michael
360-317-8111
emsmd@comcast.net |
Whitman County
Caggiano, Richard
(509) 336-7370 richard.caggiano@pullmanregional.org |
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Douglas County
Jobe, Lance
(509) 665-6163 ljobe.ems@gmail.com |
Kittitas County
Horsley, Jackson
(509) 674-2932
kcems@qwestoffice.net |
Skagit County
Slack, Don
(360) 770-8271
donslack@mac.com |
Yakima County
Johnson, Robert
(509) 966-5175 bob_johnson_11@yahoo.com |
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Ferry County
Al Rashedy, Farhad
(509) 775-3153 alrashF@fcphd.org |
Klickitat County
Smith, Russell
(503) 754-7843
drrmsmith@go.com |
Skamania County
Hoskins, Greg
503 219-8689
greghoskins@mac.com |
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Vaccine
Administration
The following licensed health
care providers may administer vaccines as part of their normal scope of
practice:
Physicians
Osteopathic Physicians
Advanced Registered Nurse Practitioners
Naturopaths
Physician Assistants – under a practice plan with a physician
Osteopathic Physician Assistants – under a practice plan with an
osteopathic physician
Pharmacists – under a collaborative agreement with a physician
Registered Nurses – under an order of a prescriber
Licensed Practice Nurses – under an order of a prescriber
Health Care Assistants – With a delgator on record and a supervisor on
site.
- Categories C and E can perform injections
- Categories A through J can perform nasal
administration (such as flu mist)
EMS Personnel
The normal scope of practice for emergency medical system personnel
(EMS) is limited to the pre-hospital setting. Some EMS personnel,
however, have the training and skills to perform injections. These are:
- Paramedics
- Intermediate Life Support Technicians, and
- IV technicians.
These EMS providers may only
administer vaccines when all of the following exist:
1. There is a local or state declaration of an emergency under the
provisions of RCW 38.52. A local declaration must be by the local
executive,
2. An emergency incident mission number has been
issued,
3. The EMS providers are registered as emergency workers under state
law (RCW 38.52), and
4. The EMS providers are acting under the direction of the director of
local or state emergency management or the appointed incident commander.
Other providers
Other health care providers, such as Dentists and
Podiatrists, have the skills and training to perform injections.
Immunizations are not in their normal scope. However, these providers
could administer vaccines if they are acting under a local or state
declaration of emergency under RCW 38.52.
All four conditions listed
above for EMS personnel must be in place.
For questions or additional information, contact
Board of Pharmacy staff at 360-236-4946.
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