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H1N1 Vaccination Training for EMS. State of Wisconsin Emergency Medical Services Charles E. Cady, MD State Medical Director Special thanks to Gateway Technical College & the Kenosha Fire Department. Objectives. Understand the H1N1 Vaccine
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H1N1 Vaccination Training for EMS State of Wisconsin Emergency Medical Services Charles E. Cady, MD State Medical Director Special thanks to Gateway Technical College & the Kenosha Fire Department
Objectives • Understand the H1N1 Vaccine • Learn how vaccine administration is different from routine EMS care • Learn to administer H1N1 vaccine • Live, attenuated intranasal vaccine • Inactivated intramuscular vaccine
How Vaccines Work • Vaccines “trick” the body • Antigens • Human body fights the antigen • Antibodies • Antibodies specific to the antigen • Ideally produce life-long protection • Sometimes boosters needed • Flu is different every year (mutations)
Types of Vaccines • Live, attenuated • Inactivated
Live, attenuated • Contains live, but weakened virus • The H1N1 vaccine is intranasal • But some are shots • Weakened • Replicate in body only a dozen times compared to thousands in real disease • May cause mild illness, usually limited to nose • Rarely transmit to others
Inactivated • Virus is killed • Antigens from virus present • Cannot cause infection • H1N1 inactivated vaccine is IM injection only
EMS Providing Vaccination • EMS and prevention • Education • Evaluations • Physical intervention for prevention • Consent for vaccine • A process • Not implied
Process • Vaccinee receives appropriate VIS • Vaccinee completes top of VAR • Provider reviews VAR • Complete • Contraindications • Vaccine prepared • Vaccine administered • VAR completed
Vaccine Information Sheet • Provided by CDC • All vaccinees required to receive a copy • Information part of informed consent • Different VIS for each vaccine • Different languages available • http://www.cdc.gov/vaccines/Pubs/vis
Vaccine Administration Record • Contraindications • Relative • Absolute for EMS • Different for type and manufacturer • Vaccinee information • Signature
VAR Review • Any “yes” answer precludes EMS administration without nurse/physician review • Name and contact info legible • Signature present
The next sections will cover the specific procedures for intranasal and IM administration