H1N1 Vaccination Training for EMS

1
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

2
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

3
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)

4
Types of Vaccines

• Live, attenuated
• Inactivated

5
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

6
Inactivated

• Virus is killed
• Antigens from virus present
• Cannot cause infection
• H1N1 inactivated vaccine is IM injection only

7
EMS Providing Vaccination

• EMS and prevention
• Education
• Evaluations
• Physical intervention for prevention
• Consent for vaccine
• A process
• Not implied

8
Process

• Vaccinee receives appropriate VIS
• Vaccinee completes top of VAR
• Provider reviews VAR
• Complete
• Contraindications
• Vaccine prepared
• Vaccine administered
• VAR completed

9
Vaccine Information Sheet
10
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

11
Vaccine Administration Record
12
Vaccine Administration Record

• Contraindications
• Relative
• Absolute for EMS
• Different for type and manufacturer
• Vaccinee information
• Signature

13
VAR Review

• Any yes answer precludes EMS administration
  without nurse/physician review
• Name and contact info legible
• Signature present

14

• The next sections will
• cover the specific procedures for intranasal and
  IM administration