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H1N1 Vaccination Training for EMS

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

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  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

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