Missouri Emergency Medical Services Association
Please note: This information provided is for educational purposes. Any agency who wishes to implement practices listed must follow appropriate procedures for approval from Administration and Medical Direction as outlined per MoBEMS regulations.
Numerous EMS agencies are assisting with providing COVID vaccinations, homebound etc. DHSS and some LPHA's indicated the need for a template MOU between EMS and LPHA's for this type of work. Certainly any MOU should be reviewed or produced by your local attorney.
The option available here is the creation of a retired, thus non-practicing attorney serving as a consultant during the pandemic. DHSS has reviewed it. We are providing this for your consideration as needed.
The waiver allowing EMT Basics to administer the COVID-19 vaccination has been approved. Additionally, the Standing Orders issued by Dr. Williams have been revised to include the waiver language, as well as cover the new Janssen vaccination. Please see below for more information.
EMT Basic Scope of Practice
This waiver allows EMT Basics to administer the COVID-19 immunizations via the intramuscular route. The EMT-Basic shall receive training regarding the administration of such immunization that has been approved by a physician and a physician shall approve that the EMT-Basic is competent in this skill to administer such immunization. See the waiver here.
Resource: Just in Time Training Resources for EMT SARS-CoV-2 Vaccinators
These standing orders authorize EMT Basics and Emergency Medical Responders to administer this vaccine, provided that such individual has completed and passed a standardized training conducted under the direction of a medical director or other licensed physician, which includes clinical training regarding the administration of immunizations via the intramuscular route. Such training shall, at a minimum, educate and train the participant with the information provided in - Just in Time Training Resources for EMT SARS-CoV-2 Vaccinators, NHTSA Office of EMS, issued February 7, 2021. SO for Moderna / SO for Pfizer / SO for Janssen
EMS Registration Waiver
This waiver allows Advanced Emergency Medical Technicians, Emergency Medical Technician-Paramedics, Emergency Medical Technician-Basics, and Emergency Medical Responders, who do not have authority to vaccinate individuals with a COVID-19 vaccine within the State of Missouri, to do so under the following conditions:
-Such individual must have previously received immunization training and be allowed to administer immunizations via the intramuscular route in another state.
-Such individual alerts the Bureau of Emergency Medical Services of their intention to administer a COVID-19 vaccine in Missouri and provides their professional credentials.
Please contact the Bureau of EMS if you have questions.
Vaccinators should begin to provide doses to employees in all 1A groups. Through the partnership and feedback received from the Equitable Vaccination Advisory Committee, a more detailed breakdown of 1A patient-facing healthcare workers has been developed and can be seen below. Many in 1A are employed by an unaffiliated healthcare provider. An unaffiliated healthcare provider is one who is not affiliated with a hospital/healthcare system or other enrolled vaccinator.
Vaccinators should begin providing doses to employees in all 1A groups.
A list of vaccinators is available here.
You will be instructed to identify yourself as an unaffiliated healthcare provider in 1A, inform the vaccinator of your provider type (EMS) and communicate the number of healthcare workers you have a need to vaccinate when contacting your location.
1A providers/employers are instructed to contact local vaccinators and arrange for a partnership to vaccinate your staff in the area. Once a partnership agreement has been established via communication between the provider/employer and the vaccinator, it is the expectation of the vaccinator to arrange for ordering supply to meet the cumulative demand of agreements made.
One-stop shop for resources and all your questions
As a reminder, all of the latest information can be found on our website, www.MOstopsCovid.com. After reviewing, if you still have questions, please direct them to CovidVaccine@health.mo.gov.
Watch the recording here.
Dec. 10, 2020 Meeting Briefing Document (FDA) - Pfizer Vaccine Chart on Page 30
COVID-19 VACCINATION PLANNING (9/27/20)
N95 Mask Decontamination Service
DHSS is currently working with Battelle on a N95 decontamination option. Battelle is a company in Ohio that has been in business for 90 years. They are working with the federal government—FEMA and others—to provide N95 mask decontamination. The service is free but there are exact instructions to follow in packaging the masks and sending them for decontamination.
See documents here:
The first step is to sign an agreement with Battelle, and then information will fall into place. Decontamination will take place in Jefferson City. One of the documents is a map showing the local sites for drop off—all national guard armories. Couriers will take the boxes from the armories to Jeff City. Every effort will be made to return the masks to the drop-off/pick-up site within 72 hours. The agency will get the same masks they sent in.See the documents above and reach out to DHSS or Battelle with questions.
CMS & COVID-19
News & Feedback Needed
CARES Act Grant and Stimulus Programs
There are a few programs that organizations are using to help with liquidity during the COVID-19 pandemic:
Airway Management Safety
Mental Health Awareness
Recorded Webinars/Online Training