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J. Tracking pharmaceuticals and/or vaccines with recipients will be accomplished using the Patient Registration Form (Attaclunent C). The form will be used to obtain a patient's health history, consent for treatment, and to track drugs/vaccines after distribution. A family member may pick up medication only for other members in their immediate family. (Recommendations from DOH suggest the widest definition of immediate family member such as spouse, child, parent, partner, etc.) Situations requiring special consideration will be reviewed by the Vaccine Administration Leader, pharmacist, or designee at the time of dispensing. Persons age 15 and up are considered adults. Minors (age 14 and under) must be accompanied by a parent/guardian to receive medication/vaccination. The parent/guardian will be asked to sign a consent statement prior to the minor receiving medication/vaccination. Unaccompanied minors will be evaluated on a case-by-case basis. Specific direction from DOH or CDC may preempt local plans for distribution. K. Dispensing may have a predetermined prioritization. Medical and emergency responders, public health staff, and other critical personnel may receive their immunizations or chemoprophylaxis before the general public in accordance with a prioritization determined by the local Health Officer, the Centers for Disease Control and Prevention (CDC), and/or the Washington State Department of Health. Any adverse reactions to medication will be noted on the Patient Registration Form and any adverse reactions to vaccinations will be entered through the Food and Drug Administration (FDA) Adverse Event Reporting System (F AERS). L. The decision to cease medical countermeasures operations and to return to normal operations will be determined by the local Health Officer, or designee, following consultation with the local hospital, healthcare professionals, and community partners on the status of the incident that caused activation of the medication distribution. M. All staff and volunteers must be credentialed prior to responding to an incident. Volunteers must first register with Kittitas County Emergency Management as an emergency worker prior to assisting in an emergency. Currently, credentialing of staff and volunteers will be conducted through the Sheriffs Office in conjunction with WAServ (Emergency System for Advance Registration of Volunteer Health Professionals) and Washington State Department of Health. All staff is required to wear their county name badges when participating in a dispensing/vaccination clinic. Spontaneous volunteers may be utilized only upon verification of identification and credentialing, and only if the nature of the crisis exceeds current staff and Medical Reserve Corps (MRC) capacity. Spontaneous volunteers shall be subject to the same requirements as all previously credentialed volunteers. All volunteers will be required to show photo identification upon check-in at each venue. Volunteers with professional credentialing should bring their licenses. If available, a photo copy of each license will be made and stored in the volunteer's file. License numbers and expiration dates will be recorded. 51