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J. Tracking pharmaceuticals and/or vaccines with recipients will be accomplished using the <br />Patient Registration Form (Attachment C). The form will be used to obtain a patient's health <br />history, consent for treatment, and to track drugs/vaccines after distribution. <br />A family member may pick up medication only for other members in their immediate family. <br />(Recommendations from DOH suggest the widest definition of immediate family member such <br />as spouse, child, parent, partner, etc.) Situations requiring special consideration will be reviewed <br />by the Vaccine Administration Leader, pharmacist, or designee at the time of dispensing. <br />Persons age 15 and up are considered adults. Minors (age 14 and under) must be accompanied <br />by a parent/guardian to receive medication/vaccination. The parent/guardian will be asked to <br />sign a consent statement prior to the minor receiving medication/vaccination. Unaccompanied <br />minors will be evaluated on a case-by-case basis. Specific direction from DOH or CDC may <br />preempt local plans for distribution. <br />K. Dispensing may have a predetermined prioritization. Medical and emergency responders, <br />public health staff, and other critical personnel may receive their immunizations or <br />chemoprophylaxis before the general public in accordance with a prioritization determined by <br />the local Health Officer, the Centers for Disease Control and Prevention (CDC), and/or the <br />Washington State Department of Health. <br />Any adverse reactions to medication will be noted on the Patient Registration Form and any <br />adverse reactions to vaccinations will be entered through the Food and Drug Administration <br />(FDA) Adverse Event Reporting System (F AERS). <br />L. The decision to cease medical countermeasures operations and to return to normal operations <br />will be determined by the local Health Officer, or designee, following consultation with the local <br />hospital, healthcare professionals, and community partners on the status of the incident that <br />caused activation of the medication distribution. <br />M. All staff and volunteers must be credentialed prior to responding to an incident. Volunteers <br />must first register with Kittitas County Emergency Management as an emergency worker prior to <br />assisting in an emergency. Currently, credentialing of staff and volunteers will be conducted <br />through the Sheriffs Office in conjunction with WAServ (Emergency System for Advance <br />Registration of Volunteer Health Professionals) and Washington State Department of Health. <br />All staff is required to wear their county name badges when participating in a <br />dispensing/vaccination clinic. <br />Spontaneous volunteers may be utilized only upon verification of identification and <br />credentialing, and only if the nature of the crisis exceeds current staff and Medical Reserve <br />Corps (MRC) capacity. Spontaneous volunteers shall be subject to the same requirements as all <br />previously credentialed volunteers. <br />All volunteers will be required to show photo identification upon check-in at each venue. <br />Volunteers with professional credentialing should bring their licenses. If available, a photo copy <br />of each license will be made and stored in the volunteer's file. License numbers and expiration <br />dates will be recorded. <br />49