California Professional Firefighters

Local EMSA's Authorizing Paramedics to Administer H1N1 Vaccine

With the flu pandemic upon us, the state EMS Authority has set in motion a plan to allow local paramedics to administer the influenza vaccine.

Under the plan, the LEMSA Medical Director and Administrator (LEMSA), in concert with the local health department (LHD), may decide to temporarily expand the paramedic scope of practice to include administration of the pandemic vaccine, thereby enhancing community mass vaccination programs.

If the LEMSA and LHD agree that an expansion of the paramedic scope is needed, the LEMSA must submit the request to the California EMS Authority for approval of vaccine administration by paramedics under a local optional scope of practice.

The application form (Form #EMSA-0391-A) and a paramedic vaccination training program can be found HERE at the EMSA Web site.

Of the 31 Local EMS Agencies, only 12 have not been approved to add influenza vaccine administration to the Local Optional Scope of Practice (LOSOP) for paramedics.

Multi-county LEMSAs that do not have influenza vaccine in the LOSOP are:

  • Central California (counties of Fresno, Kings, Madera, Tulare)
  • Coastal Valleys (counties of Sonoma/Mendocino/Napa)
  • Norcal (counties of Glenn, Lassen, Modoc, Plumas, Shasta, Sierra, Siskiyou, Tehama, Trinity)

Single county LEMSAs that have not added influenza vaccine in the LOSOP are:

  • Kern
  • Monterey
  • Orange
  • Riverside
  • San Luis Obispo
  • San Mateo
  • Santa Barbara
  • Solano

Information for first responders:  The EMSA Web site has provided a detailed training program for public safety EMS providers on influenza vaccine administration. Also, on this site are multiple links to Cal/OSHA requirements and advisories.