Information for health professionals and facilities during COVID-19

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Vaccine resources for health care providers

Overview of steps for medical providers to order COVID-19 vaccines

  • Sign up for CalVax
  • Sign up for CAIR
    • You will need staff members trained in CAIR as well
  • Order supplies
    • Some ancillary supplies are provided with the vaccine, however we suggest you order additional supplies
    • Transportation Supplies are in high demand. The county has limited supplies for distribution and delivery. We request that if you can, please be prepared to pick up vaccines from the public health lab
  • Make contact with county in order to assess your readiness for vaccinations
    • CAIR
    • CalVax
    • Appropriate staff for vaccinating and data entry
    • Transportation
  • Fill out resource request and send to DHS Logistics
  • Set morning and early afternoon pick up times or delivery based on availability
    • Schedule will be set for first and second allocations at the same time

Distribution logistics and requirements

Please follow the guidelines to prepare to pick up vaccines from the public health lab. All direct shipments have a minimum order, refrigerate and freezer lifespan. Follow this guide to ensure you are prepared to receive the requested amount.

Transportation requirements

Emergency transport Transport for off-site clinic, satellite facility, or relocation of stock
Portable vaccine refrigerator or freezer Yes Yes
Qualified container and packout Yes Yes
Conditioned water bottle transport system Yes No
Manufacturer’s original shipping container Yes (last resort only) No
Food/beverage coolers No No

Temperature monitoring during transport

  • Use a continuous TMD, preferably a DDL, for monitoring and recording temperatures while transporting vaccines
    • The TMD should have an accuracy of +/-0.5° C (+/-1° F).
    • Place buffered probe material in a sealed vial directly with the vaccines.
    • Keep the TMD display on top of vaccines so you can easily see the temperature.

Direct shipment requirements

Vaccine Minimum order Doses per vial Refrigerator storage Freezer storage
Pfizer 1170 6 Doses 35°F to 46°F for up to 1 month Ultra-cold (-80°) until expiration date. -13°F to 5°F for up to 2 weeks 
Moderna 140 14 Doses 36° to 46°F for up to 30 days  -58°F to 5°F until expiration
Johnson & Johnson 100 5 Depends on expiration date, usually 6 months Not frozen

Vaccine distribution chain

National distribution chain


National distribution chain

*Chain pharmacies and stores include Costco, CVS, RiteAid, Safeway/Albertsons, Walgreens, and Walmart.

**MCEs include Kaiser, Providence, and Sutter.

The image above describes the following chain of vaccine distribution, from the Centers for Disease Control (CDC) to the medical and pharmaceutical staff who will administer the vaccine.

County guidance for health care professionals

The Department of Health Services (DHS) is working closely with our public health partners and healthcare providers to take action to prevent the spread of COVID-19 in Sonoma County, employing guidance from the CDC and the California Department of Public Health.

Fact sheets for recipients and caregivers

National guidance

The Center for Disease Control (CDC) regularly updates information and guidance. Visit the CDC website to stay informed about current developments.

For treatment guidance, see the National Institute of Health’s (NIH) COVID-19 Treatment Guidelines.

Protection measure for patients and health care workers

Request for paid sick leave (English/Spanish PDF)

State disability insurance for COVID-positive workers

COVID-19 emergency paid sick leave information

Educational video for health care providers working in Skilled Nursing Facilities (SNFs) and Residential Care for the Elderly (RCFEs). Important steps to stay safe when working with patients.

Educational video for health care providers working in Skilled Nursing Facilities (SNFs) and Residential Care for the Elderly (RCFEs). In Tagalog.

Frequently Asked Questions

Health care professionals

The Sonoma County Medical Health Operational Area (MHOAC) is tracking PPE needs via reporting from licensed facility partners, and via direct reports from healthcare coalition members. Private practice physicians may request support via the MHOAC intake email at: CoastalValleysEMSAgency@sonoma-county.org.

Please also see CDC guidance on strategies to optimize the supply of PPE.

COVID-19 testing information including locations, days and times, and how to make an appointment or if walk-ups are welcome, is available at https://socoemergency.org/test.



Sonoma County maintains online “COVID-19 Data and Statistics” resources online that can be accessed from the socoemergency.org home page.

Resources include a Coronavirus Cases Dashboard for Sonoma County and a Hospital Capacity Dashboard.

Sonoma County Health Officer Orders are posted on this web site here on Health Orders & Guidance web page:


Health alerts, advisories, and updates for healthcare providers are posted on the Sonoma County Department of Health Services website here:


Physicians and other healthcare providers can subscribe to the Healthcare Alerts email list here:



All indoor service sites require:

  • Facial Coverings – for visitors and staff
  • PPE – surgical masks for staff who will be in contact with clients/patients who may have COVID-19 and clients/patients who are ill

The Sonoma County Department of Health Services (DHS) recommends that organizations that primarily serve seniors or medically vulnerable individuals consider implementing the following practices:

  • Ensure they are extra vigilant in following recommendations regarding cleaning of high touch surfaces, including counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables;
  • Take all necessary measures to ensure all employees, visitors, and persons served who are experiencing any symptoms of illness stay home and avoid contact with others; and
  • Enhance screening of visitors, staff, and residents for symptoms of acute respiratory illness (e.g., fever, cough, difficulty breathing).


COVID-19 testing information including locations, days and times, and how to make an appointment or if walk-ups are welcome, is available at https://socoemergency.org/test.

Please communicate needs to the Sonoma County Emergency Operations Center by completing this request form and email to CoastalValleysEMSAgency@sonoma-county.org.

Current specimen guidelines for the Sonoma County Public Health Lab.  CDC’s guidelines regarding specimen collection and testing.