Information for Healthcare Professionals & Facilities during COVID-19

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Vaccine Resources for Healthcare 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 are able to, please be prepared to pick up vaccines from the public health lab
  • Determine your staff numbers (Full time, part time, contract, ancillary)
    • Stratify staff by risk
    • How many of your staff are going to get vaccinated
  • Make a POC for your facility
    • Have POC contact county with staff numbers and contact information
  • 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 975 5(6) Doses 120 hours, 5 days 6 months (-80°)
Moderna 100 10 Doses 30 Days 6 months (-20°)
AstraZeneca
Johnson & Johnson

Vaccine Distribution Chain

National Distribution Chain

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 Healthcare 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 Fact Sheet

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

Frequently Asked Questions

Healthcare Professionals

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).

People may obtain healthcare at a hospital, clinic, dentist, pharmacy, home healthcare, mental health counselor and any related healthcare service provider. Most routine care is being conducted via telehealth visits (e.g., phone call, video-chat) to protect both patients and healthcare workers during the COVID-19 pandemic.

Doctor’s offices, clinics, and emergency rooms are still open and available for those who are sick or need medical care. Healthcare providers are operating under the health officer’s shelter in place and physical distancing orders, which may result in a change in how the public accesses care.

For non-essential medical appointments such as annual physical exams, well-child visits, routine blood work and eye exams, health officials recommend speaking with your medical provider’s office first so they may evaluate your needs on a case-by-case basis.

Medical providers are taking necessary mitigation measures including screening, wearing masks and requiring that patients wear face coverings, maintaining physical distancing, and frequently cleaning and disinfecting spaces and facilities.

 

The Sonoma County Health Officer developed recommendations to assist local healthcare providers in resuming elective procedures that is based on California Department of Public Health’s “Resuming California’s Deferred and Preventive Health Care” guidance issued April 27, 2020.

Before scheduling elective procedures, healthcare providers should develop and implement COVID-19 elective procedure guidelines that address the considerations in the Health Officer’s guidance. All healthcare providers should also regularly review and amend their COVID-19 elective procedure guidelines to ensure reliability.

All healthcare providers must also comply with any applicable Federal, California, and local governmental regulations and guidance on COVID-19. This guidance for elective procedures does not address which facilities are allowed to operate under existing local or state shelter in place orders. Healthcare providers should seek additional guidance from federal, state, and local healthcare associations.

https://sonomacounty.ca.gov/Guidance-Relating-to-NonUrgent-NonEssential-or-Elective-Procedures-relative-to-COVID-19/

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

https://socoemergency.org/emergency/novel-coronavirus/health-orders/

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

https://sonomacounty.ca.gov/Health/Public-Health/Disease-Control/Health-Provider-Alerts/

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

https://public.govdelivery.com/accounts/CASONOMA/subscriber/new?topic_id=CASONOMA_240

 

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.

A Road Map to Re-opening dashboard is also available, detailing Sonoma County’s progress on criteria and metrics established by the State of California for phased re-opening.

COVID-19 Testing Sites locations and information is available at:

https://socoemergency.org/emergency/novel-coronavirus/stay-healthy/covid-19-testing-in-sonoma-county/

Testing information for providers:

Sonoma County COVID-19 Management of Patients – Updated Guidance

https://sonomacounty.ca.gov/Sonoma-County-COVID-19-Management-of-Patients-Updated-Guidance/

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.

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Testing

Call the Sonoma County Department of Health Services Disease Control Unit (healthcare providers) to confirm appropriateness of testing and to review testing procedures and locations. Refer to CDC recommendations related to appropriate infection control strategies for suspected COVID-19 cases.

See the Public Health Lab criteria for priority testing.  The Disease Control phone number to request a PUI# is also located on that page.

Testing for patients who do not fall into the Public Health Lab criteria may be ordered through private labs based on clinician discretion.

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

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

The Department of Health Services provides drive-thru testing at the Sonoma County Public Health Laboratory for individuals who are considered high-risk, which includes physicians and other healthcare professionals.

An appointment can be made by calling (707) 565-4667. Bring identification and documentation of your medical credentials.

More information about testing in Sonoma County is available here:

https://socoemergency.org/emergency/novel-coronavirus/stay-healthy/covid-19-testing-in-sonoma-county/

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