āPhysician
and Surgeon (allopathic)
|
Medical Board of California
BPC Ā§ 2051
|
- May independently initiate
|
āOsteopathic
Physician and Surgeon
|
āOsteopathic Medical Board of California
|
- May
independently initiate
|
Registered Nurse, Clinical Nurse Specialist, Nurse Anesthetist, Nurse Midwife, Public Health Nurse, Nurse Practitioner
|
Board of Registered Nursing
BPC Ā§ 2725
|
- May independently
initiate
|
Physician
Assistant
| Physician Assistant Board
Physician Assistant FAQs BPC Ā§ 3502 16 CCR Ā§ 1399.540 Order Waiving Physician Assistant Supervision Requirements (dated 4/14/20) Order Extending Three April 14, 2020, Orders Relating to Physician Assistant, Nurse Practitioner, and Nurse-Midwife Supervision By 60 Days (dated 1/26/21)
| Under Standard Practice: The physician assistant is competent to perform; - The education, training, and experience have prepared the physician assistant to perform;
- Immunization is authorized by a practice agreement;
- The physician assistant is supervised pursuant to the practice agreementās terms; and
- A supervising physician is available by, at a minimum, electronic means.
Per DCA Waiver:
Criteria for performing immunization services where (1) a physician assistant provides immunization services at a site to assist with the COVID-19 response, but does not have a practice agreement in place with a physician of the site, or (2) there is no supervising physician with whom the physician assistant has a practice agreement available to supervise the physician assistant:
- The physician assistant is competent to perform;
- The education, training, and experience have prepared the physician assistant to perform; and
- A supervising physician is available by, at a minimum, electronic means.
|
āRegistered
Nurse Interim Permit Holders
|
ā Board of Registered Nursing
BPC Ā§ 2732.1
16 CCR Ā§ 1414
|
|
Registered
Nurse Temporary License Holders
| ā Board of Registered Nursing
BPC Ā§ 2733
| - āMay independently
initiate
|
Registered
Nursing Students
| Board of Registered Nursing
BPC Ā§ 2729
| - A student enrolled in
a Board-approved prelicensure nursing program may provide nursing services,
including immunizations, incidental to their course of nursing study.
|
āLicensed
Vocational Nurse
|
āBoard of Vocational Nursing and Psychiatric Technicians
BPC
Ā§Ā§ 2860.5 & 2860.7
|
- Under direction of a physician and surgeon;
- Upon standing orders of supervising physician; or
- Pursuant to written guidelines adopted by the hospital or medical group with whom the physician is associated.
|
āLicensed
Vocational Nursing Students
| Board of Vocational Nursing and Psychiatric Technicians
BPC Ā§ 2862
| - When enrolled in an
approved vocational nursing school and when immunization services are
incidental to student course of study.
|
āRespiratory
Care Practitioner
| Respiratory Care Board of California
BPC Ā§Ā§ 3702 & 3703
16 CCR Ā§ 1399.364
| - Under supervision of
medical director in accordance with physician order
|
Respiratory
Care Practitioner Students
|
Respiratory Care Board of California
BPC Ā§ 3741 & 3742
| - When enrolled in an approved respiratory care training program, during the period of clinical training, when services are incidental to the course of study, and under direct supervision of licensed respiratory care practitioner.
|
Psychiatric Technician
| āBoard of Vocational Nursing and Psychiatric Technicians BPC Ā§Ā§ 4502.1 & 4502.3
| - When working in a mental health facility or developmental disability facility and prescribed by a physician and surgeon.
- On a patient with a mental illness or developmental disability, upon standing orders of a supervising physician and surgeon or pursuant to written guidelines adopted by a hospital or medical group with whom the supervising physician and surgeon is associated.
|
Psychiatric Technician Students
|
Board of Vocational Nursing and Psychiatric Technicians
BPC Ā§ 4509.5
|
- Only when pursuant to a course of training for licensure as a psychiatric technician in a Board-approved school.
|
āMedical Assistant
| āMedical Board of California
BPC Ā§ 2069
16 CCR Ā§ 1366
| ā- Under written order by physician, nurse practitioner, physician assistant, or Certified Nurse Midwife
- Licensed supervising physician, physician assistant, nurse practitioner, or certified nurse midwife, as applicable, must be onsite
|
āPharmacist
| āBoard of Pharmacy BPC Ā§Ā§ 4052(a)(11) & 4052.8(a)
16 CCR Ā§ 1746.4
Federal HHS Resources: 2020-26977.pdf (govinfo.gov)
| - May independently initiate and administer ACIP vaccines to persons ages three and older.
- May administer immunizations to all ages pursuant to a protocol with a prescriber
- Must be certified in basic life support and complete a CDC- or Accreditation Council for Pharmacy Education (ACPE)-endorsed immunization training program that includes a hands-on component.
|
āPharmacy Intern
| āBoard of Pharmacy BPC Ā§ 4114
Federal HHS Resources: 2020-26977.pdf (govinfo.gov)
| - May perform all functions of a pharmacist at the discretion of and under the direct supervision and control of a pharmacist
|
| āPharmacy Technician
| āBoard of Pharmacy DCA Order Waiving Restrictions on Pharmacy Technicians Relating to Administering COVID-19 Vaccines (Dated 12/22/20)
Federal HHS Resources: 2020-26977.pdf (govinfo.gov)
Guidance for PREP Act Coverage
| - āMay administer to persons ages three and older under direct supervision and control of a pharmacist authorized to independently initiate and administer COVID-19 vaccine
- Must be certified in basic cardiopulmonary resuscitation and complete six hours of ACPE-endorsed training that includes the recognition and treatment of emergency reactions to vaccines, hands-on injection technique, and an assessment of injection technique (see Pharmacy Technicians training for an example of qualifying training).
- Vaccine must be administered according to applicable FDA emergency use authorization or license.
|
āParamedic (for EMT see below)
| āEmergency Medical Services Authority, page 54
| - āDuring a public health emergency
- Requires approval by the director of the local EMS Authority
|
āEMTs
| Emergency Medical Services Authority Executive Order N-25-20
Approved COVID-19 local optional scopes of practice by county: see approved list at bottom of EMSA's COVID-19 webpage
| - Director of EMSA has authority to implement additions to local optional scopes of practice, which could include EMT scope of practice
- SOP temporarily expanded for all California National Guard EMTs
- SOP temporarily expanded in multiple counties (see approved list at bottom of EMSAās COVID-19 webpage)
|
āDentists
| āDental Board of California
DCA Order Waiving Restrictions on Dentists Relating to Ordering and Administering COVID-19 Vaccines (dated 1/27/21)
| - May independently prescribe and administer COVID-19 vaccines to persons age 16 years and older
- Must complete CDPH-prescribed immunization training programs
- Must complete prescribed immunization training programs through the CDC
- Must comply with federal and state recordkeeping and reporting requirements
- Vaccine is administered in accordance with any applicable FDA emergency use authorization
|
āRegistered Dental Hygienists
| āDental Hygiene Board of California DCA Order Waiving Restrictions on Registered Dental Hygienists Relating to Administering COVID-19 Vaccines
| - ā May administer to persons ages 16 and older under direct supervision of a dentist, or on-site supervision of a physician and surgeon, who is authorized to independently initiate and administer the subject vaccine.
- Must complete six hours of an ACPE-endorsed training that includes the recognition and treatment of emergency reactions to vaccines, hands-on injection technique, and an assessment of injection technique (see Pharmacy Technicians training for an example of qualifying training).
- Must also complete the CDPH-prescribed immunization training programs.
- Supervisor must comply with federal and state recordkeeping and reporting requirements.
- Vaccine must be administered in accordance with any applicable FDA emergency use authorization or license.
|
āNaturopathic Doctors
| āNaturopathic Medicine Committee
BPC Ā§ 3640.5
16 CCR Ā§ 4236
| |
āOptometrists
| āOptometry Board of California
DCA Order Waiving Restrictions on Optometrists Relating to Ordering and Administering COVID-19 Vaccines (dated 2/11/21)
| - āMay independently prescribe and administer COVID-19 vaccines to persons age 16 years and older.
- Must be certified in basic life support and complete a CDC- or ACPE-endorsed training that includes the recognition and treatment of emergency reactions to vaccines, hands-on injection technique, and clinical evaluation of indications and contraindications of vaccines (see Pharmacy-Based Immunization Delivery training for an example of qualifying training).
- Must also complete the CDPH-prescribed immunization training programs.
- Must comply with federal and state recordkeeping and reporting requirements.
- Vaccine must be administered in accordance with any applicable FDA emergency use authorization or license.
|
āPodiatrists
| āPodiatric Medical Board DCA Order Waiving Restrictions on Doctors of Podiatric Medicine Relating to Ordering and Administering COVID-19 Vaccines (dated 2/11/21)
| - āMay independently prescribe and administer COVID-19 vaccines to persons age 16 years and older.
- Must complete the CDPH-prescribed immunization training programs.
- Must comply with federal and state recordkeeping and reporting requirements.
- Vaccine must be administered in accordance with any applicable FDA emergency use authorization or license.
|
āMedical Students
| āMedical Board of California
BPC Ā§ 2064
| - āMay engage in the practice of medicine, including administering vaccines, whenever and wherever prescribed as a part of their course of study.
|
āPhysician and Surgeon Postgraduate Training License Holders
| āMedical Board of California BPC Ā§Ā§ 2064.5 & 2065 DCA Order Waiving Restrictions On Postgraduate Training Licensees Ordering And Administering COVID-19 Vaccines Outside Of Their Postgraduate Training Program (dated 2/11/21)
| |
āVisiting Fellow Registrant
| āMedical Board of California
BPC Ā§Ā§ 2111 & 2112
| - āMay practice medicine, including administering vaccines, in the department or division in the medical school to which they are appointed, under the direction of the head of the department to which they are appointed, and supervised by the staff of the medical schoolās medical center;
or, - May practice medicine, including administering vaccines, in the specialty program in the sponsoring hospital, under the direction and supervision of a licensed, board-certified physician and surgeon who is recognized as a clearly outstanding specialist in the field in which the foreign fellow is to be trained.
|
āMedical School Faculty Member Registrant
| ā Medical Board of California
BPC Ā§ 2113
| - āMay practice medicine, including administering vaccines, incident to and a necessary part of their duties as approved by the Board in connection with the faculty position at the medical school or academic medical center or their affiliated institutions.
|
āSpecial Faculty Permit
| āMedical Board of California BPC Ā§ 2168
| - May practice medicine, including administering vaccines, within the medical school or academic medical center (AMC) or at affiliated institutions in which the permitholder is providing instruction as part of the medical schoolās or AMCās educational program and for which the medical school or AMC has assumed direct responsibility.
|