Ambulance Paramedic (MICT) Standing Orders
A complete set of Hawaii’s standing orders for ambulance advance life support personnel is available online to review or for downloading. (Please Note: The orders are in a 356KB .pdf file.)
Download/Save a Copy of the Standing Orders.
The document, “Mobile Intensive Care Technician Biological Outbreak/Exposure Mass Prophylaxis & Immunization Standing Orders,” is the first edition of a manual that provides the Department of Health with standing orders for preventive antibiotic therapy and/or immunizations in the event of a bioterrorism attack due to anthrax, brucellosis, plague, smallpox, or tularemia.
The document contains 1) an overview of the bioterrorism preparedness response plans regarding mass prophylaxis and immunization; 2) standing order protocols for anthrax, brucellosis, plague, smallpox, and tularemia; 3) antibiotic information for practitioners; 4) antibiotic information brochures for patients; and 5) data management and consent forms.
This document should be considered an annex to the State of Hawaii EMS MICT Standing Orders and Extended Standing Orders.
The standing orders contained within this document become activated when the Director of Health declares a state of emergency due to a specific bioterrorism incident, and issues a memorandum ordering the EMS prehospital providers to begin mass prophylaxis. The memorandum would contain information regarding the nature of the bioterrorism incident, the causative microorganism, the population at risk, and the mass prophylaxis protocol to be followed.
This document may be reviewed annually to ensure that the standing orders are up to date, and reflect the latest available recommendations from the Centers for Disease Control and Prevention for Bioterrorism Preparedness and Response.
Download/Save a Copy of the Standing Orders for Mass Prophylaxis Following a Bioterrorism Incident.