Clinics, pharmacies and hospitals interested in administering COVID-19 vaccine must enroll in the federal COVID-19 Vaccination Program. The Washington State Department of Health (DOH) is organizing the enrollment process for Washington state providers. To enroll, complete the COVID-19 Provider Inquiry Form on the DOH COVID-19 Vaccination Program Enrollment webpage. This form is only for clinics, pharmacies, or hospitals interested in administering COVID-19 vaccines. A DOH representative will follow up with your organization as soon as possible. You can use the COVID-19 Provider Enrollment Guide (PDF) to help you through the enrollment process.
SRHD is now operating as a COVID-19 vaccine depot for DOH. Providers in Spokane and surrounding counties who are unable to meet minimum order quantities required by the Washington State Immunization Information System (WAIIS) can instead order smaller quantities of COVID-19 vaccine from designated depots, like SRHD. This allows more providers to get vaccine and limits vaccine transit times, which reduces risk of waste.
For questions, please contact the SRHD Immunization Assessment and Promotion team at COVIDVaccine@srhd.org.
How to Order and Provider Responsibilities
If you are interested in ordering vaccine from SRHD, first enroll in the COVID-19 Vaccination Program. See details in the “COVID-19 Vaccination Program Enrollment” section above. Once enrolled, please do the following:
Contact SRHD 72 hours in advance and coordinate vaccine transport by filling out the Depot Request Form.
Follow vaccine transport guidance if picking up from the depot.
Schedule vaccine appointments and administer vaccine.
Maintain accurate inventory in the Washington State Immunization Information System (WAIIS) and VaccineFinder.
Report any temperature excursion that happen during transport. If excursion occurs, follow the steps outlined in the COVID-19 vaccine temperature excursion guide and contact the manufacturer to assess the vaccines’ viability. Immediately report excursion to email@example.com.
Please report all positive COVID-19 cases for Spokane County residents by fax at 509.324.3623. It is unnecessary to report cases with labs performed by LabCorp, Quest, Northwest Laboratory, InCyte and Interpath as these are reported automatically by the performing laboratory. While cases are also automatically electronically reported to Spokane Regional Health District (SRHD) by Sacred Heart, Holy Family, Deaconess and Valley Hospital, hospitals must still report hospitalized cases and deaths separately.
When reporting, please include complete patient demographics (birthdate, address, phone, race/ethnicity), collection date and the specific test method used.
Facilities that are using rapid tests must report both their positive AND negative test results to the Washington State Department of Health (DOH). You may use this reporting form (one page per case). Please separate positive and negative tests into separate batches before sending. (Follow these instructions for submitting reports to the state.) The state will then forward positive results to the appropriate county.
Testing Information for Patients
Please do not advise patients to call SRHD for consultation or testing. SRHD does not provide testing nor do we have nurses on staff to assess a patient’s clinical condition. Please advise patients according to the documents below:
Summary Updated Interim COVID-19 Testing Guidance for Providers
Please review the following for an overview of COVID-19 testing guidance. Test all patients with new onset of symptoms consistent with COVID-19, regardless of their age or health status. COVID-19 patients may present with cough, shortness of breath, fever and chills. However, many patients often only experience mild symptoms, including muscle pain, fatigue, congestion, headache, sore throat or new loss of taste or smell.
Rapidly testing all patients with symptoms consistent with COVID-19 is critical to identifying and isolating cases, quarantining their contacts, and suppressing community spread.
Limit testing of asymptomatic persons to those with exposure, including close contacts and individuals exposed during an outbreak in a congregate setting. (Note: close contacts still need to remain in quarantine for five days after their last date of exposure provided they do not work or reside in shelter or corrections settings. Those working or living in these higher-risk settings may have quarantine durations that range from seven days with a test to 14 days depending on setting-specific guidance.)
The guidance further outlines additional asymptomatic people who can be considered for testing if adequate testing supplies are available. Please consult the full document.
Continue to educate all patients you test, including emphasizing isolation for ill persons and quarantine for exposed contacts:
The preferred diagnostic test is a PCR-based test.
Specimens sent to CLIA-certified labs for PCR-based tests have demonstrated higher sensitivity and fewer false negatives than point-of-care tests.
Additionally, serology or antibody tests are not recommended for making a COVID-19 diagnosis or to reliably determine whether someone has experienced a past infection with COVID-19 (more below).
The guidance further outlines the types of swabs preferred for COVID-19 testing and appropriate specimen collection and storage/transport, including self-collected nasal swabs under healthcare provider observation. Please consult the full document.
* Read the CDC overview of testing for SARS-CoV-2 (COVID-19) here.
Isolation & Quarantine Guidelines
Isolation is calculated by designating day 0 as the first day of symptoms or a positive viral test. Day 1 is the first full day after symptoms developed or a test specimen was collected.
After quarantine, patients should watch for symptoms until 10 days after they last had close contact with someone with COVID-19.
Patients should avoid travel until a full 10 days after their last close contact with someone with COVID-19.
Advise that patient that if they develop symptoms, they should isolate immediately and get tested and continue to stay home until they receive results.
Patients should take precautions until day 10. They should wear a well-fitted mask for a full 10 days any time they are around others. They should also avoid going to places where they cannot wear a mask.
*Up-to-date means that a person has received all recommended COVID-19 vaccines, including booster doses when eligible. Fully vaccinated means that a person has completed their primary series of COVID-19 vaccines.
For patients who were exposed to COVID-19 and had confirmed COVID-19 within the past 90 days (confirmed with a positive viral test)
Patients do not need quarantine unless they develop symptoms.
Patients should watch for symptoms until 10 days after exposure.
If the patient develops symptoms, they should isolate immediately and get tested. They should continue to isolate and wear a well-fitted mask until results are received..
Advise patients to take precautions until day 10. They should wear a well-fitted mask for 10 full days any time they are around others.
Patients should take precautions if traveling and avoid being around people who are at high risk.