North Dakota Code § 23-27-04.9

Administration of vaccinations - Laboratory testing
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1. A licensed or certified emergency medical services personnel working for a hospital or 
an emergency medical services operation may administer a vaccine to an individual 
who is at least eighteen years of age if:
a. The physician providing oversight for the emergency medical services operation 
or the hospital medical director has established protocols that meet department 
standards that may be based on the advisory committee on immunization 
practices of the federal centers for disease control and prevention; and
b. The emergency medical services personnel has satisfactorily completed a 
department-approved course on administering vaccines.
2. If a hospital or emergency medical services operation allows the administration of 
vaccines under this section, the hospital or emergency medical services operation 
shall maintain records documenting the emergency medical services personnel's 
completion of the training required under subsection 1. These records are subject to 
review by the department.
3. Licensed or certified emergency medical services personnel may perform laboratory 
testing authorized by rule adopted by the department.

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