Standards for Adult Immunization Practices
Make vaccinations available
- Include recommended vaccinations as part of routine care.
- Identify and minimize barriers to receiving vaccines.
- Offer influenza vaccine soon after it is available and continue vaccination through March.
Assess patients’ vaccination status
- Review and document the vaccination status of all new patients during initial office visits and review vaccination status on an annual basis thereafter.
- Assess and document for valid contraindications. Failure to differentiate between valid and invalid contraindications often results in the needless deferral of indicated vaccinations.
Administer and document vaccinations properly
- Establish a protocol to ensure that billing for vaccines and the administration of vaccines is completed accurately and efficiently.
- All people who administer vaccinations should be fully trained in vaccine storage and handling, vaccine schedules, contraindications, administration techniques, management and reporting of adverse events, and record maintenance and accessibility. Visit http://www.cdc.gov/vaccines/ed/podcasts.htm
- Administer indicated vaccines simultaneously. Simultaneous administration decreases the number of required visits and the potential for missed doses.
- Patient vaccination histories should be recorded on a standard form in an easily accessible location in the medical record to facilitate rapid review of vaccination status. AFMC has free tools available to help with this process.
- Health care professionals and other personnel who have contact with patients should be appropriately immunized.
Implement strategies to improve vaccination rates
- Develop a system to remind patients and health care professionals when vaccinations are due and to recall patients who are overdue.
- Establish standing orders to permit nurses to administer vaccinations by protocol without tying up the physicians’ time.
Partner with your community
- Vaccination services should be designed to meet the needs of the population served.