Open Forum

Hi group, 

wondering if anyone is willing to share your protocol, process or staff training on immunizations in a pediatric and primary care setting. We have had several errors with giving an immunization to early or giving the wrong immunizations. Currently the Medical Assistants go by our state registry on what a patient is due for but the dates can easily be mis-read. We do not have scanners in our clinics yet which also make this process risky. Does your clinical staff decide what immunizations a patient is due for and send an order to the provider or does your provider own this process? I would think best practice would be the provider determining what immunizations a patient is due for. Wondering if there is a way to make this safer without adding to the providers work load by having to look at the state registry themselves.

Thank you for any help or advice you have, 

Teri Corless MSN, RN 

Ambulatory Care Director 

MadisonHealth 

Hi group, 

wondering if anyone is willing to share your protocol, process or staff training on immunizations in a pediatric and primary care setting. We have had several errors with giving an immunization to early or giving the wrong immunizations. Currently the Medical Assistants go by our state registry on what a patient is due for but the dates can easily be mis-read. We do not have scanners in our clinics yet which also make this process risky. Does your clinical staff decide what immunizations a patient is due for and send an order to the provider or does your provider own this process? I would think best practice would be the provider determining what immunizations a patient is due for. Wondering if there is a way to make this safer without adding to the providers work load by having to look at the state registry themselves.

Thank you for any help or advice you have, 

Teri Corless MSN, RN 

Ambulatory Care Director 

MadisonHealth 

Thank you so much for sharing Sharon. Does your organization allow Medical Assistants to pend vaccine orders to the provider or is this only done by an RN. Also, does the provider have to sign the pending order prior to administration? Or is it often its signed after administration? 

Teri 

Hi group, 

wondering if anyone is willing to share your protocol, process or staff training on immunizations in a pediatric and primary care setting. We have had several errors with giving an immunization to early or giving the wrong immunizations. Currently the Medical Assistants go by our state registry on what a patient is due for but the dates can easily be mis-read. We do not have scanners in our clinics yet which also make this process risky. Does your clinical staff decide what immunizations a patient is due for and send an order to the provider or does your provider own this process? I would think best practice would be the provider determining what immunizations a patient is due for. Wondering if there is a way to make this safer without adding to the providers work load by having to look at the state registry themselves.

Thank you for any help or advice you have, 

Teri Corless MSN, RN 

Ambulatory Care Director 

MadisonHealth