Standing Orders Protocols Can Improve Your Vaccination Rates

August 2017

Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
Technically Speaking is a monthly column written by IAC’s Executive Director Deborah Wexler, MD. The column is featured in The Children’s Hospital of Philadelphia Vaccine Education Center’s (VEC’s) monthly e-newsletter for healthcare professionals. Technically Speaking columns cover practical topics in immunization delivery such as needle length, vaccine administration, cold chain, and immunization schedules.
Check out a recent issue of Vaccine Update for Healthcare Providers. The VEC e-newsletter keeps providers up to date on vaccine-related issues and includes reviews of recently published journal articles, media recaps, announcements about new resources, and a regularly updated calendar of events.
Standing Orders Protocols Can Improve Your Vaccination Rates
Published August 2017
Standing orders for vaccine administration are written protocols approved by a physician or other authorized practitioner that allow qualified healthcare professionals (who are eligible to do so under state law, such as RNs or pharmacists) to assess the need for and administer vaccine to patients. The qualified healthcare professionals also must be eligible by state law to administer certain medications, such as epinephrine, under standing orders (should a medical emergency occur and a clinician not be available).

Having standing orders in place streamlines your practice workflow by eliminating the need to obtain an individual clinician’s order to vaccinate each patient. The use of standing orders is recommended by CDC’s Advisory Committee on Immunization Practices and by the Community Preventive Services Task Force.

Standing orders protocols will:

  • Facilitate efficient assessment for and administration of vaccines in your practice Improve vaccination rates in your patients
  • Protect more of your patients from vaccine-preventable diseases
  • Empower nurses and/or other eligible staff to provide a valuable and potentially life-saving preventive service to patients
  • Decrease opportunities for disease transmission, such as influenza, in your healthcare setting

The Immunization Action Coalition (IAC) has many free downloadable materials available on its website, including standing orders templates for vaccination and for how to medically manage vaccine reactions. These resources can help you implement standing orders in your office.

Resources from IAC

There are many IAC resources available on the website:

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