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CONTENT OF THE GUIDE |
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PAGE NO. |
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Covers (front and back)
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cov1–cov4 |
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Includes outside and inside covers; provides quick reference links for IAC, |
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CDC, adult immunization partners, and vaccine manufacturers |
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Front Matter
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i–iv |
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Includes title pages and acknowledgments |
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Introductory Letter
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v-vi |
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Table of Contents
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vii–xii |
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Step 1: Getting Started
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1–14 |
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Why the emphasis on adult vaccination? |
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How do I determine which vaccines adults need? |
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The
Guide does not discuss vaccines for children or travelers |
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Concluding thoughts |
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Materials and Resources You Can Use |
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Key Resources |
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Step
2: Setting Up for Vaccination
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15–28 |
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Obtain support and cooperation
from clinic staff and management
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Seek out community resources |
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Assign a vaccination coordinator
and back-up for that person |
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Plan workflow and workspace |
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Determine how and where vaccines
will be stored, and purchase
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vaccine storage and temperature monitoring equipment |
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Purchase emergency response
supplies |
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Determine who can provide
vaccinations in your setting |
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Arrange for staff training |
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Organize vaccination paperwork
and reference materials |
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Create standing orders documents
for times when a supervising
clinician is |
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not available to
write orders |
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Order vaccines – Yes, do this
last! |
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Materials and Resources You Can Use |
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Key Resources |
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Step 3: Vaccine Storage and Handling |
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29–42 |
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Receive vaccine shipments
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Monitor and record temperatures
at least twice each day |
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If there’s a problem, take appropriate action right away; report power failures |
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or other storage issues immediately! |
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Transport vaccines properly (and
only when absolutely necessary) |
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Materials and Resources You Can Use |
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Key Resources |
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Step 4: Deciding Whom to Vaccinate |
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43–66 |
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Determine the patient’s previous
vaccination history
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Determine which vaccines are
needed |
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Screen for contraindications and
precautions to vaccines |
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Advise the patient if he or she
should be vaccinated |
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Educate your patients about
diseases for which they may be
at risk and |
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the vaccines that
can prevent them |
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Special section:
Vaccination of Special
Populations |
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Materials and Resources You Can Use |
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Key Resources |
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Step 5: Administering Vaccines |
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67–86 |
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Determine who can administer
vaccines (either independently
or under standing |
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orders) |
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Always provide a Vaccine
Information Statement (VIS) |
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Administer the vaccine properly |
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Prepare and watch for an
allergic reaction (anaphylaxis)
after vaccination |
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Always report anaphylaxis and
other adverse events after
vaccination to VAERS |
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Prepare and watch for syncope
(fainting) |
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Communicate about appointments
for subsequent doses |
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Understand proper spacing of
doses |
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Materials and Resources You Can Use |
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Key Resources |
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Step 6: Documentation and Related
Issues |
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87–94 |
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Record federally required
information about your patient’s
vaccinations in |
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the patient’s
permanent medical record or in
an office log |
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Update your patient’s personal
vaccination record card or
provide a record |
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to your patient |
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Update your patient’s
vaccination record in your state
or local Immunization |
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Information System (IIS, or
registry), if one is available |
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Materials and Resources You Can Use |
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Key Resources |
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Step 7A: Financial Considerations |
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95–106 |
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Standards for Adult
Immunization Practice: How
it should work
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Finding free or discounted
vaccines |
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Investigating possible
third-party coverage for the
cost of vaccines and/or |
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vaccine administration |
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Finding your way through the
billing maze |
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Materials and Resources You Can Use |
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Key Resources |
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Step 7B: How to Bill for Adult
Immunizations |
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107–120 |
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Health insurance coverage of
adult vaccines
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Billing Medicare for
immunizations |
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Billing third-party payers for
immunizations (not Medicare) |
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Appendix A: Frequently Used Acronyms and Abbreviations |
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121–122 |
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Appendix B: Glossary |
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123–126 |