When you make a daily effort to immunize patients, the process can become routine. While repetition is useful for making staff comfortable with procedures, it can also lead to less attention to detail — setting the stage for inadvertent vaccine administration errors. Periodic review of vaccine administration procedures as a team, or providing vaccinators with articles such as these, can help to identify variability in procedures and offer opportunities to discuss and standardize care within your practice.

So, as 2018 winds down, take a moment to review the most popular "Technically Speaking" articles from the past year, and begin 2019 with renewed commitment to developing standardized or "best" practices within your healthcare setting for immunization of your patients:

• Let's Get It Right! How to Avoid Shoulder Injury with Deltoid Intramuscular Injections — Published in October 2018
   
• CDC Issues New Requirements for VFC Vaccine Storage — Published in January 2018
   
• History of Fever ≥105 Degrees, Inconsolable Crying, and Hypotonic Episode Following a Previous DTaP Dose Are No Longer Precautions According to ACIP — Published in June 2018
   
• CDC's Vaccine Administration Training Materials — Published in November 2018