To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.

Special Bulletin: Outbreak of pertussis (whooping cough) in California
For Immediate Attention:
There is a critical outbreak of pertussis (whooping cough) in California: it is classified now as an epidemic. Five infants, all Latino, have died. This is due to unrecognized pertussis in older children and adults which then infects babies before they’ve had a chance to get their shots. PLEASE spread the word through every mechanism you have that it is critical to get Tdap in adolescents and adults and to get children immunized properly. This months ImmuNews includes a number of resources on Pertussis (Whopping Cough).

A Shot of Quality Improvement!

Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.

All health care delivery organizations are required to have quality assurance and quality improvement programs, but it is often difficult to make these efforts really meaningful in the everyday practice of serving patients. This month’s Immu-News suggests a number of immunization quality measurements that you can adapt to your local setting. We are finding from our site visits that many of you really struggle with understanding who is getting immunized, who is missed, and what the root causes are for the gap between your goal of full immunization and the present reality at your center. Additionally, immunization data gathering is often very time consuming, often duplicated several times over for various outside agencies, and often not in step with the ways changes are made in other parts of your organization. Here are a few ideas from us, and we welcome responses back from you that will continually improve immunization practices.

Addressing the Big Four: On-Time Immunizations, Knowing Your Baseline, Making Improvement, and Accurate Records

Our four quality topics will cover:

• Immunization reminder systems
• Baseline immunization rate audits
• Measuring success
• Patient self-management in record retrieval

Resources

• PDSA Worksheet for Testing Change
• Immunization Audit Summary
• Manual Immunization Audit

Este recurso del CDC ofrece una visión general de la tos ferina , también conocida como Whooping Cough. Los temas incluyen síntomas , propagación, la tos ferina en los EE.UU. y las medidas de prevención.

This resources provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.

It Takes the Whole Team: Staff Roles in ImmunizationWelcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.Our topic for the month is It Takes the Whole Team:  Staff Roles in Immunization.  As you know, we’ve been calling each of the Project clinics over the last months and wanted to share with you some interesting ideas about who plays what part in immunization at our clinics.Of course, we all think immediately about the providers and nurses, the people most likely to administer the vaccines.  But who orders the vaccines, who checks the supplies, who keeps the logs, who books the appointments, who enters the data, who tracks it, and who encourages the clients to come in to the clinic to get the shot?It could be at some clinics that one or two people do most or all of these jobs, while at other clinics, they may be divided up among three or four or more people.  What works at your clinic and why?  Does the hand that gives the shot know what the other hands are doing?  How is recording and tracking immunization data a team effort? How can the receptionist, the billing clerk, and the outreach worker all be a crucial part of the picture?Read on for information about the following:

1. Experience: A checklist of all the different tasks necessary to arrive at your clinic’s immunization goals, gathered from our recent phone calls to you.
2. Research: the collaborative approach--how successful are systems that incorporate the receptionist or the outreach worker into the immunization goals of the clinic?

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 vaccine for children 6 months through 9 years of age and for administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

This table for healthcare providers and planners provides information related to administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

To provide easily accessible immunizations, reduce patient waiting time, and assure quality of service in provision of immunizations.

Appendix B: Immunization Management

Appendix C: Identification/Management of HBsAg--Positive Persons

Appendix C: Postexposure Prophylaxis