Influenza Vaccination

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5-Diamond Patient Safety Program

Everything you need to complete this module is right here! Click on the links below to access the necessary tools and resources available for completion of this module.

OBJECTIVE:	To increase the percentage of patients and staff who receive influenza vaccination.
ACTIVITIES REQUIRED FOR DIAMOND STATUS:	Complete and in-service training module (PowerPoint Presentation) on influenza vaccination. Encourage staff and patient interest by creating and displaying a large poster showing a syringe that tracks percent of patients and staff who have received vaccination.
OPTIONAL ACTIVITIES:	Discuss and implement standing orders for administering influenza vaccine Display posters in waiting room, staff lounge and patient treatment area Conduct one-on-one patient education about the importance of flu vaccination during scheduled treatment times If you administer vaccine, use standing orders for administering vaccine and obtaining patient consent forms Give your patients the "Do I Need Vaccines Today?" quiz Provide Vaccine Administration Record to patients
TOOLS/ RESOURCES:	In-Service Training Module: Influenza Vaccination Posters: Flu Vaccine Facts & Myths Cover Your Cough Top 3 Reasons to Get Your Flu Vaccine Influenza: Protect Yourself and Your Patients brochure Immunization Checklist: Give these people influenza vaccine! Patient Quiz: Do I need any vaccinations today? Influenza (Flu) CDC Fact Sheet Sample Standing Orders for Administering Influenza Vaccine to Adults Vaccine Administration Record for Adults (with example record) Medicare Immunization Billing Quick Reference Tool Vaccine Handling Tips Reliable Sources of Immunization Information
MEASURE(S):	100% of staff in-serviced on influenza vaccination. 75% of patients receive vaccination. 85% of facility staff receive vaccination.

Printer-friendly version of the Module Requirements List.

After you have completed the Influenza Vaccination module and have documented the required measures, please complete and submit to the Network Office:

Completed Project Reporting Form
In-service attendance log
Log of facility staff identifying who received and refused the seasonal flu vaccine for the current flu season
Completed Influenza Immunization Tracking Tool, which serves as a log of patients in the facility, identifying who received and refused seasonal flu vaccination for the current flu season

If you have any questions or need assistance, please contact Heather Cecil, at hcecil@nw5.esrd.net or by fax at 804.794.3793.

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