New Vaccine Protocol

Current Vaccine Protocol Problems

• Not being addressed on every patient at admission
• Patients are discharging without vaccination status being addressed
• **Not meeting CMS core measures for vaccination standards
• The new process is simple, it should not interupt your current workflow

Step One - Admitting RN

• Vaccination status is a required question of the admission process in the EHR
• Over-ride, or skipping, of questions has been disabled to avoid fall-outs
• Admission RN will have patient sign consents/refusals of unnecessary vaccine(s)
• RN will fax consents to pharmacy for vaccine orders

Step 2 - Vaccine(s) Needed

• An alert for each vaccine due will be generated by the EHR
• The alert will remain in the E-MAR as a medication due until it is administered
• Admission or Staff RN to administer vaccine(s)
• Once administered, the alert will disappear but vaccination(s) will remain as part of the patient record to be transcribed into the discharge summary

Step 2 - Vaccine(s) not Needed

• Admitting RN will click vaccine not needed
• The reason will be documented for each refusal
• Information will be automatically transcribed into the discharge summary
• **Please ensure refusals are signed by RN and patient then placed in the chart

Step 3 - Discharging RN

• Verify signed consents/refusals for vaccines and make a copy for the patient
• If vaccine was ordered and not administered, administer prior to discharge
• Educate patient on importance of maintaining up-to-date vaccination status
• Print discharge summary as well as educate patient on patient portal access.