Vaccination Resources
Here's where practitioners can find
resources to assist in providing vaccination services to their patients.
Seasonal Influenza Vaccination Pocket Information Guide
Order laminated pocket guides for front-line healthcare personnel with
information on indications and contraindications for the vaccines, information
on targeted populations to be vaccinated, details on how to administer the
vaccines, and talking points for patients.
Source: National Influenza Vaccine Summit
Screening Questionnaire for Injectable Influenza Vaccine
[PDF]
A self-screening tool to help patients determine if
contraindications to TIV exist; includes a separate section to explain answers
to the healthcare provider
Source: Immunization Action Coalition
Screening Questionnaire for Intranasal Influenza
Vaccine
[PDF]
A self-screening tool to help patients determine if
contraindications to LAIV exist; includes a separate section to explain answers
to the healthcare providers
Source: Immunization Action Coalition
Standing Orders for Administering
Influenza Vaccine to Children and Adolescents
[PDF]
A useful tool incorporating procedures to allow
non-physician healthcare providers to administer vaccine under physician
supervision (where allowed under state law or rule)
Source: Immunization Action Coalition
Standing Orders for Administering
Influenza Vaccine to Adults [PDF]
A useful tool incorporating procedures to allow
non-physician healthcare providers to administer vaccine under physician
supervision (where allowed under state law or rule)
Source: Immunization Action Coalition
Vaccine Information Statement (VIS) for
Inactivated Influenza Vaccine [PDF]
Federal law requires all providers to give this statement
to their patients (or parent/legal representative of a minor child) before
administering the vaccine.
Source: Immunization Action Coalition
[other languages]
Vaccine Information Statement (VIS) for Live,
Intranasal Influenza Vaccine
[PDF]
Federal law requires all providers to give this statement
to their patients (or parent/legal representative of a minor child) before
administering the vaccine.
Source: Immunization Action Coalition
[other languages]
Influenza Vaccination Record card
This year, some patients may be confused about which influenza vaccine they
received. It is important that providers give patients a patient-held Influenza
Vaccination Record as a way of keeping patients from receiving extra doses of
vaccine. In addition, use of the Influenza Vaccination Record can help ensure
that providers observe a minimum interval of 28 days when administering both the
live attenuated H1N1 vaccine and the live attenuated seasonal vaccine to a
patient.
This Influenza Vaccination Record card is identical to the card that will be
included in quantity with shipments of H1N1 influenza vaccine. We are making the
card available here for the use of healthcare providers who have NOT received
H1N1 influenza vaccine, and as a result, do not have quantities of the Influenza
Vaccination Record cards that are packaged with the vaccine. Such providers
should vaccinate patients with seasonal influenza vaccine (unless
contraindicated) as soon as it is available, record the vaccination information
on the Influenza Vaccination Record card, give the card to the patient, and
encourage the patient to keep the card and bring it with them when they receive
H1N1 influenza vaccine. (Once they receive a shipment of H1N1 influenza vaccine,
providers should use the Influenza Vaccination Record cards included with the
vaccine.) Patients who receive H1N1 vaccine before receiving seasonal vaccine
may already have been given an Influenza Vaccination Record card. If so, they
should bring it to their seasonal influenza vaccine provider.
Instructions for printing:
- For durability, it is recommended that you
print on card stock (you may want to practice on copy paper, so you don’t
waste card stock).
- Open the pdf of the record card. Print out at
100% of page size, do not use page scaling.
- The card is double-sided, so print on both
sides of the card stock.
- Trim the card along the trim lines indicated
on the back side. (Hint: cut the long way first, dividing the piece in to two
long sections, to avoid losing the remaining trim lines.) This will result in
6 cards, each 3 3/8" x 4 1/4".
- Fold each card so that the front panel reads
"Influenza Vaccination Record."
Quick Reference Information: Medicare Immunization Billing
[PDF]
This two-sided job aid gives Medicare fee-for-service
physicians, providers, suppliers, and other health care professionals with quick
information to assist with filing claims for the influenza, pneumococcal, and
hepatitis B vaccines and their administration.
Source: Centers for Medicare and Medicaid Services
2008-2009 Influenza
Virus Vaccines NDC and AWP Information
Find comprehensive information for coding and billing of influenza vaccines --
Current Procedural Terminology (CPT) codes, manufacturers and brand names,
National Drug Codes (NDCs), and average wholesale prices (AWP).
Source: sanofi pasteur |
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