ADMINISTRATION OF VACCINE
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Identify who will be administering vaccine in your healthcare organization: Provider, RN, LPN, MA, Pharmacist
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Review Vaccine Skills
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See Example of
COVID-19 Vaccine Administration Skills Checklist
(
IM administration in arm)
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Provide education on COVID-19 vaccine specifics
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Possibility of a strong immune reaction with low fever, fatigue and sore arm, particularly after a second dose
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NSAIDs are helpful in mitigating these reactions
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Example: Pfizer will have 6 hours post-reconstitution and Moderna is 6 hours after the vial is punctured
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Recommendation from the CDC is to stagger unit staff vaccine in case of strong reactions.
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EUA Fact Sheets before administration and consent – these will not be available until the FDA’s Vaccine and Related Biologic Advisory Committee (VRBPAC) meeting (Dec 10/Dec 17)
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Screening, education, preparing vaccine, administering vaccine, and documenting vaccine, PPE
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COVID-19 vaccination record cards will be provided as part of vaccine ancillary kits. Vaccination providers must complete these cards with accurate vaccine information (i.e., vaccine manufacturer, lot number, date of first dose administration, and second dose due date), and give them to each patient who receives vaccine to ensure a basic vaccination record is provided
in addition to WIR reporting
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Implement
COVID-19 infection prevention control measures in clinics for vaccine.
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Ensure your staff can
recommend COVID-19 vaccine confidently
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Help staff understand new COVID-19 vaccines
mRNA vaccines are NOT live
vaccines
https://www.cdc.gov/vaccines/covid-19/hcp/mrna-vaccine-basics.html
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Identify first group of employees willing to get vaccine
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CDC will be releasing a toolkit for these workers in the early part of December
Review
Interim Guidance for Vaccinating Health Care Personnel:
https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/covid-19/clinical-considerations.html
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Develop a reminder system for 2nd dose of vaccine if applicable (Pfizer recall at 21 days; Moderna 28)
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Reminder card will be included in the ancillary kit supplies
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Reminder call
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Scheduling appointment before they leave
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Identify Location for Vaccinating Healthcare Personnel
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- Consider if planning on
sending employees to a central vaccine clinic, or bringing vaccine to staff?
- Mass vaccination of healthcare personnel, or several days?
- Set up reminders:
Maintain 6 foot distancing with areas marked off
Masks
Schedule vaccination appointments in a timely manner to use vaccine in the period that is needed
Have a backup plan in case vaccine does not come on the day anticipated
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Develop Plan for Vaccinating Later Phases (1b, 1c, and 2)
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- Plan how to communicate vaccine availability to patients. You can plan to use
vaccinefinder.org to help patients understand your vaccine availability
- Estimate number of patients at increased risk for severe COVID-19 illness (including people 65 years of age or older)
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