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Vaccinating Adults: A Step-by-Step Guide
 
A comprehensive, easy-
to-use “how-to” guide for
vaccinating adults


AVAILABLE FOR
DOWNLOAD


Vaccinating Adults: A Step-by-Step Guide
Vaccinating Adults: A Step-by-Step Guide provides
142 pages of practical information in an easy-to-use
format to help you implement or enhance adult
immunization services in your healthcare setting. The
Guide also includes an abundance of web addresses
and references to assist you in staying up to date
with the most current information. Developed by staff
at the Immunization Action Coalition, the Guide had
several early reviews for technical accuracy by subject
matter experts at the Centers for Disease Control
and Prevention and the National Vaccine Program Office.
 Free download / print entire book
 
   •  142 pages, 10.6 MB PDF
   •  Suitable for double-sided printing
 
CONTENT OF THE GUIDE
PAGE NO.  
  Covers (front and back) cov1–cov4  
   Includes outside and inside covers; provides quick reference links for IAC,
   CDC, adult immunization partners, and vaccine manufacturers
 
  Front Matter i–iv  
   Includes title pages and acknowledgments
 
  Introductory Letter v-vi  
  Table of Contents vii–xii  
  Step 1: Getting Started 1–14  
   • Why the emphasis on adult vaccination?
   • How do I determine which vaccines adults need?
   • The Guide does not discuss vaccines for children or travelers
   • Concluding thoughts
   • Materials and Resources You Can Use
   • Key Resources
 
  Step 2: Setting Up for Vaccination Services 15–28  
   • Obtain support and cooperation from clinic staff and management
   • Seek out community resources
   • Assign a vaccination coordinator and back-up for that person
   • Plan workflow and workspace
   • Determine how and where vaccines will be stored, and purchase appropriate
   vaccine storage and temperature monitoring equipment
   • Purchase emergency response supplies
   • Determine who can provide vaccinations in your setting
   • Arrange for staff training
   • Organize vaccination paperwork and reference materials
   • Create standing orders documents for times when a supervising clinician is
   not available to write orders
   • Order vaccines Ė Yes, do this last!
   • Materials and Resources You Can Use
   • Key Resources
  Step 3: Vaccine Storage and Handling 29–42  
   • Receive vaccine shipments
   • Monitor and record temperatures at least twice each day
   • If thereís a problem, take appropriate action right away; report power failures
   or other storage issues immediately!
   • Transport vaccines properly (and only when absolutely necessary)
   • Materials and Resources You Can Use
   • Key Resources
  Step 4: Deciding Whom to Vaccinate 43–66  
   • Determine the patientís previous vaccination history
   • Determine which vaccines are needed
   • Screen for contraindications and precautions to vaccines
   • Advise the patient if he or she should be vaccinated
   • Educate your patients about diseases for which they may be at risk and
     the vaccines that can prevent them
   • Special section: Vaccination of Special Populations
   • Materials and Resources You Can Use
   • Key Resources
  Step 5: Administering Vaccines 67–86  
   • Determine who can administer vaccines (either independently or under standing
     orders)
   • Always provide a Vaccine Information Statement (VIS)
   • Administer the vaccine properly
   • Prepare and watch for an allergic reaction (anaphylaxis) after vaccination
   • Always report anaphylaxis and other adverse events after vaccination to VAERS
   • Prepare and watch for syncope (fainting)
   • Communicate about appointments for subsequent doses
   • Understand proper spacing of doses
   • Materials and Resources You Can Use
 • Key Resources
  Step 6: Documentation and Related Issues 87–94  
   • Record federally required information about your patientís vaccinations in
     the patientís permanent medical record or in an office log
   • Update your patientís personal vaccination record card or provide a record
     to your patient
   • Update your patientís vaccination record in your state or local Immunization
   Information System (IIS, or registry), if one is available
   • Materials and Resources You Can Use
   • Key Resources
  Step 7A: Financial Considerations 95Ė106  
   • Standards for Adult Immunization Practice: How it should work
   • Finding free or discounted vaccines
   • Investigating possible third-party coverage for the cost of vaccines and/or
   vaccine administration
   • Finding your way through the billing maze
   • Materials and Resources You Can Use
   • Key Resources
  Step 7B: How to Bill for Adult Immunizations 107–120  
   • Health insurance coverage of adult vaccines
   • Billing Medicare for immunizations
   • Billing third-party payers for immunizations (not Medicare)
  Appendix A: Frequently Used Acronyms and Abbreviations 121–122  
  Appendix B: Glossary 123–126  

 
 
FREE
Download / Print
Entire Guide
Covers (front and back)
Front Matter
Introductory Letter
 Table of Contents
Step-by-Step
Step 1:
Getting Started
 
DOWNLOAD / PRINT
Step 2:
Setting Up
for Vaccination
Services

 
DOWNLOAD / PRINT
Step 3:
Vaccine
Storage and
Handling

 
DOWNLOAD / PRINT
Step 4:
Deciding
Whom to
Vaccinate

 
DOWNLOAD / PRINT
Step 5:
Administering
Vaccines

 
DOWNLOAD / PRINT
Step 6:
Documentation
and Related
Issues

 
DOWNLOAD / PRINT
Step 7A:
Financial
Considerations

 
DOWNLOAD / PRINT
Step 7B:
How to Bill
for Adult
Immunizations

 
DOWNLOAD / PRINT
Appendix A:
Frequently Used Acronyms
and Abbreviations

 
DOWNLOAD / PRINT
Appendix B:
Glossary
 
DOWNLOAD / PRINT
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Vaccinating Adults: A Step-by-Step Guide
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  This page was updated on March 29, 2019.
  This page was reviewed on April 22, 2020.
 
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 6NH23IP22550) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.