MEDICAL ASSISTANT STANDING ORDERS FOR ADMINISTERING INFLUENZA VACCINE TO ADULTS

Effective Date: 
Wed, 11/06/2013
Reviewed: 
Wed, 11/06/2013
Revised: 
Thu, 10/23/2014
Policy: 

Purpose:  To reduce morbidity and mortality from influenza by vaccinating all adults who meet the criteria established by the CDC for influenza vaccination.

Policy:  Under this standing order from the medical director, MAs may vaccinate patients against influenza provided the patients meet the following criteria. 
1.  The patient has no history of receiving an influenza vaccine for the current influenza season.
2. The Patient does not have any contraindications or precautions to influenza vaccine as defined on the Universal Vaccine Consent form.

Under this standing order, the medical director delegates the authority to supervise the MA to give influenza vaccine to MDs, DOs, registered nurses, pharmacists, physician assistants and nurse practitioners.

Influenza vaccinations may be given by an MA only when there is a physician or advanced practice provider (NP, PA) on the premises of the Student Health Center.

Procedure: 

1. Ask the patient if they have already been vaccinated for flu in this influenza season.
2. Provide the patient with the most current Vaccine Information Statement (VIS). 
3. Give the patient the Universal Consent for Immunization Form and ask them to complete and sign the form.  Review the Universal Consent form for contraindications or precautions, egg allergies.  Make sure the patient signs the consent.
4. If the patient has identified a contraindication, precaution, or history of egg allergy, refer the patient to a clinician for evaluation.
5. In every instance the MA, prior to administration of the vaccination, must present the vaccine to a Registered Nurse, pharmacist, physician, physician assistant or nurse practitioner to verify the correct medication and dosage. 
6. Administer the influenza vaccine as follows: Give 0.5ml of Influenza Vaccine IM in the deltoid muscle. 
7. Document each patients vaccine administration information in the Medical Record including the date the vaccine was administered, the manufacturer and lot number, the vaccination site and route, the name and title of the person administering the vaccination and "per Standing Order".   Document that the patient was given the VIS and include the publication date of the VIS in the note.
8. Instruct the patient to wait 15 minutes after their vaccination.
9. Be prepared and familiar with the protocol for the management of a medical emergency (http://shs-manual.ucsc.edu/policy/anaphylaxis-emergency-care-standardize... and/or  http://shs-manual.ucsc.edu/policy/responding-medical-emergencies).
10. Report all adverse reactions to influenza vaccine.  Complete an incident report and submit it to your supervisor for internal review.  The supervisor will assist the MA to submit a report to the federal Vaccine Adverse Event Reporting System (VAERS) at 111.vaers.hhs.gov or (800)822-7967.  VAERS report forms are available at www.vaers.hhs.gov or in Weblinks in the electronic medical record (PNC).