| Document | Description |
| Adult Immunization Schedule 2006 -2007 |
Adult Immunization schedule as recommended by the Advisory Committee on Immunization Practices |
| Call-to-Action: Influenza Immunization Among Health Care Workers |
Fact sheet describing the problem of low influenza immunization coverage rates among health care workers in the United States |
| Employee Reminder Letter with Question & Answer |
A sample of an employee reminder letter that can be inserted with paycheck stubs or through e-mail |
| Employee Survey |
This survey is a tool that can be used to assess the knowledge, attitudes, and beliefs of health care workers better understand possible barriers to influenza vaccinations |
| Evaluation Form |
A survey intended for recipients of the toolkit to provide feedback to improve the tools for future influenza campaigns |
| Declination Roster |
A sample roster to quantify and manage all staff who decline the influenza vaccine. For patient confidentiality purposes, this roster is to be created and maintained only by the employee health department and should never be accessible to the hospital employees or non-employee health hospital management because of the personal health information contained thereon |
| Immunization Coalition of Los Angeles County
(ICLAC) brochure |
A public/private organizational partnership made up of immunization stakeholders such as clinics, hospitals, schools, vaccine companies, businesses and concerned citizens. www.publichealth.lacounty.gov/ip |
| Influenza Declination Form (individual) |
A sample declination form to be signed by HCW and filed in the HCW’s personnel file |
| Joint Commission Infection Control Standard, June 2006 |
New Joint Commission immunization standard/requirement for health care workers |
| Los Angeles County Immunization Program – Letter dated June 11, 2007 |
Letter from the Medical Director of the Los Angeles County Immunization Program announcing new influenza immunization requirement for health care workers |
| Resource List |
Immunization website resources |
| Senate Bill (SB) 739 |
A senate bill legally requiring California general acute care hospitals to offer influenza immunizations and monitor influenza vaccine declinations among their health care workers |
| Talking Points for Management |
Talking points intended to guide influenza communication with the health care worker |
| Timeline for Influenza campaigns |
A sample timeline of departmental activities when conducting health care worker influenza campaigns |
| Vaccination Tracking Roster |
A tool intended to document and track Health Care Worker influenza immunization coverage rates. For patient confidentiality purposes, this roster is to be created and maintained only by the employee health department and should never be accessible to the hospital employees or non-employee health hospital management because of the personal health information contained thereon. |
Vaccine Information Statement
(VIS)
Trivalent Inactivated Influenza Vaccine
(TIV) "Flu Shot"
Live, Attenuated Intranasal Influenza Vaccine
(LAIV) "FluMist"
|
It is mandatory to provide each patient with a VIS of the current vaccine information, because it’s a Federal Law! To obtain a current VIS, call 800.232.2522 or visit www.immunize.org/vis |
