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Appendix 2: Standards for Pediatric Immunization Practices 1

  1. Immunization services are readily available.

  2. There are no barriers or unnecessary prerequisites to the receipt of vaccines.

  3. Immunization services are available free or for a minimal fee.

  4. Providers use all clinical encounters to screen and, when indicated, immunize child.

  5. Providers educate parents and guardians about immunization in general terms.

  6. Providers question parents or guardians about contraindicators and before immunizing a child, inform them in specific terms about the risks and benefits of the immunization their child is to receive.

  7. Providers follow only true contraindications.

  8. Providers administer simultaneously all vaccine doses for which a child is eligible at the time of each visit.

  9. Providers use accurate and complete recording procedures.

  10. Providers co-schedule immunization appointments in conjunction with appointments for other child health services.

  11. Providers report adverse events following immunization promptly, accurately and completely.

  12. Providers operate a tracking system.

  13. Providers adhere to appropriate procedures for vaccine management.

  14. Providers conduct semiannual audits to assess immunization coverage levels and to review immunization records in the patient populations they serve.

  15. Providers maintain up-to-date, easily retrievable medical protocols at all locations where vaccines are administered.

  16. Providers operate with patient-oriented and community-based approaches.

  17. Vaccines are administered by properly trained individuals.

  18. Providers receive ongoing education and training on current immunization recommendations.

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  1. Ad Hoc Working Group for the Development of Standards for Pediatric Immunization Practices. Standards for pediatric immunization practices. JAMA 1993;269:1817-22.

Written and overseen by Lewis Mehl-Madrona, M.D., Ph.D.

Program Director, Continuum Center for Health and Healing,
Beth Israel Hospital / Albert Einstein School of Medicine

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