CAIC - California Adult Immunization Coalition

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The tools in this kit can support efforts to improve influenza vaccination rates among health care workers. The template materials can be easily adapted for use in a comprehensive health care worker vaccination effort at any facility.

Title	Publisher	Description
Introductory Letter: Why and How to Use These Tools	California Adult Immunization Coalition	This cover letter explains the need for higher immunization rates among health care workers and suggests ways in which toolkit materials can improve immunization rates. It can be used when reaching out to leadership at health care facilities to begin or continue a conversation to encourage health care vaccination against influenza.
Influenza Vaccine Information Statements	Centers for Disease Control and Prevention	Vaccine Information Statements describe the benefits and risks of vaccination. Federal law (National Childhood Vaccine Injury Act) requires that a VIS be provided to recipients of vaccine prior to vaccination. VIS are provided in over 20 languages for all adult and childhood vaccines.
Infection Control Requirement for Offering Influenza Vaccination to Staff and Licensed Independent Practitioners	Joint Commission	The Joint Commission has approved a new Infection Control standard that requires accredited organizations to offer influenza vaccination to staff and licensed independent practitioners, applicable to critical access hospitals, hospitals, and long term care facilities, effective July 1, 2007.
Letter Outlining Standards to be Met to meet Senate Bill 739	California Department of Public Health	Letter from Kathleen Billingsley, RN, Deputy Director, California Department of Health Services, March 1, 2007. This outlines new standards and implementation dates for addressing hospital acquired infections (per California SB 739), including those caused by influenza.
California State Health and Safety Code, 1288.7	California Department of Public Health	CA Senate Bill 739 has been integrated into the state health and safety code. See section 1288.7.
Template: Vaccine Tracking Roster	California Adult Immunization Coalition	An easy-to-use log to assist managers in documenting the administration of influenza and other vaccinations to their employees. In MS Excel.
Template: Immunization Vaccination Declination Tracking Roster	California Adult Immunization Coalition	An easy-to-use log to assist managers in monitoring individuals who decline influenza vaccinations and the reasons they decline.
Template: Timeline	California Adult Immunization Coalition	A guide for influenza planning throughout the calendar year.
Template: Letter from Management (English and Spanish)	California Adult Immunization Coalition	Direct support from management is key to increasing health care worker participation in immunization efforts. Letters from chief officers are an easy way to demonstrate support. This bilingual template can be adapted to your organization and distributed to staff and volunteers.
Template: Talking Points for Managers	California Adult Immunization Coalition	Visible encouragement from line managers is essential to improving vaccine uptake among health care workers. The template can be adapted to any influenza effort and used by front-line managers to encourage staff participation in the immunization effort.
Template: Declination of Flu Vaccine (English/Spanish)	California Adult Immunization Coalition	Use of a declination form is encouraged as a way to identify the reasons why health care workers decline vaccination. Similar forms have been used in many institutions to encourage and record Hepatitis B vaccinations. The template can be adapted for any site and used with staff and volunteers.
Template: Standing Orders	California Adult Immunization Coalition	Use of standing orders can improve the availability of vaccination for staff as well as residents or patients. The template can be adapted for any site and used to broaden immunization availability.