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It Takes the Whole Team: Staff Roles in ImmunizationWelcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.Our topic for the month is It Takes the Whole Team:  Staff Roles in Immunization.  As you know, we’ve been calling each of the Project clinics over the last months and wanted to share with you some interesting ideas about who plays what part in immunization at our clinics.Of course, we all think immediately about the providers and nurses, the people most likely to administer the vaccines.  But who orders the vaccines, who checks the supplies, who keeps the logs, who books the appointments, who enters the data, who tracks it, and who encourages the clients to come in to the clinic to get the shot?It could be at some clinics that one or two people do most or all of these jobs, while at other clinics, they may be divided up among three or four or more people.  What works at your clinic and why?  Does the hand that gives the shot know what the other hands are doing?  How is recording and tracking immunization data a team effort? How can the receptionist, the billing clerk, and the outreach worker all be a crucial part of the picture?Read on for information about the following:

  1. Experience: A checklist of all the different tasks necessary to arrive at your clinic’s immunization goals, gathered from our recent phone calls to you.
  2. Research: the collaborative approach--how successful are systems that incorporate the receptionist or the outreach worker into the immunization goals of the clinic?
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Current News is our focus for March and April. The Surveillance Summary for Acute Viral Hepatitis released in March indicates declining rates of all three common types of Hepatitis, A, B. and C. Underlying the good news is the continuing importance of making sure that adults, especially in segments of the population still living outside of the reach of most health care systems, are screened, offered B vaccination, educated about risks, and tested as necessary.

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U.S. Geological Survey provides information on ground and surface water.

American Association of Occupational Health Nurses (AAOHN) works to advance the profession of occupational and environmental health nursing.

Approximately 250,000 U.S. children aged 1-5 years have blood lead levels greater than 10 micrograms of lead per deciliter of blood, the level at which CDC recommends public health actions be initiated. Lead poisoning can affect nearly every system in the body. Because lead poisoning often occurs with no obvious symptoms, it frequently goes unrecognized. CDC’s Childhood Lead Poisoning Prevention Program is committed to the Healthy People goal of eliminating elevated blood lead levels in children by 2010.

The Pepin Comic Book series covers seven immunization topics: Td, Chickenpox, MMR, DTaP, Hep A, Hep B, and After the Shot. These low literate, popular education materials are available in English and Spanish to help clinicians educate parents about the importance of getting their children vaccinated.

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This website provides access to information about asbestos. You may access general information about asbestos and its health effects. You may also read about what to do if you suspect asbestos in products, in your home or in your school. There are some resources listed in Spanish.

To allow leave time for employees to attend funerals of immediate family members.

To provide information about past employment with to new or prospective employers.

The aim of this paper is to describe various approaches that have been taken or could be taken to avoid the linguistic incompatibility that impedes full and equal access to health care on the part of health care providers and their patients when they do not speak the same language.

In recognition of the importance of behavioral health as a component of quality health care delivery, HRSA requires health centers to provide these services to their patient population. These are services that are difficult for many MHCs to provide onsite so they must be contracted to outside providers. Behavioral health services may include, but are not limited to, counseling for mental health issues (e.g., depression, anxiety) and substance abuse (e.g., alcohol, recreational drugs). Health centers need to be aware of the special requirements imposed by HIPAA on medical records generated by the provision of behavioral health services, and consider the impact on FTCA coverage of referring patients to outside and/or off-site providers.

To establish processes and mechanisms that will help assure the provision of high quality health care as well as an ongoing process of performance improvement.
Sample clinic policy on Vaccine Administration Records to assure that there is an accurate on-going record of all vaccines administered in the clinic.
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