August 16, Prepared by Jeannette Russell

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1 August 16, 2017 Prepared by Jeannette Russell

2 Jeannette Russell Supervisor, Mary Bridge Pediatrics Union Avenue and MB Mobile Immunizations Onsite Staff Christy Reeves, LPN Laura Shadle, LPN Contact Info (253) *leave message

3 Print schedule on Pierce County Health Dept website South Hill Mall (SHM) Open Tuesday, Wednesday, Thursday from 10:30-5 Second Saturday of month from 11:30-5 Tacoma WIC building (Behind Frisco Freeze) Open now on Fridays from 10:30-5 Check the schedule frequently for changes and extended back to school hours!

4 Clinics are 1 st come 1 st serve Parent or legal guardian must be present with child (if 18 or legally emancipated can come alone) Wait times at back to school clinics may be extended due to high demand Strongly encourage vaccination ASAP after 11 th birthday to help decrease dramatic increase in demand Aug-Nov

5 Vaccine Records Please provide family with school record. We have access to WIIS and EPIC, and will input into these databases. Will notate if different guidelines than school recommendations. Reminder cards are sent for all follow up vaccines in a series

6 All patients receive an official vaccine record of immunizations received that day Not always printed from WIIS due to documentation requirements but will provide family with complete record Parents are instructed to report immunizations received to the school These will be transferred into WIIS within a few days (system should do real time but allow for error in WIIS transfer)

7 Children will be offered all vaccines on the CDC recommended vaccine schedule Following the CDC schedule provides protection against all vaccine preventable diseases, and includes all vaccines required to attend school Vaccines not required to attend school but recommended will be offered

8 Vaccines not required for school attendance but are recommended by CDC/ACIP HPV (2 or 3 doses depending on age) Meningococcal (due at age and 16-18) Hepatitis A ( 2 doses over 6 months) Flu (annual dose)

9 Tdap vs Dtap -Dtap only for kids age 6 and under -If Dtap accidentally given instead of Tdap, vaccine does not need to be repeated according to the CDC at certain ages. See guidelines -If 4 th Dtap given after age 4 and at least 6 months from 3 rd dose no 5 th dose required - If on catch-up age 7+ and need complete series, Tdap administered with 2 Td follow up (3 rd dose 6 months from 2 nd ) Polio If series considered a catch up schedule, only 3 doses required with separation from 2 nd to 3 rd by 6 months.

10 MMR spacing is always 28 days between MMR doses and between live viruses Varicella spacing-age 1-12yr, 2 doses must be separated by 3 months. At 13+, only by 28 days. MMRV=Measles, Mumps, Rubella AND Varicella.

11 Proof of vaccines are needed throughout adulthood Post high school education Jobs Travel Vaccines are free through age 18 in the state of Washington (some places charge administration fees) Most Importantly-high vaccination rates keep people healthy.

12 Please provide school records Please share this message with front office staff Office staff are first line to parents Office staff need accurate information to give valid messages to parents

13 How can the Mobile Immunization program assist you?

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