School Nurse Regional Update School Year Immunizations COLORADO IMMUNIZATION BRANCH
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1 School Nurse Regional Update School Year Immunizations COLORADO IMMUNIZATION BRANCH
2 Talking Points Child Care Immunizations K through 12 th Grade Immunizations Official Medical and Non-Medical Exemptions Immunization Reporting Discussion
3 CHILD CARE IMMUNIZATIONS *
4 Colorado Child Care Immunizations DTaP (Diphtheria, Tetanus, Pertussis) IPV (Inactivated Poliovirus) HBV (Hepatitis B vaccine) Hib (Haemophilus Influenzae type b) PCV13 (Pneumococcal Conjugate Vaccine 13 valent) MMR (Measles, Mumps, Rubella) VAR (Varicella)
5 Childcare/Preschool Immunization Course The Colorado Department of Human Services (licensing) requires child care/school staff who collect, review and manage immunizations to take the Child Care/Preschool Immunization Course annually. Child care, school and college/university resources Child care resources
6 K THROUGH 12 TH GRADE IMMUNIZATIONS *
7 Colorado School Immunization Requirements Kindergarten Entry 5 DTaP or 4 with the 4 th dose on or after 4 th birthday 4 Polio or 3 with the 3 rd dose on or after 4 th birthday 2 MMR 3 Hepatitis B 2 Varicella 6 th -12 th Grade 1 Tdap Recommended vaccines Influenza, MCV4, MenB, HPV, Hepatitis A
8 Colorado Exemptions OFFICIAL MEDICAL EXEMPTION OFFICIAL NON- MEDICAL EXEMPTION
9 Official Medical Exemption Students with medical exemptions signed by a MD, DO, APN or delegated PA need to submit the form only once, unless the student s information changes. Official Medical Exemptions can be claimed by submitting the signed form to CDPHE for inclusion in CIIS or by submitting the form directly to the student s school or child care. Check with student s school or child care to determine whether they require a paper copy of the exemption form. Exemptions submitted online for inclusion in CIIS are confidential, and available only to authorized persons.
10 Official Non-Medical Exemptions Official Non-Medical Exemptions: Students in K 12 th grade must submit exemptions annually (exemptions expire June 30th each year) Students in child care/preschool must submit at 2, 4, 6, 12 & 18 months of age (exemptions expire when the next vaccines are due ) and then when the child enrolls in kindergarten. Non-medical exemptions can be claimed by submitting the online form to CDPHE for inclusion in the immunization registry, or by submitting the form directly to the school or child care. Exemptions submitted online for inclusion in CIIS are confidential, and available only to authorized persons.
11 Frequency of Nonmedical Exemptions Prior to kindergarten entry Align with Advisory Committee on Immunization Practices schedule Birth to 18 years One form submitted at each interval where vaccines are recommended Based on ACIP and typical well child schedules, form submitted at: 2 months 4 months 6 months 12 months 18 months K 12 th Grade Annually
12 ANNUAL REPORTING OF SCHOOL IMMUNIZATION DATA *
13 Immunization Reporting (take away points) THANKS TO ALL WHO COLLECTED, ORGANIZED AND REPORTED DATA DATA WILL BE AVAILABLE ONLINE BY THE END OF APRIL NON- REPORTING SITES WILL BE LISTED AS SUCH WHEN CDPHE PUBLISHES DATA CIIS AND REQUIRED REPORTING ARE TWO SEPARATE PIECES REQUIRED REPORTING IS ANNUAL, DUE DECEMBER 1 ST OF EVERY YEAR (NO MID- YEAR REPORTS OR EDITS/UPDATES)
14 Immunization Reporting THERE WILL BE OPPORTUNITIES TO PROVIDE FEEDBACK AND SUGGESTIONS FOR IMPROVEMENTS TO THE REPORTING FORM AND PROCESS IMMUNIZATION MESSAGING OCCURS THROUGH THE SCHOOL NURSE LIST SERVE AND THE CHILD CARE HEALTH CONSULTANT LIST SERVE SEVERAL SCHOOLS DID NOT RECEIVE CONFIRMATION S EVEN THOUGH THEY SUBMITTED SUCCESSFULLY. CONTACT MEGAN BERRY IF YOU HAVE QUESTIONS:
15 School Nurse Immunization Resources School Immunizations: Education, training and outreach resources for school nurses Vaccine Exemptions:
16 Questions? Jamie D Amico, RN, MSN, CNS Schools and Community Coordinator jamie.damico@state.co.us
17 o
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