Objectives
a. Recognize the role of the Advisory Committee on Immunization Practices (ACIP) and other organizations (i.e., the American Academy of Pediatrics [AAP], the American Academy of Family Physicians [AAFP], the American College of Obstetricians and Gynecologists [ACOG], the American College of Physicians [ACP], and the American College of Nurse-Midwives [ACNM]) in the development of immunization schedules (see Topic I–Public Health Perspective).
b. Identify the routinely recommended vaccines for children and adolescents aged birth through 18 years using the Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, the Catch-Up Immunization Schedule for Persons Aged 4 Months through 18 Years Who Started Late or Who Are More than 1 Month Behind, and table 3 of the immunization schedule, which shows vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications.
c. Identify the routinely recommended vaccines for persons ages 19 years and older using the Recommended Adult Immunization Schedule by Age Group and the Recommended Adult Immunization Schedule by Medical Condition and Other Indications.
d. Identify the routinely recommended vaccines for travelers.
e. Identify contraindications and precautions by vaccine.
f. Identify conditions commonly misperceived as contraindications to vaccination.
g. Use the current immunization schedule to determine what vaccines are needed based on individual factors (e.g., age, risk factors, and health status).
h. Use the current immunization schedule to determine what vaccines are needed for persons who have received vaccines outside the United States.
i. Discuss the importance of appropriate spacing and timing of vaccine doses.
j. Discuss the benefits of simultaneous administration.
k. Locate resources relevant to current vaccine recommendations.
l. Describe the nursing roles related to the immunization schedule: advocate, communicator, care coordinator, educator, lifelong learner, and screener/assessor.
b. Identify the routinely recommended vaccines for children and adolescents aged birth through 18 years using the Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, the Catch-Up Immunization Schedule for Persons Aged 4 Months through 18 Years Who Started Late or Who Are More than 1 Month Behind, and table 3 of the immunization schedule, which shows vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications.
c. Identify the routinely recommended vaccines for persons ages 19 years and older using the Recommended Adult Immunization Schedule by Age Group and the Recommended Adult Immunization Schedule by Medical Condition and Other Indications.
d. Identify the routinely recommended vaccines for travelers.
e. Identify contraindications and precautions by vaccine.
f. Identify conditions commonly misperceived as contraindications to vaccination.
g. Use the current immunization schedule to determine what vaccines are needed based on individual factors (e.g., age, risk factors, and health status).
h. Use the current immunization schedule to determine what vaccines are needed for persons who have received vaccines outside the United States.
i. Discuss the importance of appropriate spacing and timing of vaccine doses.
j. Discuss the benefits of simultaneous administration.
k. Locate resources relevant to current vaccine recommendations.
l. Describe the nursing roles related to the immunization schedule: advocate, communicator, care coordinator, educator, lifelong learner, and screener/assessor.
Resources
Web pages
CDC Immigration and Refugee Health–Vaccination Technical Instructions for Vaccination for Civil Surgeons
CDC Travelers’ Health
CDC Travelers’ Health
- Travel Vaccine Requirements and Recommendations
wwwnc.cdc.gov/travel/destinations/list - Yellow Book home page
wwwnc.cdc.gov/travel/page/yellowbook-home
- ACIP Vaccine Recommendations
www.cdc.gov/vaccines/hcp/acip-recs/index.html
- Conditions Commonly Misperceived as Contraindications to Vaccination
www.cdc.gov/vaccines/hcp/acip-recs/general-recs/contraindications.html - General Best Practice Guidelines for Immunization
www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html - Guidelines for Vaccinating Pregnant Women
www.cdc.gov/vaccines/pregnancy/hcp/guidelines.html - Recommended Immunization Schedule for Adults Aged 19 Years or Older
www.cdc.gov/vaccines/schedules/hcp/adult.html - Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Youngerwww.cdc.gov/vaccines/schedules/hcp/child-adolescent.html
Handouts
Immunization Action Coalition (IAC)
Screening Checklist for Contraindications to Vaccines for Children and Teens
www.immunize.org/catg.d/p4060.pdf
Screening Checklist for Contraindications to Vaccines for Adults
www.immunize.org/catg.d/p4065.pdf
Summary of Recommendations for Adult Immunization (Age 19 Years and Older)
www.immunize.org/catg.d/p2011.pdf
Summary of Recommendations for Child/Teen Immunization (Age Birth through 18 Years)
www.immunize.org/catg.d/p2010.pdf
www.immunize.org/catg.d/p4060.pdf
Screening Checklist for Contraindications to Vaccines for Adults
www.immunize.org/catg.d/p4065.pdf
Summary of Recommendations for Adult Immunization (Age 19 Years and Older)
www.immunize.org/catg.d/p2011.pdf
Summary of Recommendations for Child/Teen Immunization (Age Birth through 18 Years)
www.immunize.org/catg.d/p2010.pdf
Journal Articles
- CDC. Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2011;60(RR-07):1-45.
- Rubin LG, Levin MJ, Ljungman P, Davies EG, Avery R, Tomblyn M, Bousvaros A, Dhanireddy S, Sung L, Keyserling H, Kang I. 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clinical Infectious Diseases. 2013;58(3):44–100.
Learning modules
CDC Epidemiology and Prevention of Vaccine-Preventable Diseases (Pink Book) webinar series–General Recommendations: Part 1
CDC You Call the Shots–various modules
Nursing Initiative Promoting Immunization Training (NIP-IT) Module 2: Vaccine Recommendations–Vaccine Development
CDC You Call the Shots–various modules
Nursing Initiative Promoting Immunization Training (NIP-IT) Module 2: Vaccine Recommendations–Vaccine Development
books
- American Academy of Pediatrics. Active and Passive Immunization. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2018 Report of the Committee on Infectious Diseases, 31st ed. Itasca, IL: American Academy of Pediatrics; 2018:1–111.
- CDC. General Recommendations on Immunization. In: Hamborsky J, Kroger A, Wolfe S, eds. Epidemiology and Prevention of Vaccine-Preventable Diseases, 13th edition. Washington, DC: Public Health Foundation; 2015:9–32. Available at www.cdc.gov/vaccines/pubs/pinkbook/genrec.html.
- Fraser, D. Health Problems of Infants. In: Hockenberry MJ, Wilson D, Rodgers CC, eds. Wong’s Essentials of Pediatric Nursing, 9th ed. St. Louis, MO: Elsevier Health Sciences; 2012:228–307.
- Lewis SL. Altered Immune Responses and Transplantation. In: Lewis SL, Dirksen SR, Heitkemper MM, Bucher L. Medical- Surgical Nursing: Assessment and Management of Clinical Problems, 9th ed. St. Louis, MO: Elsevier Mosby; 2014:203–225.
- Marshall G. General Recommendations. In: Marshall G. The Vaccine Handbook: A Practical Guide for Clinicians, 5th ed. West Islip, NY: Professional Communications, Inc.; 2015:129–144.
- Marshall G. Vaccination in Special Circumstances. In: Marshall G. The Vaccine Handbook: A Practical Guide for Clinicians, 5th ed. West Islip, NY: Professional Communications, Inc.; 2015:145–181.
- Marshall G. Vaccine Practice. In: Marshall G. The Vaccine Handbook: A Practical Guide for Clinicians, 5th ed. West Islip, NY: Professional Communications, Inc.; 2015:101–128.
- Ricci SS. Nursing Management During Pregnancy. In: Ricci SS. Essentials of Maternity, Newborn, and Women’s Health Nursing, 4th ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins; 2017:362–418.
- Ricci SS. Nursing Management During Postpartum Period. In: Ricci SS. Essentials of Maternity, Newborn, and Women’s Health Nursing, 4th ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins; 2017:521–560.
- Smith-Sayer K. Communicable Disease Control. In: Allender J, Rector C, Warner K, eds. Community and Public Health Nursing: Promoting the Public’s Health, 8th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2013:246–284.
