Resources to Help Improve Immunization Rates

General
To Improve Staff Rates
To Improve Resident Rates

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Resources to Improve Staff Immunization Rates

Offer Vaccinations On Site

Offer Vaccines on Site at Regular Intervals (and at no cost)

Best Practices for Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations

Centers for Disease Control and Prevention

Step-by-step guide to help clinical coordinators/supervisors overseeing vaccination clinics held at non-ambulatory care locations follow CDC guidelines and best practices for vaccine shipment, transport, storage, handling, preparation, administration, and documentation

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Vaccinating Adults: A Step-by-Step Guide

Immunize.org

Comprehensive, easy-to-use guide for vaccinating adults including printable resources for all steps of providing vaccines to adults

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Current Vaccine Information Statements (VISs)

Centers for Disease Control and Prevention

Collection of all vaccine information statements, which includes overview of side effects and benefits, to be provided to patients for each administered vaccine

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How to Administer Intramuscular and Subcutaneous Vaccine Injections to Adults

Immunize.org

Printable reference document on how to administer injections to adults, including intramuscular and subcutaneous

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Administering Vaccines to Adults: Dose, Route, Site, and Needle Size

Immunize.org

Printable reference document for determining the dose, route, site, and needle size when administering adult vaccines

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Screening Checklist for Contraindications to Vaccines for Adults

Immunize.org

Printable resource to determine contraindications when screening adults prior to vaccination

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Documentation Requirements for Vaccination

Centers for Disease Control and Prevention

Requirements for documenting vaccines in paper or electronic charts and IISs, including a link to the Vaccine Adverse Event Reporting System (VAERS)

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Keep Records in Consistent Location

Vaccine Administration Record for Adults Template

Immunize.org

Printable immunization record for medical providers

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Vaccine Recordkeeping: A Team Approach for a Healthier Tomorrow

Atlantic Health Partners

Tips and resources for establishing and maintaining vaccine records as well as best practices for keeping records up to date

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How Employers Can Handle Confidentiality and Privacy Concerns Related to Collecting COVID-19 Information

Fisher Phillips

Article providing an overview of federal, state, and EEOC requirements for collecting and storing employee vaccine information

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Build Trust

Consider Employee Satisfaction

Adjustments to increase could include things like offering PTO, especially for vaccine side effects

Guide to Improving Nursing Home Employee Satisfaction

CMS

Booklet guide to understanding and making changes to improve nursing home employee satisfaction

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Employee Satisfaction Survey

CMS

Survey for staff to provide feedback on areas that build trust in administration and increase feelings of being valued

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Empower CNAs and Front Line Staff

  • Includes interventions such as office hours for the medical director, sitting at the nurses’ station
  • Provide PTO, especially for vaccine side effects

Spotlight on Healing Together, Making Connections

AMDA – The Society for Post-Acute and Long-Term Care Medicine

Provides practical suggestions from CNAs to medical directors on things to do today to improve trust

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AMDA’s Healing Together Webinar Series

AMDA – The Society for Post-Acute and Long-Term Care Medicine

Provides resources on connecting and building trust between staff and administration

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Partnerships in nursing homes: How do family caregivers of residents with dementia perceive collaboration with staff?

Dementia 2021, Vol. 20(5) 1631–1648

Article on the importance of staff in collaboration with families focusing on communication, trust and dependency, and involvement

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Provide PTO, especially for vaccine side effects

Post-vaccination Considerations for Workplaces

Centers for Disease Control and Prevention

Provides considerations to minimize the effect of post-vaccination signs and symptoms for the COVID-19 vaccination

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Building Trust

Building Trust: A Strategy to Improve Patient Safety, Staff Wellbeing & Vaccine Uptake in Long Term Care

AHCA

Four-lesson virtual program full of tools and resources to help leaders build trust with staff

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How to Build and Rebuild Trust

TED Talk

Foundation for the AHCA course on building trust

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Address Concerns

Use a Proven Model for Communication

S.H.A.R.E.

Centers for Disease Control and Prevention

Explains the Share, Highlight, Address, Remind, Explain model for communication

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Addressing Vaccine Hesitancy

Washington State Department of Health

Overview of strategies for organizations and healthcare providers to address vaccine hesitancy

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How to Talk to Someone About Vaccine Hesitancy

Cleveland Clinic

Article with practical advice for addressing hesitancy

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How to Address COVID-19 Vaccine Misinformation

Centers for Disease Control and Prevention

Specific strategies to address misinformation and disinformation about COVID-19 vaccine

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Opening a Conversation about COVID-19 Boosters

Washington State

Algorithm that details a process to recommend COVID-19 boosters and address concerns.

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Conversation Guide to Improve COVID-19 Vaccine Uptake

Institute for Healthcare Improvement

Guide intended to help health care staff and leaders have trust-building conversations about the COVID-19 vaccine, both at work and at home.

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Understand Concerns or Reasons for Hesitancy

Impact of Race on Immunization Status in Long-Term Care Facilities

Journal of Racial and Ethnic Health Disparities

Journal article describing the relationship between resident race and immunization status in long-term care facilities

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Increasing Vaccination: Putting Psychological Science Into Action

Psychological Science in the Public Interest

Journal article describing different kinds of hesitancy and motivations, the difference between hesitancy and antivaccine advocacy, and 3 theories to motivate vaccination

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Addressing Vaccine Hesitancy in BIPOC Communities — Toward Trustworthiness, Partnership, and Reciprocity

The New England Journal of Medicine

Journal article describing hesitancy as a result of systemic underinvestment in BIPOC communities and reframing the conversation towards confidence.

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AMDA COVID-19 Vaccine Toolkit

AMDA – The Society for Post-Acute and Long-Term Care Medicine

Toolkit with sample presentations for staff, checklists, and other resources

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AMDA ON-THE-GO | Boosters, Vaccines, & More – COVID Update

AMDA – The Society for Post-Acute and Long-Term Care Medicine

Podcast reviewing and discussing COVID-19 vaccinations and boosters, including questions frequently asked by PALTC clinicians and staff.  Also examines reasons for booster hesitancy and apathy.

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Recording of COVID Grand Rounds | Vax & Pax: How to Keep Your Patients Safe This Winter from November 15, 2022

AMDA Grand Rounds

An hour long discussion about how to encourage resident and staff vaccination in facilities this winter.

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Address Specific Concerns

Vaccines During Pregnancy FAQ

Centers for Disease Control and Prevention

Answers to frequently asked questions about vaccine safety and pregnancy, along with information for each adult vaccination and why it is important.

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Why I Got My COVID-10 Vaccine (After I Really Did Not Want To) with Thelma Green

GU Center for Excellence in Developmental Disabilities

Video created in partnership with CDC and the Association of University Centers on Disability outlining why one individual changed her mind about the COVID-19 vaccination

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Managing Needle Fears and Phobias

Centers for Disease Control and Prevention

Tips and resources describing the commonness of needle phobias and how to help manage them

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COVID-19 vaccine vs natural immunity

AMDA – The Society for Post-Acute and Long-term care Medicine

Webpage describes studies on vaccine vs natural immunity for COVID-19

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Are Vaccinations a Good Idea If I’m Trying to Get Pregnant?

The American Society for Reproductive Medicine

Answers about which vaccines are recommended and when while pregnant

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COVID-19 Vaccines Do Not Cause Infertility

Boston University School of Public Health

Summary of new data on fertility after COVID-19 vaccine

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A Prospective Cohort Study of COVID-19 Vaccination, SARS-CoV-2 Infection, and Fertility

American Journal of Epidemiology

Journal article describing findings indicating that the COVID-19 vaccination does not impair fertility in males or females

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AMDA – The Society for Post-Acute and Long-Term Care Medicine

American Journal of Epidemiology

Answers to common questions about the bivalent COVID-19 booster dose

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Post-acute and Long-term Care Facility Toolkit: Influenza Vaccination among Healthcare Personnel

Centers for Disease Control and Prevention

Toolkit that outlines the importance of influenza vaccination for HCP, provides strategies for increasing influenza vaccination coverage among HCP, and describes tools a facility may use for monitoring influenza vaccination coverage among their HCP throughout an influenza season.

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Consider Mandates

Considering Whether To Implement a Mandate

Who Are the Adults Not Vaccinated By COVID: Household Pulse Survey Shows Many Don’t Trust COVID Vaccine, Worry About Side Effects

Census.gov

Article from Census data about who has not received COVID-19 vaccine and why

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When Are Vaccine Mandates Appropriate?

AMA Journal of Ethics

Review of legal frameworks for mandates

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Resisting Health Mandates: A Case of Groupthink?

APA Journal Articles Spotlight

Highlights groupthink and how it interacts with vaccine decision making

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Resources to Implement a Mandate

Mandatory Vaccine Policy

Society for Human Resources Management

Sample mandatory COVID-19 vaccination policy for employees

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Template for staff with vaccine exemptions

AMDA – The Society for Post-Acute and Long-Term Care Medicine

Template for staff requesting either medical or religious vaccination exemptions

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Nursing Home Request for Medical Exemption from COVID-19 Vaccination

AMDA – The Society for Post-Acute and Long-Term Care Medicine

Request form for staff wishing to receive exemptions to vaccination requirements

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Influenza Consent Form

ALG Senior

Request form for staff wishing to receive exemptions to vaccination requirements

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