Jeanna M. Condron-Cheek, RN, BSNNursing Supervisor

Child Health and Immunizations

About MeGraduated from University of Pittsburgh in

2002Moved to NC in 2004Worked at BCHD since 2005Nursing Supervisor since 2009

BCHD Immunization Program• Started 10 years ago with just the flu vaccine

and one grade• Currently we go to schools and provide:

– FluMist (students), Flu shots (teachers and staff)

– Tdap for 6th graders– Adolescent Immunizations to High Schoolers

and Middle Schoolers– TB skin tests, Tdap, and Twinrix to VFDs

What do I do First?

Establish a need for the clinicWrite a policy on outlying vaccine clinicsEstablish a contact personWays to promote clinic (see enclosed forms)Monitor Vaccine SupplyPermission formsStaff

How to get clinic started?Work with School Nurses

Establish RapportFront line to communication with parents and

studentsGet information across to parentsCollect Permission FormsReview Shot RecordsIn Brunswick County- they do not administer

any vaccine.Provide room for clinics to be held

Clinic StaffSchedule staffLook up shot record in

NCIRMake Binders with

each facility NameMake forms to send

home to parentsReview permission

formsSeparate forms into

two stacks “NO” and “Yes” Separate that stack into

Private State

Day of ClinicGather supplies

Band-Aids Cotton ballsAlcohol wipesSyringesSharps containerHand sanitizerEmergency kitGarbage bagsKleenexGloves

Day of clinic continued

Gather vaccinePrepare two

coolers, placing thermometer in each one One for private One for state

Place ice packs in the coolers

Clinic Day ContinuedGather “take home”

paperworkGather binderLaptopPensPaperStaplerStaff

School ClinicGreet school

personnelSet up clinicGive permission

forms to school nurseBegin having students

come to clinic(work with RN to determine what

works best for getting students)

Students hand papers to a member of clericalComplete “take

home” paperAdminister shots

based on eligibilityOnce done, give total

# to school nurseClean up

Back at HDPlace unused vaccine

into refrigeratorsEnter shots into NCIRGive binder to clericalClerical bills according

to insurance.Binder is given to IMM

RN to keep in case of question

Flu Mist Clinic Totals

FluMist Clinic Totals

Adolescent Immunization Totals 2010

Adolescent Immunization Totals 2011

Clinic TotalsFluMist Adolescent Vaccine 2009 Totals

2954 Mists given2010 Totals

2076 Mists given

2010 Totals581 shots to 234

students2011 Totals

298 shots to 125 students

Establishing Relationship Make sure Health Director is on board.Set up meeting with School Superintendent.Have a planReview statistics (imm rates)

BillingBecome Providers for insurance companies

before launching school immunizations programMay be difficult but try BCBS firstMight be easier to apply as immunizations

providerBill what isn’t covered by insurance to the

parentBCHD has contracts with

Aetna, BCBS, Medicare, Tricare, UHC, Cigna, MedCost, Medicaid

Vaccine Storage at HDTwo Refrigerators

Black (private vaccine)Silver (VFC vaccine)

Only one to two active lots at a timeOrder private vaccine based on prior years

usage

Sample letters to parents about clinics

Sample permission forms

Sample take home forms

Nursing Questions?Cynthia Simmons, RN, BSN

Nursing Director

Phone: 910-253-2327email: csimmons@brunsco.net

Jeanna Condron-Cheek, RN, BSNNursing Supervisor

Phone: 910-253-2312email: jcheek@brunsco.net

Barbara Beaube, LPNImmunization NursePhone: 910-253-2330email: immunize@brunsco.net

Billing Questions?Sharon Smith

Management Support DirectorPhone: 910-253-2268email: ssmith@brunsco.net

Barbara JacksonClinic Mgt Support Supervisor

Phone: 910-253-2284email: bjackson@brunsco.net

Kolandra GauseImmunization Clerk/Processing Assistant

Phone: 910-253-2331email: kgause@brunsco.net