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Objectives. COMAR Immunization Requirements for School Attendance New Immunization Requirements for SY 2014-15 New DHMH 896 Form Abbreviations for Common Childhood Immunizations Addressing Non-Compliance. COMAR Immunization Requirements for School Attendance. DHMH COMAR 10.06.04.03 - PowerPoint PPT Presentation
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Objectives
COMAR Immunization Requirements for School Attendance
New Immunization Requirements for SY 2014-15
New DHMH 896 FormAbbreviations for Common Childhood
Immunizations Addressing Non-Compliance
2COMAR Immunization Requirements for School Attendance
DHMH COMAR 10.06.04.03 Immunizations for 12 Illnesses Required for School
Attendance Each immunization has a specific number of doses
required for school attendance Some immunizations can be “waived” if there is proof
that the student is immune to the disease (blood titer or history of illness)
Medical Exemptions are only for students that are unable to get a vaccine because of a health reason or if the vaccine is not medically indicated Documentation from a health care provider required
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COMAR Immunization Requirements for School
Attendance
Diphtheria, Tetanus, Pertussis
Measles, Mumps, Rubella
PolioVaricella
(Chickenpox)Hepatitis B
PneumococcalHaemophilus
influenza, type BTetanus, diphtheria,
pertussis boosterMeningococcal
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New Immunization Requirements for SY 2014-15
2 doses of Varicella vaccine for entry into Kindergarten
1 dose of Tetanus, diphtheria, pertussis booster vaccine for entry into 7th grade
1 dose of Meningococcal vaccine for entry into 7th grade
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9Review of the New DHMH 896 Form
Revised February 2014Changes:
The “LOST OR DESTROYED RECORDS” section was removed
Under “MEDICAL CONTRAINDICATION”, Health care providers must document the “reason for the contraindication”.
“Immunization Requirements” on the reverse side of the form have been updated to include the new requirements for Tdap and MCV (meningococcal vaccine).
“Lost or Destroyed Records” Section removed
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Abbreviations for ImmunizationsRequired Vaccine Standard U.S.
AbbreviationName on 896
FormName in SMS
Diphtheria DT/DTP/DTaP DTP-DTaP-DT/Td DTP/DTaP*(Diphtheria/Tetanus)
Pertussis DT/DTP/DTaP DTP-DTaP-DT DTP/DTaP* (Diphtheria/Tetanus)
Tetanus DT/DTP/DTaP DTP-DTaP-DT/Td/Tdap DTP/DTaP*(Diphtheria/Tetanus)
Measles MMR/MMRV MMR MeaslesMumps MMR/MMRV MMR MumpsRubella (German Measles
MMR/MMRV MMR Rubella (German Measles)
Polio IPV Polio PolioVaricella (Chickenpox) VAR/MMRV Varicella Varicella (Chickenpox)Hepatitis B HepB Hep B Hepatitis BHaemophilus influenza, type B
Hib Hib HIB
Pneumococcal PCV7/PCV13/PPSV23 PCV PCV7*Meningococcal MCV/MenACWY/
MCV4/Hib-MenCY/MPSV4
MCV Meningococcal*
Tetanus, diphtheria, pertussis booster
Tdap Tdap Tdap*
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Data Entry into SMS Immunization Module
Varicella Enter information for both doses under the “Required” tab
Tdap Enter information for this dose under the “Recommended”
tab Drop down option
Meningococcal Enter information for this dose under the “Recommended”
tab Drop down option
Eventually, Tdap and Meningococcal data fields will be under the “Requried” tab
Addressing Non-Compliance
Review and Verify•DHMH 896•Maryland ImmuNET•Additional documents if applicable
Refer to the School Nurse for Review
•Provide Report of Non-Compliant Students with Incorrectly Administered Vaccines•Provide Immunization documents•Registered School Nurse will consult with the Regional Nursing Supervisor if needed
Follow Recommendations
• Notifty Parent/Guardian of Non-ComplianceOR
• Correct information in SMS OR
• "Over-Ride" in SMS *(only the Medical Director has authorization to make this request, and will notify the SSL)