Welcome to the Health Care Worker Influenza Immunization Home page
This Web page provides a one-stop location for links to different tools that have been created to help facilitate influenza immunization of health care workers (HCWs).
The Joint Commission's new standard (IC.4.15) requires that all accredited critical access hospitals, hospitals, and licensed independent pratitioners offer influenza immunnization to their staff.
For the entire standard (PDF, 257KB)
The Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP) have issued recommendations urging that all health care personnel be vaccinated annually against influenza. In addition, HICPAC and ACIP state that facilities that employ health care personnel are strongly encouraged to provide vaccine to their staff by using evidence-based approaches that maximize vaccination rates.
Web sites
Centers for Disease Control and Prevention Flu Gallery (2006)
Target audience: Nurses and other allied health professionals.
Download posters from CDC which promote influenza vaccination to nurses and other allied health professionals go to:
Order posters for free from CDC.
New York State Department of Health Health Care Worker Immunization Toolkits (2006)
Target audience: Health Care Workers
Step 1: Consider ACIP recommendations and financial impact (PDF, 121KB)
Where to locate recommendations ACIP recommendations
FAQs - FluMist™ and health care workers
Consider the financial impact financial impact of flu
Step 2: Plan your flu campaign (PDF, 130KB)
Tips for team building and group facilitation
Worksheet to assess last year's employee immunization campaign strategy
Pre- and post-campaign employee survey to identify barriers to immunization
Clinic action plan checklist
Vaccine ordering resources
Step 3: Promote the Campaign: Educate Staff and Visitors PDF, 314KB)
Campaign poster, flyers (available in multiple languages)
Initial press release
Flu calendar and progress chart
Top ten list (myths, attitudes, facts)
Flu fact sheet for health care employees
Flu fact sheet for clinicians
Tips for planning a kick-off event
Visitor flyer
Tips for making your campaign fun
Buttons, stickers
Step 4: Operate clinics and track progress (PDF, 103KB)
Tips for using the influenza vaccine administration form as a tracking shot instrument survey employees
Vaccine administration form (available in multiple languages)
Flu calendar and progress chart (see step 3)
Mid-campaign press release
Step 5: Plan for next year (PDF, 94KB)
Post-campaign assessment worksheet
Employee survey
Post-campaign press release
Additional materials: Order form
To order additional promotional materials, such as buttons, stickers, and banners
Promotional and planning materials: "It's time to get your flu vaccination!" Poster
Target audience: Health care workers
"Resources and Strategies" for improving health care worker influenza vaccinations (links to other toolkits, immunization websites
Code of Maryland Regulations (COMAR) regarding health care worker influenza vaccinations, page 3.
Standing Orders for Administering Influenza Vaccine to Adults
Vaccine Information Statement (VIS) for Inactivated Influenza Vaccine (2005)
Vaccine Information Statement (VIS) for Live, Intranasal Influenza Vaccine (2005)
Vaccine Administration Record and Consent Form for Inactivated Influenza Vaccine
Vaccine Administration Record and Consent Form for Live, Intranasal Influenza Vaccine
Quality Partners of Rhode Island "Do no harm…stick out your arm" Campaign (2004)
Target audience: NH residents, staff and visitors
Pg(#)s Items
Flu and pneumococcal basics
6 Disease Background
11 Myths and Facts
12 Medicare Billing Tips
14 Flu Facts for Staff
15 Flu Mist Q&A for Staff
Vaccination campaign
16 Month-by-month checklist
19 Components of an Employee Immunization Program
21 Facts about the Flu trifold brochure (Publisher)
23 Administrator flyer
25 Resident poster
26 Staff poster
27 Visitor poster
28 Staff newsletter (Word)
Vaccination sample letters
29 Employee (Word)
30 Family Member (Word)
31 Physician (Word)
32 Staff - Vaccine availability dates and times (Word)
Facility sample guidelines
33 Influenza: States with standing orders
35 Influenza: States without standing orders
37 Pneumococcal disease: States with standing orders
39 Pneumococcal disease: States without standing orders
41 Guidelines for treating adverse reactions to vaccination: States with standing orders
Other items
44 Sample admission checklist for flu and pneumococcal vaccination
45 Buttons – "I got my flu shot"
46 Employee declination form
47 Inactivated influenza vaccine information statement (VIS), 2005
49 Pneumococcal polysaccharide vaccine information statement (VIS) 1997
51 Live attenuated influenza vaccine information statement (VIS), 2005
53 Sample vaccination log
54 Sample vaccination tally sheet
Target audience: Health care workers
Presentation to management
"Protect your patients. protect yourself." PowerPoint presentation
Best practice models
Case study #1
Case study #2
Influenza immunization program checklist
Influenza immunization program checklist
Sample employee education materials
Newsletter #1 - New employee influenza immunization initiative
Newsletter #2 - Influenza season is coming... Are you prepared?
Newsletter #3 - Get vaccinated: Free influenza immunization offered to employees
Email #1 - Message from CEO to encourage immunization
Email #2 - One month before clinics
Email #3 - Announcing influenza clinic dates and times
APIC flyer
Toolkit logo
APIC position statement on influenza vaccination
Template influenza vaccination policy statement
National Foundation for Infectious Diseases' "Improving Influenza Vaccination Rates in Health Care Workers" (2004)
Target audience: Health care workers
Health Care Workers and Influenza Monograph (PDF, 524KB)
Introduction and disease background
Keys to Increasing Health Care Worker Vaccination Rates
Impact of Institutional Influenza Outbreaks
Influenza Vaccination: Effectiveness and Economic Benefits
Health care worker knowledge, attitudes and vaccination behavior
Reasons cited for not receiving influenza vaccine
Strategies to increase health care worker influenza vaccination rates
Select a leader to administer the influenza immunization program
Get a commitment from top management
Create a policy statement affirming institutional commitment to increasing health care worker influenza vaccination rates
Use every possible means to deliver messages
Provide education and reeducation
Make influenza vaccine easily accessible
Remove cost barriers to immunization
Audit immunization programs and provide feedback to key personnel
Repeat the influenza immunization program annually
Case study: Pediatric Prevention Network Survey
Case model: Brigham and Women's Hospital
Planning and management: A Year-Long Effort For Health Care Worker Immunization Program
Month-by-month checklist
Here is an example of a declination form for health care workers who decline influenza immunization (PDF, 5KB). From the Immunization Action Coalition
Content provided by: Infectious Diseases