This is a multi-question email to all of you preparing to start the "flu
shot season". We will begin the first week of October and are always
looking to improve our process/service to our families.
Would you share the process for administering flu shots in your office.
Here is what we do.
1) If they are here for a visit and need one, we give it.
2) We run recaller on the computer and pull all those who received one last
year plus those diagnosed with a chronic illness since last season. We
xerox approx. 700 letters and send them out via mail to the parent (along
with a copy of the Influenza VIS that they can look at BEFORE they come).
We offer one when they get to our office, but most say they read it at home
and don't want one.
2) We have several days that we have assigned two nurses to run a flu shot
clinic. We can usually get at least 25/hour done (without taxing the other
clerical/checkout staff too much who are dealing with checking out patients
of 7 providers at a time)
3) In years past we have pulled all charts the day ahead, loosened the
immunization record and made notations of any other imms they needed to
catch up with (or looked for PCV7/PPV23 candidates.)
4) We take the chart, call the family back to the room,verify insurance,
chart all information on the immunization record, give the shot, fasten the
immunization record back in the chart and finally file the charts back at
the end of the day (or in between). It is a mad house, but I have to say
our nurses do a really great job.
5) I am looking to streamline this process. What takes the most time is to
have the parent sign the imm record in the room just before giving the shot.
By then most children are not happy with what is happening and the decibels
How does the process go in your office? We could not get 800+ doses given
unless we held these special clinics. We usually do a Saturday morning and
get 175-200 children immunized, but again there are SO many charts to pull,
to put back, etc.
How many doses have you ordered? How do you deliver them in your busy
office to the children you have called in to get one?
Sorry so long.
Karen Kohlruss RN BSN
Holland Pediatric Associates, P.C.