Jeanna M. Condron-Cheek, RN, BSN Nursing Supervisor Child Health and Immunizations.
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Transcript of Jeanna M. Condron-Cheek, RN, BSN Nursing 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
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
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
Nursing Questions?Cynthia Simmons, RN, BSN
Nursing Director
Phone: 910-253-2327email: [email protected]
Jeanna Condron-Cheek, RN, BSNNursing Supervisor
Phone: 910-253-2312email: [email protected]
Barbara Beaube, LPNImmunization NursePhone: 910-253-2330email: [email protected]
Billing Questions?Sharon Smith
Management Support DirectorPhone: 910-253-2268email: [email protected]
Barbara JacksonClinic Mgt Support Supervisor
Phone: 910-253-2284email: [email protected]
Kolandra GauseImmunization Clerk/Processing Assistant
Phone: 910-253-2331email: [email protected]