CC-UC-00400 - Primary Health Care: Basic Flow - Immunization adult 18+

Actors

• Client/client caregiver
• Medical administrator
• Registered nurse (RN)

Pre-conditions

• Client is following provincial/territorial immunization schedule.
• Client is covered under provincial/territorial health care insurance.
• Client intake and registration have been completed.
• Client is on the clinic roster.
• Clinic system has the capacity for personalized immunization schedules including clinical decision support for forecasting.

Step	Description	Data elements collected	Result
1	RN/PHN confirms client's body temperature and determines the client is eligible to proceed with the immunization.	Vital Signs (adult) Date and Time of Observation Measurement Type Body Weight Body Height Height Percentile Weight Percentile Weight for Length Percentile Body Mass Index (BMI) BMI Percentile Waist Circumference Body Temperature Body Temperature Measurement Method Blood Pressure Blood Pressure Measurement Methods Blood Pressure Body Site Blood Pressure Measurement Body Position Heart Rate Heart Rhythm Respiratory Rate Pulse Oximetry Unit of Measure	The client is confirmed to be eligible for immunization, and the client's medical record is updated. CC-UC-00306 Client has fever.
2	RN/PHN provides immunization education and obtains consent from client.	Immunization Target Disease Immunization Education Note	Immunization education is provided and consent is obtained and recorded in the client's medical record. CC-UC-00307 Consent not given to immunize.
3	RN/PHN administers immunization and provides an updated immunization record.	Immunization Status Immunization Immunization Lot Number Immunization Route of Administration Immunization Site Immunization Dose Volume Immunization Dose Number Immunization Reason Immunization Supporting Documents	Immunization is administered and an updated immunization record is provided. The details are recorded in the client's medical record.
4	RN/PHN instructs client to remain at clinic for post-immunization monitoring as per local policy.	Not applicable	Client remains at clinic for post-immunization monitoring.
5	The medical administrator schedules a follow-up appointment based on immunization forecasting needs.	Immunization Forecast Status Immunization Forecast Status Generated Date Immunization Forecasting Schedule Date Type Immunization Forecast Date	A follow-up appointment is scheduled, and the details are recorded in the client's medical record.
6	Client leaves clinic after the appropriate monitoring period.	Not applicable	The client leaves the clinic. CC-UC-00308 Immunization incident.
7	Use case ends.	Not applicable	Not applicable

Post-conditions

• The client is confirmed to be eligible for immunization.
• Client is provided with immunization education is provided and consent is obtained.
• Immunization is administered.
• An updated immunization record is provided.
• Follow-up appointment is scheduled.
• Client's medical record is updated.

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Contact us

If you have questions about this initiative, would like to be added to our stakeholder notification list or would like to participate in our consultations, please email us.

connectedcare@cihi.ca