CC-UC-00500 - Basic Flow: Immunization Incident

Actors

• Client (child/adult/senior)
• Client caregiver
• Registered nurse (RN)/public health nurse (PHN)

Pre-conditions

• Client has received an immunization.
• There is an issue with the immunization administered.
• The clinician has detected an issue with the immunization administered.

Step	Description	Data elements collected	Result
1	RN/PHN detects that there is an issue with the immunization (incorrect vaccine/over-under dose/expired) that was administered to client .	Medication Incident Description Immunization Immunization Expiration Date Immunization Lot Number Immunization Dose Number Immunization Dose Volume Immunization Dose Unit of Measure Immunization Route of Administration Immunization Site Immunization Date Immunization Status Immunization Performer Role Immunization Subpotent Reason	The details of the incorrect immunization dosage incident are recorded in the client's medical record. CC-UC-00501 Immunization reaction (allergy).
2	RN/PHN follows the incident reporting process as per local policies. The incident reporting process may include, but is not limited to: Completing a detailed immunization incident report. Documenting the events that occurred. Notifying the client or client caregiver. Disclosing the incident to the clinic manager and ordering physician, as required. Completing a client harm scale assessment. Recording completed activities in the appropriate information system.	Medication Incident Description Document Date and Time Document Status Document Principal Author Document Contributing Author (if applicable) Document Author Role Document Type Document Recipient Document Content Health Care Provider Identifier Value Health Care Provider Given Name Health Care Provider Surname Health Concern(s) (if actual harm/clinical problem is identified) Health Concern Evidence Health Concern Severity Health Concern Clinical Status	The immunization incident reporting process is completed in accordance with local policies, and the client's medical record is updated.
3	RN/PHN follows immunization incident protocol to minimize client harm as per local policies. Immunization incident protocols are followed as per local policies. These may include but are not limited to: Assist with minimizing symptoms. Provide instructions on monitoring symptoms and knowing when to seek additional care.	Health Concern(s) Health Concern Evidence Health Concern Severity Health Concern Clinical Status Immunization Reaction (if a reaction occurs) Immunization Reaction Date and Time (if applicable) Immunization Reaction Reporter (if applicable) Post-Procedure Instructions	The immunization incident is managed in accordance with local policies, and the client's medical record is updated.
4	The medical administrator schedules a follow-up immunization appointment as needed.	Immunization Guideline Name Immunization Guideline Authority Immunization Guideline Target Disease Immunization Forecast Status Immunization Forecast Status Generated Date Immunization Forecasting Schedule Date Type Immunization Forecast Date Appointment Service Type Appointment Creation Date and Time Appointment Requested Range Appointment Priority (if applicable) Appointment Reason Appointment Instructions Appointment Confirmation Status Appointment Participation Period Appointment Period Appointment Type	Not applicable
5	Use case ends.	Not applicable	Not applicable

Post-conditions

• A detailed incident report is completed and recorded in the database.
• Client receives follow-up instructions for monitoring adverse effects.
• Additional immunization dose is scheduled as needed.
• Immunization incident protocol is followed.
• The client's medical record is updated.

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