CC-UC-00501 Immunization reaction

Actors

• Client (child/adult 18+)
• Registered nurse (RN)/public health nurse (PHN)/pharmacist

Pre-conditions

• Client is covered under provincial/territorial health care insurance.
• Client intake and registration has been completed.
• Client has no known allergies.
• Client has received an immunization and is exhibiting symptoms of a reaction.

Step	Description	Data elements collected	Result
1	The Client experiences an immunization reaction, and the RN/PHN completes the immunization incident reporting process in accordance with local policies. Documenting the events that occurred. Notifying the client or client caregiver. Disclosing the incident to the clinic manager and ordering provider, as required. Completing a client harm scale assessment. Recording completed activities in the appropriate information system.	Immunization Immunization Reaction Immunization Reaction Date and Time Immunization Reaction Reporter Health Concern Reporting Source Health Concern(s) Health Concern Evidence Health Concern Severity Health Concern Date of Onset (if known) Health Concern Clinical Status Document Date and Time Document Status Document Principal Author Document Contributing Author (if applicable) Document Author Role Document Type Document Recipient Document Content	The immunization incident is reported, and the client's medical record is updated.
2	RN/PHN/pharmacist assesses reaction and takes steps to minimize client harm. Steps are taken to minimize client harm. Protocols may include, but are limited to: Assist with minimizing symptoms. Provide instructions on monitoring symptoms and knowing when to seek additional care.	Date and Time of Observation Health Concern Reporting Source Health Concern(s) Health Concern Evidence Health Concern Severity Health Concern Date of Onset Health Concern Clinical Status Immunization Reaction Immunization Reaction Date and Time Immunization Reaction Reporter Post-Procedure Instructions	The client's reaction is managed, and the client's medical record is updated.
3	Continue at step 3 in CC-UC-00500 Immunization incident basic flow.	Not applicable	Not applicable

Post-conditions

• Client experiences a reaction to immunization.
• Steps are taken to minimize symptoms.
• Instructions provided on monitoring symptoms and knowing when to seek additional care.
• This use case continues at step 3 of CC-UC-00500 Immunization Incident: Basic Flow.

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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