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CDC COMMUNITY GUIDE: Universally Recommended Vaccinations: Standing Orders

CDC

An Evidence-Based Practice

Description

Standing orders authorize nurses, pharmacists, and other healthcare personnel where allowed by state law, to assess a client's immunization status and administer vaccinations according to a protocol approved by an institution, physician, or other authorized practitioner. The protocol enables assessment and vaccination without the need for examination or direct order from the attending provider at the time of the interaction.

Standing orders can be established for the administration of one or more specific vaccines to clients in health care settings such as:
• Clinics
• Hospitals
• Pharmacies
• Long-term care facilities

In settings that require attending provider signatures for all orders, standing order protocols permit assessment and vaccination in advance of the provider signature.

Results / Accomplishments

The Community Preventive Services Task Force recommends standing orders for vaccinations based on strong evidence of effectiveness in improving vaccination rates:
1. In adults and children
2. When used alone or when combined with additional interventions; and
3. Across a range of settings and populations

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
Target Audience
Children, Adults