horrible immunization compliance rate

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MrNurse(x2), ADN

Specializes in IMC, school nursing. Has 28 years experience. 1 Article; 2,558 Posts

I submitted my survey with no students needing exclusion and none out of compliance.

NutmeggeRN, BSN

Specializes in kids. Has 39 years experience. 8 Articles; 4,560 Posts

I submitted my survey with no students needing exclusion and none out of compliance.

Me too!!!

grammy1

grammy1

420 Posts

This school is not regulated by a district, but I plan to look into writing a policy if our parent company/school doesn't have one (I doubt it).

Next year our plan is to require the immunization reports along with tuition payment/registration, as well as streamlined messaging from the nurse at our feeder 5th grade.

Are you regulated by state law? Our state requires noncompliant students to be excluded. We didn't even give out schedules if they didn't have their immis. Some who slipped by and came to class the first day were called out of class and sent home. Yeah parents were mad, but it was their own fault.

grammy1

grammy1

420 Posts

this is a good idea. my principal did back me up by sending a strongly worded email (your child may be removed by the dept of health after Nov 15), but I don't think we were strong enough from the onset. of my 52 students, 11 of them have appointments scheduled for AFTER the reporting date. so annoying.

Does your health department give free immunizations? That's where we send students so there is no excuse of having to wait for an appointment.

jnemartin

jnemartin, BSN, RN

340 Posts

Are you regulated by state law? Our state requires noncompliant students to be excluded. We didn't even give out schedules if they didn't have their immis. Some who slipped by and came to class the first day were called out of class and sent home. Yeah parents were mad, but it was their own fault.

if I'm reading it correctly the state law requires that students who are non-compliant with vax with the reporting date (tomorrow) show proof that they have made an appointment within a reasonable amount of time. I am required to follow up two times RE this late vax appt and then the student will be removed from school. That is from the dept of health statutes regulating school immunization reporting, compliance and non compliance. So that is what I will do.

Next year I don't want to spend so much time on this; I'd like to enact a school policy that these documents must be complete and filed in health office much sooner (this has been such a time suck). I work at a private school (not part of a district), and the principals tell me there isn't a policy in place and that this hasn't been an issue in the past. To be totally honest, I think the previous nurse was fudging the report numbers because all the files are a mess and many kids are missing immunizations or even entire records. Yet somehow, she was reporting 95-100% compliance.

JenTheSchoolRN, BSN, RN

Specializes in School nursing. 3,029 Posts

if I'm reading it correctly the state law requires that students who are non-compliant with vax with the reporting date (tomorrow) show proof that they have made an appointment within a reasonable amount of time. I am required to follow up two times RE this late vax appt and then the student will be removed from school. That is from the dept of health statutes regulating school immunization reporting, compliance and non compliance. So that is what I will do.

Next year I don't want to spend so much time on this; I'd like to enact a school policy that these documents must be complete and filed in health office much sooner (this has been such a time suck). I work at a private school (not part of a district), and the principals tell me there isn't a policy in place and that this hasn't been an issue in the past. To be totally honest, I think the previous nurse was fudging the report numbers because all the files are a mess and many kids are missing immunizations or even entire records. Yet somehow, she was reporting 95-100% compliance.

Does you state have an immunization database you can access or get access to? When I finally got that, it made my job SO much easier! Still tracking down stuff that isn't reported into the database, but still reduced calls home and to doctor's offices by a huge amount.

jnemartin

jnemartin, BSN, RN

340 Posts

Does you state have an immunization database you can access or get access to? When I finally got that, it made my job SO much easier! Still tracking down stuff that isn't reported into the database, but still reduced calls home and to doctor's offices by a huge amount.

yes, my state does have a database and I was able to access it. However, the issue is that the students never got the 11 y/o immunizations to begin with. So now parents are all rushing to get them in at the last minute (although I sent out my first referrals in the first week of Sept), and aren't finding available appts until after the reporting is due. ugh :(

SiwanRN

SiwanRN

148 Posts

As a nurse who works at a local health department and often sees these kiddos with letters from their school nurses for immunization compliance... THANK YOU for all the amazing work you do to help keep your school populations safe from vaccine preventable diseases. You rock!