ACIP Recommends Standing Orders Programs

ATLANTA, GA-According to the Morbidity and Mortality Weekly Report (MMWR) published March 24, 2000, the Advisory Committee on Immunization Practices (ACIP) recommends that standing orders programs be implemented in long-term-care facilities under the supervision of the medical director and committee guided protocols. Standing orders programs allow nurse- or pharmacist-issued vaccinations to adults without a physician's exam. Each institution that plans to implement standing orders programs should utilize a committee to establish program guidelines and procedures. ACIP recommends protocols be written for the following procedures:

1. Identifying persons eligible for a vaccine based on their age, vaccination status, or presence of a medical condition that puts them at high risk.2. Providing information to patients or their guardians regarding the risks and benefits of a vaccine.3. Recording patient refusals or medical contraindications. 4. Recording vaccination and any post vaccination adverse events.5. Providing documentation of vaccination to patients and their primary-care providers.