Immunization Program
Information for providers
On March 18, 2008 the Governor signed the “Health Care Assistant (HCA)” legislation. Summary of changes:
- Effective June 12, 2008 a HCA may administer vaccines with appropriate supervision. This can be done by injection, orally, topically, or by nasal administration.
- Physician and osteopathic physician assistants are allowed to supervise a HCA.
- Vaccines must be FDA licensed.
A medical assistant certified through an education program, or having a credential as a CMA or RMA through a national examination, does not take the place of certification as a health care assistant (HCA) with the Washington State Department of Health. To legally perform blood draws, certain injections, and oral vaccines as delegated health care tasks you must have a HCA credential.
HCAs will need to update their medication list with the WA state DOH Licensing Board. They may begin administering Rotavirus on June 12th - there is a 30 day grace period at which time the updated medication list needs to be mailed or faxed to HPQA.
Please see Q & A regarding the new change (PDF)
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Provider education and training
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Recommended immunization schedules
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- Health Advisory: A law passed in 2006 in Washington requires that children under 3 years and pregnant women must be given only thimerosal-free vaccine. More information about this law. Single-dose prefilled syringes are thimerosal-free and are available in the dosage for children age 6 months through 35 months and for children three years and older and adults at Public health clinics and some other providers in King County.
- Recommended Childhood and Adolescent Immunization Schedule (PDF)
Page 1 schedule-persons aged birth through 6 years
Page 2 schedule-persons aged 7 through 18 years
Page 3 catch-up schedule
- Recommended Adult Immunization Schedule (PDF)
- Washington State childcare/school requirements:
Vaccinating in special circumstances
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Contraindications and precautions and adverse reactions
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If you are referring your patient to Public Health for hepatitis B immune globulin, you must contact the Public Health clinic near you to arrange for this or call Public Health's Communicable Disease and Epidemiology at 206-296-4774.
Human Papillomavirus (HPV) Vaccine
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As of May 1, 2007, HPV vaccine is available through the Vaccines For Children (VFC) program. For information on the VFC Program, go to www.metrokc.gov/health/immunization/vfc.htm.
Vaccine information and resources
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Immunization resources providers shouldn't be without
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Book and CDs:
- Centers for Disease Control and Prevention, Epidemiology & Prevention of Vaccine-Preventable Diseases (“The Pink Book”), 10th edition, January 2007. To order a copy, call the Public Health Foundation at 877-252-1200. Cost is $29.00 plus shipping & handling.
- 2006 Red Book: Report of the Committee on Infectious Diseases, 27th edition. American Academy of Pediatrics. To order a copy, call 1-888-227-1770.
- “Immunization Works” CD (2007, item #99-6711). Includes all ACIP statements, all VISs, Pink Book, Surveillance Manual, items on Immunization Survey, Vaccine Safety, Immunization Registries, VACMAN, CASA, and related articles and letters (limit 6 CDs per order). Order from CDC’s web site at https://www2.cdc.gov/nchstp_od/PIWeb/NIPorderform.asp.
Websites:
Email, fax and phone numbers:
- Public Health - Seattle & King County:
- Immunization Program: 206-296-4774
- Communicable Disease Hotline: 206-296-4949
- CDC (Centers for Disease Control and Prevention)
- National Immunization Program e-mail address: nipinfo@cdc.gov
- Telephone consultation: CDC-INFO Contact Center, staffed 8 am-11pm (EST) English and Spanish: 1-800-CDC-INFO (800-232-4636)
- CDC Fax Information Service: 1-888-CDC-FAXX (1-888-232-3299)
- Washington State Immunization Program:
- Main number: 360-236-3595Online immunization training “You Call the Shots”
- To order materials: E-mail: immunematerials@doh.wa.gov or Fax: 360-664-2929.
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