If you give a vaccine with more than 1 dose required
immediately make a LABS ONLY appointment for the follow-up dose. Ask CM to indicate the reason for the visit, write in your HCM section, and clearly indicate in your notes the dates and reasons for future vaccines.If they have an appointment on the date next dose is due indicate VERY CLEARLY in the HCM section when this dose is due.
Follow the EHHAP page directions. As of Dec 2022 - " The hepatitis B vaccine is recommended for all infants, all children or adolescents younger than 19 years of age who have not been vaccinated, all adults age 19 through 59 years, and adults age 60 years or older with risk factors for hepatitis B infection." All patients should get HBV serologies (HBsAG, anti-HBs, and anti-HBc). If they are not immune initiate a vax series (if it is 2 or 3 vax will depend on which brand you use, check the vial). Testing for immunity post vaccine is not recommended unless immunocompromised or on hemodialysis 1-2 months after you finish the series. More helpful HBV vaccine info here.
Educational video for patients on all hepatitis types (in Spanish) here, 3.5 mins.
Shingles ( La culebrilla )
Follow CDC vaccination guidelines. As of Nov 2022 - "CDC recommends two doses of Shingrix separated by 2 to 6 months for immunocompetent adults aged 50 years and older."
Educational video for patients (in Spanish) here, 6 mins.
Pneumococcus ( Neumococo )
Follow CDC vaccination guidelines. As of Nov 2022 - "CDC recommends routine administration of pneumococcal conjugate vaccine (PCV15 or PCV20) for all adults 65 years or older who have never received any pneumococcal conjugate vaccine or whose previous vaccination history is unknown" AND "for adults aged ≥19 years with immunocompromising conditions, functional or anatomic asplenia, cerebrospinal fluid (CSF) leaks, or cochlear implants."
Educational video for patients (in Spanish) here, 3.5 mins
Pneumovax must be given in the correct order. Check the CDC website. As of Nov 2022 CDC provides this PDF indicate how to order the vaccines in the series. CDC Pneumococcal Vaccine Timing for Adults.
Image from CDC pdf above last updated April 2022