Epidemiology and prevention of vaccine-preventable diseases.
Recommended immunization schedule for children and adolescents aged 18 years or younger, United States, 2018.
Immunization schedules for 2018.
- 1.Ensure access to timely immunization for all children.
- 2.Avoid any and all missed opportunities to vaccinate.
- 3.Consider every health care encounter as a means to review immunization records, educate parents about immunization safety and efficacy, and vaccinate as needed.
- 4.Acknowledge the ultimate goal of immunizing children in a timely fashion is to maximize the health of each individual child.
- 5.Encourage and enable parents and caregivers to critically evaluate vaccine information.
- 6.Recommend parents, caregivers, and other adults to remain compliant with recommended immunizations for their age and risk group in order to protect children in their care.
- 7.Distribute the evidence-based CDC Vaccine Information Statements (VISs) for each recommended vaccine to parents and caregivers at every immunization encounter (Centers for Disease Control and Prevention 2018a).Centers for Disease Control and Prevention
Instructions for using Vaccine Information Statements.Author, Atlanta, GA2018
- 8.Ensure adherence to immunization schedules by utilizing electronic health records, statewide vaccine registries, and recall systems to promote continued development of these systems.
- 9.Remain knowledgeable via local or national immunization groups, educational programs or conferences, evidence-based research articles, and peer-reviewed journals.
- 10.Immediately incorporate changes in immunization policies, recommendations, and practices into daily practice (Kroger, Duchin and Vázquez, 2017).
General best practice guidelines for immunizations. Best practice guidelines for immunization of the Advisory Committee for Immunization Practice (ACIP).Centers for Disease Control and Prevention, Atlanta, GA2017
- Kroger A.T.
- Duchin J.
- Vázquez M.
- 11.Provide complete, accurate, and culturally sensitive educational programs about immunizations to the public, childcare centers, schools, and community groups, including information on benefits, safety, evidence-based quality resources, and the importance of active and timely participation in immunization programs.
- 12.Utilize news, social media, and other applicable communication methods to influence and direct the conversation regarding immunization safety, efficacy, and necessity.
- 13.Utilize quality improvement principles to evaluate immunization practices for the purpose of improving compliance with recommended immunization practices and educating members of the health care team.
- 14.Lead policy change in states to eliminate nonmedical exemptions for school entry.
- 15Actively participate on local, state, and national committees, advisory groups, and other venues that impact policies concerning childhood immunization practices.
- 16.Support any local, state, or federal legislation that aims to keep childhood immunizations available, accessible, and affordable for all children regardless of social or economic status or the type of health insurance.
- 17.Serve as immunization expert on local, regional, or national committees to support the safety and efficacy of childhood immunization programs.
- 18Advocate for an integrated national immunization infrastructure to ensure the supply and delivery of vaccines, maintenance of coverage rates, outbreak control, and immunization education (Groom et al., 2015).
- 19.Understand the responsibility to report adverse outcomes following any immunization to the Vaccine Adverse Event Reporting System (VAERS;Centers for Disease Control and Prevention 2017) and the purpose of the Vaccine Injury Compensation Program (VICP; U.S.Centers for Disease Control and Prevention
Vaccine adverse event reporting system (VAERS).Author, Atlanta, GA2017U.S. Department of Health and Humans Services, Health Resources and Services Administration 2018).U.S. Department of Health and Humans Services, Health Resources and Services Administration
National vaccine injury compensation program.Author, Rockville, MD2018
- 20.Keep informed of the incidence of vaccine-preventable diseases in your area and be proficient in the ability to diagnose the illness.
- 21.In the event of vaccine-preventable disease diagnosis, encourage parents to keep children with vaccine-preventable disease at home from school and out of public settings for the duration of the outbreak as recommended by state and national guidelines (Aronson and Shope, 2016).
Managing infectious disease in child care and schools (4th ed.) Elk Grove Village, IL: American Academy of Pediatrics.
- Aronson S.S.
- Shope T.R.
- Immunization schedules for 2018.Author, Itasca, IL2018 (Retrieved from)
- Managing infectious disease in child care and schools (4th ed.) Elk Grove Village, IL: American Academy of Pediatrics.(Retrieved from)http://ebooks.aappublications.org/content/managing-infectious-diseases-in-child-care-and-schools-4th-edDate: 2016
- Epidemiology and prevention of vaccine-preventable diseases.Author, Atlanta, GA2015 (Retrieved from)
- Vaccine adverse event reporting system (VAERS).Author, Atlanta, GA2017 (Retrieved from)
- Instructions for using Vaccine Information Statements.Author, Atlanta, GA2018 (Retrieved from)
- Recommended immunization schedule for children and adolescents aged 18 years or younger, United States, 2018.Author, Atlanta, GA2018 (Retrieved from)
- Immunization information systems to increase vaccination rates: A community guide systematic review.Journal of Public Health Management and Practice, 21. 2015; : 227-248
- General best practice guidelines for immunizations. Best practice guidelines for immunization of the Advisory Committee for Immunization Practice (ACIP).Centers for Disease Control and Prevention, Atlanta, GA2017 (Retrieved from)
- Trends in Kindergarten rates of vaccine exemption and state-level policy, 2011–2016.Open Forum Infectious Diseases. 2018; 5: 1-6
- National vaccine injury compensation program.Author, Rockville, MD2018 (Retrieved from)
- Immunization coverage.Author, Geneva, Switzerland2017 (Retrieved from)
Adopted by the National Association of Pediatric Nurse Practitioners’ Executive Board on June 9, 2018. This document replaces the 2015 NAPNAP Position Statement on Immunizations.
All priority position statements from the National Association of Pediatric Nurse Practitioners automatically expire 3 years after publication unless reaffirmed, revised, or retired at or before that time.