Classroom Scenario # 11 - MASS IMMUNIZATION (Clients 30 – 40)
School Based, Known Cohort, Delayed Entry -Grade 9 Tdap
Before going to the clinic
You schedule a grade 9 Tdap clinic on ______at ______School. The school does not have Internet connectivity. You create the mass event in Panorama with the following information:
· Name of the Clinic: ______
· Location: ______
· Immunizing Agent: Tdap & Tdap-IPV
· Lot # of the immunizing agents:
o Tdap lot #______
o Tdap-IPV Lot # ______
· Providers Assigned: ______and ______
Review the following class list and consents for the first nine students (Clients 31 – 39).
Student / Name / Consent / Comments31. / Yes
32. / Yes / Allergy to nuts
33. / Yes
34. / Yes
35. / Yes
36. / Yes
37. / Yes
38. / Yes
39. / No Consent Form
40. / Yes
Update the client records (31 – 39) individually to reflect that they attend ______School and are in Grade 9 for the 2014/2015-year.
Search for the event and update the event to include an additional provider.
Review the consents and document them accordingly.
Add student 40 to the mass imms event and update the client record to reflect that they attend ___ School and are in Grade 9 for the 2014/2015 year.
Scenario #11 Page 2
At the clinic
On arrival the PHN notes that Student #34 is absent; Student #38 is absent because he switched to ______school last week; Student #39 does not have a signed consent.
The PHN immunizes seven of the 10 students for Tdap and notes that Student #33 vomited after being immunized.
Student / Name / Action31. / Received Tdap in L deltoid from Nurse A
32. / Received Tdap in L deltoid from Nurse A
33. / Received Tdap in L deltoid from Nurse B
Vomited after being immunized
34. / No Immunization - Absent
35. / Received Tdap in L deltoid from Nurse A
36. / Received Tdap – IPV in L deltoid from Nurse A
37. / Received Tdap-IPV in L deltoid from Nurse B
38. / No Immunization. Absent - Moved to ______School
39. / No Immunization because no consent
40. / Received Tdap in R deltoid from Nurse B
Back at the Office
Search for the mass immunization event
Clerk – Documents the immunizations as non-provider recorded immunizations
PHN – Documents the immunizations as provider recorded immunizations for Nurse B and asks the clerk to record Nurse A
PHN – Records note for student #33
Clerk/PHN – Record student #34 as absent on the worksheet
Scenario #11 Page 3
Instructions: Using the following chart as a guide:
Activity / QRCAt the Office
1. Log into Panorama.
2. Search for the Mass Immunization Event and as it is not found create a new Mass Immunization Event and note the event ID#.
3. Update the Mass Immunization Event to include you as a provider.
4. Update each of the nine students in the class (Students #30 - #39 to reflect that they attend ______School and are in Grade 9 for the present school year.
5. Add the first nine students to the Mass Imms Event.
6. Add student #40 to the Mass Imms Event Worksheet.
7. Update the school information for student #40.
8. Review the consents and document them accordingly
At the clinic
9. Immunize those students that have granted consent.
Back at the Office
10. Search for the mass immunization event
11. Record Immunizations** (Clerks - non provider recorded and PHNs - provider recorded)
12. Record note for student #33
13. Record that Student #34 and 38 were absent on the worksheet
14. Update the school information for student #38
** If you don’t have lot numbers attached to the event, you won’t be able to record the immunization. / # 1.1
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