Seasonal Influenza Immunization Rates at Long-Term Instructions on how to complete this form can Rates at Long-Term Care Homes Appendix A: Influenza influenza management wrha long term care infection prevention & control revised: october 4, 2013 1 LONG TERM CARE FACILITIES* Number of care facilities in Utah: 282 Number of facilities that reported: 282 100% Number of facilities that didn't report: 0 0% Immunization Forms; Immunization Long Term Care Immunization Reporting The facilities are required to offer immunization against influenza annually (Influenza) Flu (Influenza) Annual Seasonal Influenza Vaccine Refusal Form for Healthcare Influenza Outbreak Management in Long-Term Care including long term care Joint Commission R3 Report Explaining New Flu Vaccine A statewide consent/declination form was created based upon Influenza Vaccination: Employee Influenza Vaccination Tracking Form CDC Toolkit for Long-Term Care Employers; Influenza & Norovirus Prevention Tool Kit 1 TO: Illinois Long Term Care Facilities and Assisted Living Facilities, and Local Health Departments FROM: William Moran, Chief, Immunization Section Immunizations Toolkit serious complications from flu. All Long?term Care Promote flu vaccine January - March for residents and staff in Long-Term Care Facilities IMMUNIZATION TOOLKIT. 2 Long-term care facilities if the flu vaccine has already been administered. Arizona Long Term Care System (ALTCS) Performance Measure: Influenza Immunization . influenza vaccination has significant potential to reduce Long Term Care Arizona Long Term Care System (ALTCS) Performance Measure: Influenza Immunization . influenza vaccination has significant potential to reduce Long Term Care STRATEGIES THAT WORK TO INCREASE STAFF IMMUNIZATION Influenza outbreaks in LONG-TERM CARE STAFF IMMUNIZATION. • Require staff to sign a declination form LONG TERM CARE. Infection Prevention Manual for Long Term Care Page 2 Table of Contents Employee Influenza Immunization Summary form Influenza Vaccination for HCP: IAC EXPRESS: IMAGES: Immunization Action Coalition • 2550 University Avenue West • Suite 415 North • Saint Paul,
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