Influenza/Flu Clinical Pathway — Emergency Department
Influenza/Flu Clinical Pathway — Emergency Department
Influenza Vaccination for Discharged Children
Process for Flu Vaccine Administration
- Review early on during ED stay to avoid delays in discharge
- RN proactively ask HP for vaccine order
- Focus on children with high-risk conditions who do not require admission
- CHOP Emergency Department Influenza Vaccination Initiative 2023-2024
1 | BPA for eligible patients alerts RN and HP ![]() © 2024 Epic Systems Corporation |
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2 | Assess eligibility, likely discharge |
3 | Review contraindications |
4 |
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5 | Family scans QR code on screensaver to review the Vaccine Information Statement (VIS) before vaccine administration, Spanish version available in Lexicomp![]() |
6 | HP orders vaccine |
7 | RN administers vaccine at any time during ED stay |
8 |
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Discharged ED Patients Eligible for Flu Vaccine
- Minor illnesses with or without fever are not contraindications
- Confirmed COVID-19 infection if acute illness has resolved is not a contraindication
- Egg allergy: no longer requires 30 min observation after receiving a flu vaccine
- Full Recommendations
ESI 3,4,5 |
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Age |
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High-risk |
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Contraindications |
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ED Influenza Vaccine Contraindications
Age | < 6 mos |
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Allergy |
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GBS | Refer children with history of GBS to discuss with their PCP |
Illness | Hospitalization required |
COVID | Current, symptomatic COVID infection |
Vaccine Vouchers
- Offer to family members > 18 yrs interested in flu vaccination
- See charge nurse or print out from email
- Potential future goals