Immunization Clinic Proposal

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Aurora Firefighters Shots For Tots
A collaboration between the Aurora Fire
Department, Colorado Childrens Immunization
Coalition, and Tri-County Health Department to
provide immunizations for the community
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WHY?

• From 2003-2004 Colorado was ranked 50th in the
  United States for fully immunized children age
  19months 35 months
• Currently, Colorado is ranked 44th

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Where?

• City of Aurora
• Pop. 313,000
• 150 sq. miles

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GOAL

• Improve the immunization rates of the children in
  Aurora.
• Protect children from vaccine-preventable
  diseases.
• Form new community partnerships

5
Requirements

1. Low cost / No cost
2. Ease of use
3. Convenient location and hours of operation

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Our Concept

• Offer free weekend immunization clinics in a
  central location to provide vaccines to all
  children in the community
• Partner with other stakeholders for expertise
• Utilize firefighter-paramedics for vaccine
  administration

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• PARTNERS

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Aurora Fire Department

• Clinic location
• Firefighter / Paramedics to administer vaccines

9
Clinic Location

• Surveyed all schools in Aurora to identify where
  greatest need existed
• Designated AFD Station 2 as Shots for Tots
  location
• No capital costs
• Easily identified by community
• Distribution of stations allows for future
  expansion of program

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FireMedics

• Multiple FF-Paramedics in each fire station
• Already trained in medication administration
• Offers opportunity to interact with public
  outside of emergency situations
• Helps maintain skills proficiency and meets
  requirements for pediatric continuing education

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Tri-County Health Department

• Immunization Nurses
• Vaccines
• Medical Supplies
• Medical support
• Patient records
• Clinic Data tracking

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TCHD IZ Nurses Clerks

• Immunization record screening station
• TCHD Experienced immunization nurses
• Council parents, patients, QA, other resources
  available and contact info
• Ability to expand nurses
• Clerical staff to copy records, translation,
  collect donations

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TCHD Vaccines

• TCHD is a Vaccines For Children (VFC) Program
  Provider
• We bring ALL recommended VFC vaccines
• Pre-package vaccine the morning of the clinic,
  deploy them to the fire station, and take them
  back to TCHD for final storage
• All frozen vaccine is kept on Dry-Ice

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TCHD Medical supplies and support

• TCHD provides all of the medical supplies,
  including records, fliers, SHS information,
  clerical office supplies
• These supplies are stored at the fire station and
  replenished as needed
• Lead clinic nurse trouble shoots and helps
  administer vaccines during the clinic

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TCHD Patient Records

• TCHD tracks and inputs all patient information
  into their patient tracking system
• All SFTs clinic data are uploaded to the State
  Immunization Registry
• TCHD mails reminder postcards to patients each
  month

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TCHD Clinic Data Tracking

• TCHD collects information regarding
• Clinic attendance (patient count)
• Number of immunizations administered
• Reminder cards mailed each month
• Zip code analysis
• Volunteer information
• Donations

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Colorado Childrens Immunization Coalition

• Clinic Coordinator
• Additional Staff
• Volunteer Recruitment
• Community Outreach

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Rotary Clubs in Aurora

• Three local Aurora rotary clubs share the
  non-essential volunteer positions
• Rotary Club of Aurora cover Jan. thru June
• Aurora Gateway Rotary cover July thru Sept.
• Aurora Fitzsimon Rotary cover Oct. thru Dec.
• Provide lunch for all volunteers
• Assist with setup and teardown of clinic as well
  as keeping cabinets stocked
• Support with additonal funds/time for other
  needed items/events

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Additional Support

• Colorado Department of Public Health and
  Environment (CDPHE)
• Aurora Public Schools (APS)
• AmeriCorp
• Local businesses

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Benefits of SFTs Clinics

• Increased community protection
• Collaboration between local agencies and
  community partners
• Practice for emergency preparedness
• Great nursing and paramedic student training
  opportunities

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Clinic Process

• 5 patient stations
• Station 1 Patient screening forms
• Station 2 Copy / Medicaid station
• Station 3 Nurse review of screening forms and
  patient records
• Station 4 Vaccine administration
• Station 5 Check-out

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Clinic Set-up
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Clinic Fliers
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September 2002 May 2009

• Children Immunized 6,938
• Immunizations 18,483

Record Numbers 311 pts in 3hrs (11/08) 637 shots
in 3hrs (8/07)
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Thank you.