1. Immunization services are readily available.

  2. There are no barriers or unnecessary prerequisites to the receipt of vaccines.

  3. Immunization services are available free or for a minimal fee.

  4. Providers utilize all clinical encounters to screen and, when indicated, vaccinate children.

  5. Providers educate parents and guardians about immunization in general terms.

  6. Providers question parents or guardians about contra-indications and, before vaccinating a child, inform them in specific terms about the risks and benefits of the vaccinations their child is to receive.

  7. Providers follow only true contraindications.

  8. Providers administer simultaneously all vaccine doses for which a child is eligible at the time of each visit.

  9. Providers use accurate and complete recording procedures.

  10. Providers coschedule immunization appointments in conjunction with appointments for other child health services.

  11. Providers report adverse events following vaccination promptly.

  12. Providers operate a tracking system.

  13. Providers adhere to appropriate procedures for vaccine management.

  14. Providers conduct semiannual audits to assess immunization coverage levels and to review immunization records in the patient populations they serve.

  15. Providers maintain up-to-date, easily retrievable medical protocols at all locations where vaccines are administered.

  16. Providers practice patient-oriented and community-based approaches.

  17. Vaccines are administered by properly trained persons.

  18. Providers receive ongoing education and training regarding current immunization recommendations.

SOURCE: CDC (1993b, p. 3).

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