Influenza Information Package

The below documents contain important information for community providers implementing a safe and effective influenza immunization program for 2019-2020.

• National Advisory Committee Statements
  • Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2019-2020
  • National Advisory Committee on Immunization Statement on Thimerosal
• Influenza Vaccine Product Monographs:
  Product Monographs can be used as a resource and reference, however AHS recommendations for influenza immunization are based on the Alberta Immunization Policy. This policy is used for implementation of the provincial influenza immunization program.
  • FluZone®
  • Flulaval Tetra
• Orientation Documents
  • Influenza Orientation Presentation
  • Influenza Learning Test
  • Vaccine Administration Presentation
  • Recording Guidelines
  • Anaphylaxis Presentation
  • Infection, Prevention and Control (IPC) Presentation
  • Influenza Vaccine Biological Pages
    Detailed information related to the influenza vaccines used as part of the Alberta Influenza Immunization Programs are located on the AHS Immunization Program Standards Manual home page under “Biological Product Information”.
  • Standard for Influenza Immunization
    This standard provides principles and guidelines for implementation of the Alberta Influenza Immunization Program. It is located on the AHS Immunization Program Standards Manual home page under “Influenza Immunization Program."
  • Thimerosal Information for Clients
  • Thimerosal Information for Nurses and Other Vaccine Providers
• Oculorespiratory Syndrome (ORS) Algorithm
• Influenza Immunization Record
  The Influenza Immunization Record is to be used for internal purposes only (e.g. Data entry, partner reporting). It is not intended to be used as a record of immunization and is not to be given to the client by the immunizer. For the fillable online form – complete online and print copies as needed or print and complete by hand and photocopy as needed.
• Directions for use of Influenza Immunization Vaccine Record
• Influenza Reporting Requirements and Coding Explanations Document
  • Community Provider Administered Vaccine Monthly Report
    This form is to be used monthly to report doses of Influenza Vaccine administered by Community Partners.
    NOTE: be sure to select your zone, from the drop down list within the form, so that the correct contact information (email address and/or fax number for your zone contact) populates on the form.
• Influenza Vaccine Information Sheet
• Influenza Immunization for Pregnant Women, Breastfeeding Women and Families with Newborns
• Influenza Immunization Aftercare and Client Immunization Record
• Vaccine Storage and Handling
  • Vaccine Storage and Handling is an important component of immunization programs. The AHS Vaccine Storage and Handling Standard contains detailed information and resources to assist in meeting the requirements for proper storage and handling of provincially funded vaccines.
• Consent for Influenza Immunization
  • Consent for Influenza Immunization
    Use this form ONLY when a Parent, Guardian or Agent (the decision-maker) is not able to be with their child/dependent, in person, at an influenza immunization clinic. These forms are for AHS use only. External providers should follow their own internal consent processes.
    • The decision maker should complete this form and send it with the child/dependent and their escort (if applicable) to the immunization clinic.
    • The appropriate supporting guardianship documentation must accompany the child/dependent and their escort (if applicable) when they present for care.
  • Consent for Pneumococcal Polysaccharide Immunization

Infection, Prevention & Control Documents

These resources are designed to help prevent and manage the spread of Influenza like-illness (ILI) and seasonal Influenza.

General Information

• Cover Your Cough poster – Emergency Departments
• Cover Your Cough poster – Clinics and Offices
• How to Handwash poster
• How to use Alcohol-based Hand Rub poster
• Guideline: Influenza Immunization for Adult and Pediatric Patients Undergoing Cancer Treatment
  • Clinician Factsheet
• Influenza Outbreak in this Facility Poster (11 x 17)
• Influenza Outbreak in this Facility Poster (8.5x11)
• Influenza Outbreak Poster for Staff and Physicians (8.5x11)
• Putting on (Donning) PPE poster
• Q & A – Use of Antivirals in Acute Care and Continuing Care Settings
• Taking off (Doffing) PPE poster

Acute Care

• Assessing the Need for Additional Precautions: Respiratory (ILI) Algorithm
• Practice Recommendations for Seasonal Influenza
• Contact and Droplet Precautions Info Sheet
• Contact and Droplet Precautions
• Guidelines for Outbreak Prevention, Control and Management in Acute Care and Facility Living Sites

Continuing Care

• Choosing Personal Protective Equipment (PPE) for Resident Interactions in Continuing Care
• Seasonal Influenza in Continuing Care: IPC Practice Recommendations
• Droplet and Contact Precautions
• Droplet and Contact Precautions sign
• Guidelines for Outbreak Prevention, Control and Management in Acute Care and Facility Living Sites

Reference Documents

• Guidelines for Influenza Immunization in Adult and Pediatric Patients with Cancer
• Guidelines for Outbreak Prevention, Management and Control in Emergency Shelters and Transitional Housing Sites
• Guidelines for Outbreak Prevention, Control and Management in Supportive Living and Home Living Sites
• Outbreak Guidelines: Acute Care & Facility Living Sites

Pharmacists

• Refer to The Yearly Booster: Seasonal Influenza Vaccine Program created by the Alberta Association of Pharmacists (RxA).
• For any questions regarding the Influenza Immunization Program, email Alberta Health, at health.imm@gov.ab.ca.
• All questions regarding billing are to be directed to Alberta Blue Cross.
• Alberta Blue Cross Pharmacy Benefact

Pneumococcal Polysaccharide Vaccine Package

1. Pneumococcal Polysaccharide Vaccine Biological Page
   Detailed information related to pneumococcal polysaccharide vaccine used as part of the Alberta Immunization Program is located on the AHS Immunization Program Standards Manual home page under “Biological Product Information”.
2. Pneumovax®23 Product Monograph
3. Pneumococcal Vaccine Information Sheet
4. Consent for Influenza Immunization
   • Consent for Influenza Immunization
   • Consent for Pneumococcal Polysaccharide Immunization
5. Orientation Documents
   • Pneumococcal Orientation Presentation
   • Pneumococcal Learning Test
   • Vaccine Administration Presentation
   • Recording Guidelines
   • Anaphylaxis Presentation
   • Infection, Prevention & Control (IPC) Presentation

Updates for Healthcare Professionals

Influenza Vaccine Provider Registration Form and Ordering

For the 2019-2020 Influenza Immunization Program all community providers are required to complete the Influenza Program Registration Form. This registration form provides the basic information needed to provide your site with influenza vaccine. Providers are asked to complete this form in order for the Alberta Health Services (AHS) Zone Contact to obtain accurate accounting of the number of partners participating in the influenza immunization program.

Completing the Registration Form

• Open the Registration Form
• Complete all Registration Form fields
• Print the Registration Form
• Sign as the authorized provider
• Fax the signed Registration Form to the appropriate AHS Zone Contact

Confirmation of program enrolment will occur when you receive the 2019-2020 Medical Officer of Health Influenza Immunization Program Letter. This letter will outline all aspects of the influenza immunization program for the 2019-2020 season.

Ordering

Vaccine will be ordered through the Alberta Vaccine Inventory (AVI) system for all Zones. Information on ordering will be communicated directly to you, through your Zone contact, by the end of September. You must submit the signed Registration Form before vaccine will be released to community offices/clinics/sites through AVI.

Community pharmacists must order and receive Influenza Vaccine through their primary pharmacy wholesale distributors.

Alert

This is a reminder to all vaccine providers involved in the provincially funded immunization program. All vaccine storage and handling requirements outlined in the Alberta Vaccine Storage and Handling Policy for Provincially Funded Vaccine must be fully implemented in order to receive provincially funded vaccine. Ability to order vaccine will be impacted for sites that are not compliant with the policy.

Related Documents - Must Read

• Influenza Immunization Policy