Objectives

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Objectives

COMAR Immunization Requirements for School Attendance

New Immunization Requirements for SY 2014-15

New DHMH 896 FormAbbreviations for Common Childhood

Immunizations Addressing Non-Compliance

2COMAR Immunization Requirements for School Attendance

DHMH COMAR 10.06.04.03 Immunizations for 12 Illnesses Required for School

Attendance Each immunization has a specific number of doses

required for school attendance Some immunizations can be “waived” if there is proof

that the student is immune to the disease (blood titer or history of illness)

Medical Exemptions are only for students that are unable to get a vaccine because of a health reason or if the vaccine is not medically indicated Documentation from a health care provider required

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COMAR Immunization Requirements for School

Attendance

Diphtheria, Tetanus, Pertussis

Measles, Mumps, Rubella

PolioVaricella

(Chickenpox)Hepatitis B

PneumococcalHaemophilus

influenza, type BTetanus, diphtheria,

pertussis boosterMeningococcal

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New Immunization Requirements for SY 2014-15

2 doses of Varicella vaccine for entry into Kindergarten

1 dose of Tetanus, diphtheria, pertussis booster vaccine for entry into 7th grade

1 dose of Meningococcal vaccine for entry into 7th grade

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9Review of the New DHMH 896 Form

Revised February 2014Changes:

The “LOST OR DESTROYED RECORDS” section was removed

Under “MEDICAL CONTRAINDICATION”, Health care providers must document the “reason for the contraindication”.

“Immunization Requirements” on the reverse side of the form have been updated to include the new requirements for Tdap and MCV (meningococcal vaccine).

“Lost or Destroyed Records” Section removed

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Abbreviations for ImmunizationsRequired Vaccine Standard U.S.

AbbreviationName on 896

FormName in SMS

Diphtheria DT/DTP/DTaP DTP-DTaP-DT/Td DTP/DTaP*(Diphtheria/Tetanus)

Pertussis DT/DTP/DTaP DTP-DTaP-DT DTP/DTaP* (Diphtheria/Tetanus)

Tetanus DT/DTP/DTaP DTP-DTaP-DT/Td/Tdap DTP/DTaP*(Diphtheria/Tetanus)

Measles MMR/MMRV MMR MeaslesMumps MMR/MMRV MMR MumpsRubella (German Measles

MMR/MMRV MMR Rubella (German Measles)

Polio IPV Polio PolioVaricella (Chickenpox) VAR/MMRV Varicella Varicella (Chickenpox)Hepatitis B HepB Hep B Hepatitis BHaemophilus influenza, type B

Hib Hib HIB

Pneumococcal PCV7/PCV13/PPSV23 PCV PCV7*Meningococcal MCV/MenACWY/

MCV4/Hib-MenCY/MPSV4

MCV Meningococcal*

Tetanus, diphtheria, pertussis booster

Tdap Tdap Tdap*

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Data Entry into SMS Immunization Module

Varicella Enter information for both doses under the “Required” tab

Tdap Enter information for this dose under the “Recommended”

tab Drop down option

Meningococcal Enter information for this dose under the “Recommended”

tab Drop down option

Eventually, Tdap and Meningococcal data fields will be under the “Requried” tab

Addressing Non-Compliance

Review and Verify•DHMH 896•Maryland ImmuNET•Additional documents if applicable

Refer to the School Nurse for Review

•Provide Report of Non-Compliant Students with Incorrectly Administered Vaccines•Provide Immunization documents•Registered School Nurse will consult with the Regional Nursing Supervisor if needed

Follow Recommendations

• Notifty Parent/Guardian of Non-ComplianceOR

• Correct information in SMS OR

• "Over-Ride" in SMS *(only the Medical Director has authorization to make this request, and will notify the SSL)