ED Manag. 2000 Feb;12(2):13-5.
Although controversial, ED vaccination programs can successfully target minority, low-income, and uninsured populations. Without access to vaccination registries, only single-shot immunizations such as influenza and pneumococcal are feasible in the ED. For a vaccine program to be financially feasible, an ED needs a significant Medicaid population and low immunization rates in the community. Protocols for vaccine programs should delegate the responsibility to nursing with standing orders.
尽管存在争议,但急诊室疫苗接种项目能够成功地针对少数族裔、低收入和未参保人群。由于无法获取疫苗接种登记信息,在急诊室仅可行流感和肺炎球菌等单剂量免疫接种。要使疫苗项目在经济上可行,急诊室需要有大量医疗补助人群且社区免疫接种率较低。疫苗项目的方案应将责任委托给具备长期医嘱的护理人员。