1. Using the NCIR as a Clinical Tool January 11, 2012 Mary Stanley, RN Clinical Nurse Consultant

2. NCIR The North Carolina Immunization Registry (NCIR) is a secure, web-based clinical tool which is the official source for North Carolina immunization information.

3. NCIR Functions To give patients, parents, health care providers, schools and child care facilities timely access to complete, accurate and relevant immunization data; To assist in the evaluation of a child's immunization status and identify children who need (or are past due for) immunizations; To assist communities in assessing their immunization coverage and identifying areas of under-immunization; and To fulfill federal and state immunization reporting needs.

4. Vaccine Schedules

5. Vaccine Recommendations

6. Client Comments

8. Reactions

10. Recording Reactions

13. What if I get a “not valid” message? A “not valid” message may display because the client was not old enough to receive the vaccine or not enough time has passed between doses

14. NOT VALID The words “not valid” will NOT appear on the client’s copy of the immunization record If the immunization was actually given do not delete from client record

15. Explanation

16. Remember! NCIR is a great clinical tool, however in certain situations it does not have the capability to analyze certain information and make accurate recommendations. Remember, to always use good clinical judgment..

17. Single Antigens Received then MMR

18. What about meningococcal?

19. The meningococcal conjugate vaccine (MCV4) is recommended for certain high risk children from ages 9 months through 10 years.high risk children

20. Tdap should be substituted for a single dose of Td in the catch-up series for children aged 7 through 10 years or as a booster for children aged 11 throug18 years; use Td for other doses.

21. Vaccine Usage Report This report will provide information on how many doses of each vaccine have been given, by age, within a specified date range. Only data for immunizations that are entered as “new immunizations” are reflected in this report.

22. To Run a Vaccine Usage Report Select site (if you have more than one) Enter Date Range Click Generate Report

23. Vaccine Usage Report Should have been Tdap Too young to receive HPV

24. Questions?