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i N.C.Department of Environment,Health,and Natural Resources Page 2 of 2 <br /> Division of General Services <br /> FY 9797_98 <br /> CONTRACT ADDENDUM <br /> IMMUNIZATION SECTION 98 57150 068 <br /> Office, Section, or Branch Contract Number <br /> Orange IMMUNIZATION <br /> Contractor Activity <br /> h) Maintain current signed standing orders that provide for appropriate immunizations and physician <br /> referrals when contraindications exist. The standing orders should contain temporary and <br /> permanent contraindications as outlined in the North Carolina Administrative Code. The standing <br /> orders must comply with the immunization schedule recommended by the Immunization Section <br /> and must require simultaneous administration of needed vaccines. <br /> i) Document all vaccine administered in the patient's permanent medical record, including vaccine <br /> type, date, dose,manufacturer and lot number, and record, report and submit adverse events to the <br /> Immunization Section. <br /> j) Enter data on all vaccines administered into Health Services Information System(HSIS), or other <br /> local health department computerized data system by name, date, dose, contraindication,VFC <br /> eligibility status, and provider identifier. <br /> k) Facilitate implementation of the North Carolina Immunization Registry (NCIR), when available,for <br /> your county's private health care providers and facilities, such as hospitals. <br /> 2. Monitoring and Follow-up Services <br /> To assure quality of community-wide immunization service delivery,the health department agrees to: <br /> a) Maintain a system or use the North Carolina Immunization Registry (NCIR)to identify children <br /> due or past due for immunizations. <br /> b) Conduct tracking and follow-up activities to ensure that patients are age-appropriately immunized. <br /> Mail,telephone, autodialers, and home visits are acceptable follow-up techniques. <br /> 3. Parental Education and Outreach <br /> To help teach parents the value of immunizations and to ensure that they are aware of required <br /> immunizations,the health department agrees to: <br /> a) Conduct appropriate community-based outreach and education activities. <br /> b) Present and review appropriate Vaccine Information Statement(s) (VIS)with each parent\guardian, <br /> person standing in loco parentis, or adult presenting the child for immunizations each time a patient <br /> presents for the administration of any vaccine covered by the NC Universal Childhood Vaccine <br /> Distribution Program. <br /> c) Incorporate immunization education in prenatal, parenting and other health education curriculum. <br /> "viewed by <br /> DEHNR 3300(Revised 2190) <br /> General Services Division(Review 1/95) 4/7,)zt� <br />