|The model standing orders listed below and standing orders for any newly recommended vaccines will be updated within one month from the date that ACIP makes its recommendation or at the discretion of the Oregon Health Authority.|
Note to clinicians: The vaccines and biologics listed here are routinely recommended in the state of Oregon. Any clinician ordering travel vaccines in addition to these is advised to review package information regarding simultaneous administration.
Vaccine Adverse Event Reporting
Adverse events following immunization should be reported by public providers to the Oregon Health Authority Immunization Program by FAX (971-673-0278) or mail according to state guidelines.
Regarding Zostavax and Adults age 50 and older:
The ACIP met June 22-23, 2011, and made the following determinations:
- Not to recommend Zostavax for persons <60 years of age.
- Merck continues to have difficulty producing sufficient supplies of Zostavax.
- ACIP members have indicated that, while supply is limited, Zostavax is appropriately reserved for patients ages 60 and older, as they are at higher risk.
- Zostavax is covered by Medicare Part D for patients ≥65 years of age. Insurance companies may not cover the cost of Zostavax, especially for indications (e.g., <60 years of age) that lie outside of ACIP recommendations.
- The ACIP may consider revising its age-based recommendation for Zostavax when vaccine supply has improved.
Emergency Preparedness/Post-exposure Prophylaxis
Please see the new model standing order category for "Emergency Preparedness/Post-exposure Prophylaxis." The first, anthrax, includes an additional algorithm. Other post-exposure prophylaxis model standing orders will be added as developed and updated.
To request this material in an alternative format (e.g. Braille) or to clarify any part of the model standing order, contact the Oregon Health Authority Acute and Communicable Disease Prevention program at 971-673-1111.
Disclaimer of Liability
This site is provided as a public service by the Immunization Program of the Oregon Health Authority Public Health Division. The model standing orders provided here are intended for use by the public and private sectors to promote quality standard of practice in immunization. This information is designed to help practitioners provide precise and timely immunization services to the client. These orders are not in effect unless they have been reviewed and authorized by a medical doctor. Although the information and forms displayed here are carefully reviewed before publication, in providing immunizations, the practitioner should consult the package insert and recommendations made by both the American Academy of Pediatrics and the Advisory Committee on Immunization Practices. The state of Oregon does not make either express or implied warranties regarding the use of these forms and information. Each practitioner must depend on his or her own knowledge and expertise in using or modifying these forms and information.
Disclaimer of Reliability
In preparation of these sites, every effort has been made to offer the most current information possible. The information and data included on this have been compiled by state staff from a variety of sources, and are subject to change without notice. The state of Oregon makes no warranties or representation whatsoever regarding the quality, content, completeness, or adequacy of such information and data. The state of Oregon disclaims any responsibility for typographical errors and accuracy of the information that may be contained on state of Oregon web pages. In any situation where the official printed publications of the state of Oregon differ from the text contained in this system, official printed documents take precedence.
The state of Oregon makes no representations or warranties regarding the condition or functionality of this web site, its suitability for use, or that this web service will be uninterrupted or error-free. If misleading, inaccurate or otherwise inappropriate information is brought to our attention, a reasonable effort will be made to fix or remove it. Such concerns should be addressed to the Immunization Program at 971-673-0300.
Disclaimer of Endorsement
Reference herein to any specific commercial products, process, or service by trade name, trademark, manufacturer, or otherwise, does not constitute or imply its endorsement, nor its recommendation by the state of Oregon. The views and opinions of authors expressed herein do not state or reflect those of the state of Oregon, and may not be used for advertising or product endorsement purposes.
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