Vaccines for Children
The Snohomish Health District manages the Vaccines for Children (VFC) program for
Snohomish County. The federal VFC program provides no cost vaccines for children
who might not otherwise be immunized. Providers may charge an administration fee,
but they do not charge for the vaccine itself.
Becoming a Vaccines for Children provider has benefits for both patient care and
professional practice, including:
- Knowledge of a child’s immunization status when treating them for other reasons
- Children have fewer missed opportunities for vaccination
- Current information about vaccines and vaccine-preventable diseases
- Information about new vaccines, schedules, and vaccine supply issues
- Assistance in measuring, promoting, and achieving high immunization coverage
rates in your practice
- Assistance managing vaccine storage, handling, and administration
- Staff training, including technical assistance on inventory management
Becoming a Vaccines for Children provider
To learn more about becoming a Vaccines for Children provider, see the following
resources or contact the Snohomish Health District.
Educational opportunities for VFC providers
- “Increasing Adolescent Immunization Coverage,” an e-learning opportunity from the HPV Vaccination Roundtable and the Area Health Education Centers (AHEC), will provide information, guidance, and tools to increase HPV vaccination rates. RNs/NPs, physicians, physician’s assistants, and pharmacists-click here to access the learning module and earn 1 free hour of educational credit. Others can view the 40 minute educational video on YouTube by clicking here.
- CDC's "You Call the Shots" training site includes the 2 annual VFC required trainings, along with modules for individual vaccine-preventable diseases and a course on general recommendations for immunization. Continuing education credits are available.
- CDC ‘s Immunization: You Call the Shots-Module 18-Vaccine Administration is targeted to a wide variety of professionals in the immunization field. CEU credits are available until March 15, 2019, despite an earlier expiration date listed on the course description page.
- The Immunity Community e-course web page offers 3 courses at this time:
- "There Never Was An Age of Reason" by Dr. Ed Marcuse explores vaccine hesitancy.
- "Vaccine Training for Medical Assistants" is approved for 1 Clinical CEU by the American Association of Medical Assistants.
- "You Are the Key to HPV Cancer Prevention" offers continuing education credits to a variety of healthcare professionals.
Forms and resources for vaccine storage, handling, and administration
Overview of VFC provider responsibilities
- Comply with immunization schedules established by the Advisory Committee on
Immunization Practices (ACIP) and as dictated by Washington State Department
of Health (DOH) Guidelines
- Immunize eligible children with publicly supplied vaccine at no charge for the vaccine
- Screen and document eligibility for the VFC program - Medicaid, uninsured,
American Indian/Alaskan native
- Charge only the approved administrative fee of $23.44 per dose or less for VFC
- Provide the current Vaccine Information Statement (VIS) on each vaccine administered
to parent or guardian
- Not deny administration of vaccine to an established patient because of inability to
pay the administration fee
- Comply with requirements for ordering, accountability and vaccine management
- Have equipment for safe storage and monitoring - refrigeration and thermometers
- Designate and ensure training for a Vaccine Coordinator (PDF) and backup staff person
Vaccine storage incidents and excursions
An excursion occurs when a vaccine is exposed to a temperature out of the acceptable
range for that vaccine. It is the total amount of time or cumulative time out of
range that determines viability of the vaccine. When you notice the excursion, place all of the involved vaccine in a bag, label it
“DO NOT USE” and place it in a unit with the appropriate temperature range.
Immediately report vaccine excursions to Snohomish Health District's Vaccine
Coordinator Kelly Barrows at 425.339.8625 or 425.231.6574 (cell). Follow-up with an email addressed to firstname.lastname@example.org. SHD staff will contact the manufacturer(s) and call back with further instructions.
If any of the vaccine is to be wasted, complete a Vaccine Incident Report and Return Form and return it with all unopened vials of vaccine to the SHD Vaccine Coordinator. To dispose of opened vials, discard per clinic policy.
Viable vaccine can still be used, but is to be marked "compromised". If it is involved in another excursion, the process, as outlined above, is repeated, but the SHD Vaccine Coordinator needs to be informed that this is a second excursion for this vaccine. Do not waste any vaccine unless advised by SHD staff.
Promoting vaccination to parents
The Immune Booster newsletter
A newsletter is mailed electronically to Snohomish County Vaccines for Children
providers and immunization partners in Washington state 2 times each year. The
Immune Booster is an important source of updated information regarding vaccine
storage, handling, administration, and policy. The newsletter is authored by the
Vaccine-Preventable Disease Community Program team to support health care
professionals working to prevent disease by promoting vaccination. The most
recent issue of The Immune Booster is posted below:
The Immune Booster Newsletter SPRING/SUMMER 2018 (PDF)