Aurora Firefighters Shots For Tots A collaboration between the Aurora Fire Department, Colorado Children’s Immunization Coalition, and Tri-County Health Department to provide immunizations for the community

WHY? From 2003-2004 Colorado was ranked 50th in the United States for fully immunized children age 19months – 35 months Currently, Colorado is ranked 44th

Where? City of Aurora Pop. 313,000 150 sq. miles

GOAL Improve the immunization rates of the children in Aurora. Protect children from vaccine-preventable diseases. Form new community partnerships

Requirements Low cost / No cost Ease of use Convenient location and hours of operation

Our Concept Offer free weekend immunization clinics in a central location to provide vaccines to all children in the community Partner with other stakeholders for expertise Utilize firefighter-paramedics for vaccine administration

PARTNERS

Aurora Fire Department Clinic location Firefighter / Paramedics to administer vaccines

Surveyed all schools in Aurora to identify where greatest need existed Clinic Location Surveyed all schools in Aurora to identify where greatest need existed Designated AFD Station 2 as Shots for Tots location No capital costs Easily identified by community Distribution of stations allows for future expansion of program

FireMedics Multiple FF-Paramedics in each fire station Already trained in medication administration Offers opportunity to interact with public outside of emergency situations Helps maintain skills proficiency and meets requirements for pediatric continuing education

Tri-County Health Department Immunization Nurses Vaccines Medical Supplies Medical support Patient records Clinic Data tracking

TCHD – IZ Nurses & Clerks Immunization record screening station TCHD Experienced immunization nurses Council parents, patients, Q&A, other resources available and contact info Ability to expand nurses Clerical staff to copy records, translation, collect donations

TCHD – Vaccines TCHD is a Vaccines For Children (VFC) Program Provider We bring ALL recommended VFC vaccines Pre-package vaccine the morning of the clinic, deploy them to the fire station, and take them back to TCHD for final storage All frozen vaccine is kept on Dry-Ice

TCHD – Medical supplies and support TCHD provides all of the medical supplies, including records, fliers, SHS information, clerical – office supplies These supplies are stored at the fire station and replenished as needed Lead clinic nurse trouble shoots and helps administer vaccines during the clinic

TCHD – Patient Records TCHD tracks and inputs all patient information into their patient tracking system All SFT’s clinic data are uploaded to the State Immunization Registry TCHD mails reminder postcards to patients each month

TCHD – Clinic Data Tracking TCHD collects information regarding: Clinic attendance (patient count) Number of immunizations administered Reminder cards mailed each month Zip code analysis Volunteer information Donations

Colorado Children’s Immunization Coalition Clinic Coordinator Additional Staff Volunteer Recruitment Community Outreach

Rotary Clubs in Aurora Three local Aurora rotary clubs share the non-essential volunteer positions Rotary Club of Aurora – cover Jan. thru June Aurora Gateway Rotary – cover July thru Sept. Aurora Fitzsimon Rotary – cover Oct. thru Dec. Provide lunch for all volunteers Assist with setup and teardown of clinic as well as keeping cabinets stocked Support with additonal funds/time for other needed items/events

Additional Support Colorado Department of Public Health and Environment (CDPHE) Aurora Public Schools (APS) AmeriCorp Local businesses

Benefits of SFT’s Clinics Increased community protection Collaboration between local agencies and community partners Practice for emergency preparedness Great nursing and paramedic student training opportunities

Clinic Process 5 patient stations: Station 1: Patient screening forms Station 2: Copy / Medicaid station Station 3: Nurse review of screening forms and patient records Station 4: Vaccine administration Station 5: Check-out

Clinic Set-up Iz Station Supply Table Checkout Waiting Area Nurse Review of screening forms Screening forms Copy / Medicaid Waiting Area Clinic Set-up

Clinic Fliers

September 2002 – May 2009 Children Immunized = 6,938 Immunizations = 18,483 Record Numbers: 311 pts in 3hrs (11/08) 637 shots in 3hrs (8/07)

Thank you.