1. Annual School/Facility Immunization Survey The Role of the School Nurse Brittany Taylor, MPH Immunization Program

2. Agenda  Who is being surveyed  The role of the School Nurse  How to complete the survey on paper  How to complete the survey online  Who to contact with questions  Timeline and Deadlines  Helpful hints

3. Who is being surveyed? All schools and childcare centers in Kentucky must report for the children in the following grades or groups:  Sixth grade  Kindergarten  Head start  Preschool  Daycare

4. Role of the School Nurse Receive the survey, worksheets and instructions from the local health department Access immunization certificates/information for children in the appropriate grade/group Complete the worksheet using the instructions provided Complete the survey using the completed worksheet and instructions provided

5. Role of the School Nurse cont. Review the survey to reduce errors before sending Return the survey to local health department via mail, fax, or online submission by the deadline Make corrections to the survey if it is necessary and resubmit

7. Immunization Certificate

8. Provisional Certificate

9. Medical Exemption

10. Religious Exemption

11. Reading the Certificate

12. Completing the Worksheet

14. 2009 Annual Immunization Survey

15. Completing the top portion List current and former namesMust list County Must circle Private or Public Please include valid number Indicate ONLY 1. Each grade/group must complete a separate form A B C E D ***** Please only use valid numbers: B + C + D + E = A ***** Current, Provisional, & Expired Certificates

16. Completing the bottom portion Indicate the number of children who have had the age appropriate vaccines listed to the left. Write NA if the vaccine is not applicable. (ie: Td booster is not appropriate for childcare and Kindergarten.) ‘Combination’ does not refer to a single shot, but rather a series of immunizations over the course of time. Do not leave any of the 9 cells blank.

18. Online Survey on KIP website http://chfs.ky.gov/dph/epi/Immunization+Program.htm

20. 2009 Annual Immunization Survey

21. Type 1 response in each text box. All questions on the survey with an asterisk will require a response Must click Private OR Public Indicate date that survey is prepared

22. Indicate ONLY 1 grade/group Each grade/group must complete a separate survey # of Children in grade/group with NO Immunization Certificate on file # # # # #

23. Click here to submit the survey when complete All cells here require an answer.  Indicate the number of children who have had the age appropriate vaccines listed to the left.  Write NA if the vaccine is not applicable. (ie: Td booster is not appropriate for childcare and Kindergarten.)

24. Completing the Survey Completing the Survey is required by KY state regulation 902 KAR 2:055 and CDC. All blank fields require an answer/response A separate survey is required for each childcare, kindergarten, and/or 6 th grade at each school/facility Childcares only assess children ages 19 mo -5yrs. Children in before/after school programs are assessed only in their school (excluding the childcare)

25. Who to Contact For questions regarding the school survey that are not addressed in the instructions, please contact the School Survey contact person at your local health department. Note: some counties have a different people for schools and daycares

26. Helpful Hints Utilize the Worksheets and Instructions that are sent with the survey Check over the final form to ensure that it is filled out correctly before returning to the local health department. Never leave any response areas blank Remember that the purpose of the survey is to assess number of children with age appropriate doses

27. QUESTIONS?

28. Thank you! Brittany Taylor, MPH Brittany.Taylor@ky.gov 502-564-4478 ext. 4038 Re: Kindergarten and Sixth Grade Carrie Tuggle Carrie.Tuggle@ky.gov 502-564-4478 ext. 3690 Re: Childcare Centers (Daycare, Preschool, Headstart)