D Slobodkin1, J L Kitlas, P G Zielske. 1. Cook County Hospital, Rush University Department of Emergency Medicine, University of Illinois School of Public Health, Chicago 60612, USA. davids@uic.edu
Abstract
OBJECTIVE: To test the feasibility of pneumococcal immunization in an ED. METHODS: Cook County Hospital has an annual ED census of 120,000. Patients are 75% black and 15% Hispanic. Eighty-two percent of patients are uninsured. Seventy-three percent report no primary physician. Between May 27, 1997, and July 26, 1997, nurses had standing orders that patients meeting CDC-recommended criteria were to be offered pneumococcal immunization. Immunization was recorded in the system-wide registration computer. RESULTS: During the study period, 1,833 patient screenings encounters (13% of all patients) identified 1,493 high-risk patients. Only 10% of screened high-risk patients reported previous pneumococcal immunization. 1,173 were immunized against pneumococcus. Median number of immunizations per nurse per shift was 1.62. Patient through-put was not altered. CONCLUSION: Pneumococcal immunization is both necessary and feasible in a busy ED serving patients with little access to other immunization services.
OBJECTIVE: To test the feasibility of pneumococcal immunization in an ED. METHODS: Cook County Hospital has an annual ED census of 120,000. Patients are 75% black and 15% Hispanic. Eighty-two percent of patients are uninsured. Seventy-three percent report no primary physician. Between May 27, 1997, and July 26, 1997, nurses had standing orders that patients meeting CDC-recommended criteria were to be offered pneumococcal immunization. Immunization was recorded in the system-wide registration computer. RESULTS: During the study period, 1,833 patient screenings encounters (13% of all patients) identified 1,493 high-risk patients. Only 10% of screened high-risk patients reported previous pneumococcal immunization. 1,173 were immunized against pneumococcus. Median number of immunizations per nurse per shift was 1.62. Patient through-put was not altered. CONCLUSION:Pneumococcal immunization is both necessary and feasible in a busy ED serving patients with little access to other immunization services.
Authors: Michael S Lyons; Christopher J Lindsell; Holly K Ledyard; Peter T Frame; Alexander T Trott Journal: Public Health Rep Date: 2005 May-Jun Impact factor: 2.792
Authors: Nicholas A Daniels; Susan Gouveia; Daniel Null; Ginny L Gildengorin; Carla A Winston Journal: J Natl Med Assoc Date: 2006-07 Impact factor: 1.798
Authors: Christopher R Carpenter; Kennon Heard; Scott Wilber; Adit A Ginde; Kirk Stiffler; Lowell W Gerson; Neal S Wenger; Douglas K Miller Journal: Acad Emerg Med Date: 2011-06 Impact factor: 3.451
Authors: Judith W Dexheimer; Thomas R Talbot; Fei Ye; Yu Shyr; Ian Jones; William M Gregg; Dominik Aronsky Journal: Vaccine Date: 2011-07-23 Impact factor: 3.641
Authors: David R Scott; Holly A Batal; Sharon Majeres; Jill C Adams; Rita Dale; Philip S Mehler Journal: BMC Health Serv Res Date: 2009-12-04 Impact factor: 2.655