# data[].attributes.body
Four (1hr) self-paced module overview of medication & vaccine administration.

One (4hr) classroom session to include lecture and vaccine administration practice lab

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First injection observed by the RN Educator or an RN in the department

10 additional IM, SQ and ID Injections observed by licensed member of the department staff

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Does the MA demonstrate safe injection competency prior to administering vaccines independently (Day 0)?

Does the MA demonstrate understanding and adherence to all steps needed for injection compliance 30-60-90 days after initial training?

Are all the essential steps in the vaccine administration process sustained at 6-12 months post program launch?

Do the MAs, Providers and Managers report a high level of satisfaction with the new workflow and confidence that vaccines are administered safely?

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In most outpatient, primary care clinics, Medical Assistants(MA) provide a wide variety of basic, patient care functions which often include, immunization administration.

Some health systems limit this task to LVNs and RNs in the back office.

There is renewed interest in supporting staff to perform to top of their skill set and develop a pilot program to support MA vaccine administration.

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Nursing and Clinical Practice Department Team or Designee (RN Manager, Charge Nurse or Lead LVN) to perform vaccine compliance audits at 30-60-90 day intervals and then quarterly for year 1 of the program. Immediate correction will be given to MA if gaps in competency are identified.

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Present program plan overview to department leaders, support staff, providers and labor representatives.

Obtain feedback and address questions/concerns

Obtain approval to launch and agreement to support

Share program data and feedback from other service areas that have successfully implemented a similar program

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Direct observation of the MA demonstrating injection technique on a mannequin arm in the classroom session with the instructor.

Direct observation of the MA demonstrating the complete vaccine administration process with an RN Educator or designee on a patient in the back office setting.

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Audit of MA vaccine administration competence at 30-60-90 days post instruction by the department RN Manager or designee.

Random audit of MA vaccine administration competence at 6mos-1 year post instruction and then annually by the RN Educator.

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Department Managers to obtain feedback from MAs, other staff and providers in Unit Based Team meetings and convey that to the Nursing and Clinical Practice Teams at 30-60-90 day intervals. Program adjustments to be considered based on feedback.

Feedback to include a survey rating level of confidence and satisfaction with the new pilot program.

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Labor/Management misalignment

Availability of staff to train and perform competency assessment

Staff/Management ability to release MAs and support auditing with other competing priorities

MA resistance to added duties

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Pilot overview and outcome data to be presented in a Manager Forum monthly meeting at 3mos and 6 months post program implementation. Leader feedback will be obtain specific to barriers and facilitators to implementation.

Recorded presentation will be made available to the Medical Group Administrator and other leaders absent from the meeting.

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To equip Medical Assistants to safely administer vaccines in the medical offices

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Centers for Disease Control and Prevention. Framework for program evaluation in public health. MMWR 1999;48(No. RR-11)

Hull, T., Taylor, P., Turo, E., Kramer, J., Crocetti, S., & McGuire, M. (2013). Implementation of a Training and Structured Skills Assessment Program for Medical Assistants in a Primary Care Setting. Journal for Healthcare Quality, ₃₅(4), 50–60. https://doi.org/10.1111/jhq.12022

Johnson, S. J., & Flores, H. J. (2021). Nurse Mentors Guide Medical Assistants Up the Clinical Ladder. Journal for Nurses in Professional Development, ₃₇(4), 231–236. https://doi.org/10.1097/NND.0000000000000758

Kwan, B.M., Hamer, M.K., Bailey, A. et al. Implementation and Qualitative Evaluation of a Primary Care Redesign Model with Expanded Scope of Work for Medical Assistants. J GEN INTERN MED ₃₇, 1129–1137 (2022). https://doi.org/10.1007/s11606-021-07246-x