The purpose of this survey is to find out about your knowledge and comfort level with the CDC immunization schedule, vaccine administration, and vaccine-specific recommendations. This survey is conducted as a research project as a condition for fulfillment of the Doctor of Nursing Practice degree at Pittsburg State University, Pittsburg, Kansas. The project coordinators are John Derfelt, MSN, FNP-C and Dr. Cheryl Giefer, Pittsburg State University. The project has been approved by the Institutional Review Board, PSU. Nowhere on this survey are you asked to reveal your identity. You may request the results of this survey by e-mailing derfelts@yahoo.com by the end of September 2019.

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* 1. Do you ever reference the CDC recommended immunization schedule?

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* 2. Are you familiar with the CDC's ACIP ongoing review of immunization practices?

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* 3. To your knowledge, does your clinic follow a standardized approach to encountering children for immunization scheduling and administration?

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* 4. Do you know how to access and utilize the CDC vaccine catch up guide?

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* 5. Is there an objective benefit to prescreening of the patient's vaccination record prior to the scheduled visit of the patient?

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* 6. Do you have access to a personal reference tool to aid you in accuracy of determination of immunization needs for children?

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* 7. Do you give a vaccine information statement (VIS) to every patient who receive a vaccination?

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* 8. Are you comfortable with your current knowledge regarding pediatric immunization records and vaccination administration?

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* 9. Have you ever received formal training regarding vaccination knowledge and administration?

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* 10. Have you ever made a vaccination error (to include missed opportunities for vaccination, wrong dose, early administration, etc...)?

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* 11. If  a patient's immunization history is incomplete or unknown, does the CDC advise administration of recommended vaccinations?

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* 12. Do you know the minimum number of days before the recommended age that a dose may be given without requiring re-administration?

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* 13. Do you understand the benefit of everyone in your office using the same sites for each vaccination, utilizing a standardized anatomical map?

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* 14. Did you know that it is not a federal law for a parent to sign a refusal form if they choose not to immunize their child, but a provider can require one for formal documentation and protection?

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* 15. Do you know which vaccines are "live attenuated" and how often (minimum interval) between administration of them?

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* 16. Did you know that adolescents should be given the Tdap (not the Dtap) at age 11-12?

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* 17. Do you know the rationale for the minimum interval between administration of live vaccines?

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* 18. Are you now aware that administration of combined MMR and Varicella (MMRV) is not recommended in patients with a personal or immediate family history of seizures, instead MMR and varicella should be administered separately?

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* 19. Are you aware that the combined vaccination, Kinrix (DTaP and IPV) should not be given before age 4 years?

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* 20. Do you know where to find a listing of the contraindications and precautions for each recommended vaccine?

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