Supplies Checklist for a School-Located Influenza Immunization Clinic

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Supplies Checklist for a School-Located Influenza Immunization Clinic
Vaccine(s)
Live, attenuated influenza vaccine
Inactivated influenza vaccine
Supplies
Inactivated Vaccine Clinics
1 sharps disposal container per vaccination station
3 cc syringes
22-25 g needles - 5/8 “ 1” 1 1/2” 2”
Alcohol wipes
Spot bandaids
Strip bandaids
Live, Attenuated Vaccine Clinics
1 small cool box with cool packs and thermometer for each vaccination station.
1 box of tissues per vaccination station
Medical Supplies – All Clinics
Latex gloves
Cotton balls
Thermometers and probe covers
Large vaccine cooler with cool packs for each vaccination team
1 vaccine thermometer for each cooler
Cloth towel
Paper towels
1 bottle of hand sanitizer for each vaccination station
Bleach solution in a spray bottle
Wastebasket
Medical waste container
Office Supplies
Calendar
Pens, black and red
Scissors
Pads of paper
Stapler/staples
Rubber bands
Tape
Paper clips
Equipment at School
Chairs for staff
Tables
Chairs for students who may feel faint
Forms
VISs inactivated influenza vaccine
VISs live, attenuated influenza vaccine
Consent forms
VAERS forms
Standing orders for vaccination
Forms to notify parents of non-vaccination
Emergency Kit
Standing orders for medical emergencies
Aqueous epinephrine USP (1:1000) in ampoules, vials or prefilled syringes
Diphenhydramine (Benadryl) injectable (50 mg/mL solution) and oral in 25 or 50 mg
tablets
1-2 cc syringes with 1”, 1 ½” and 2” needles for epinephrine or diphenhydramine
Pediatric and adult airways (small, medium and large)
Blood pressure cuff (child and adult cuffs)
Stethoscope
Pediatric and adult size pocket masks with one-way valve
Cell phone
Flashlight & extra batteries
Wrist watch
Tourniquet
Alcohol swabs
Tongue depressors
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