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STEPS TO IMPLEMENTING A SCHOOL IMMUNIZATION CATCH-UP (SICU)
PROGRAM FOR YOUR SCHOOL DISTRICT
1. All Pennsylvania school districts will be eligible to apply to the Department of Health, Division of Immunizations, for the SICU Program. The approval for the individual school district's application may be contingent upon the availability of immunization funds for the fiscal year.
2. To initiate a SICU Program, the coordinator for each school district must have an authorization from the school superintendent, school principal and any other appropriate parties.
3. The school district program coordinator must complete and return the Vaccines for Children Eligibility Reporting Form and Vaccine Ordering Form to the Division of Immunizations.
4. Hepatitis B, Meningococcal Conjugate (MCV4), Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) and/or Varicella information should be given to the parents and children that will be participating in the program before any immunizations are administered.
5. A letter should be sent to the parent/guardian indicating the catch-up vaccine(s) the student appears to need. Click on the following to access a sample letter.
6. All schools participating must have appropriate vaccine storage and handling capabilities before any vaccine will be shipped. (Click here for the recommendations for vaccine storage and handling)
7. The appropriate Centers for Disease Control and Prevention's Vaccine Information. Statements (VIS) must be given to each student's legal guardian before administering each dose of the vaccine.
8. A child may receive the Hepatitis B, MCV4, Tdap, and/or Varicella vaccine only after a signed consent has been returned to the program coordinator. This signed consent is to be kept in the student's medical record.
9. The Vaccines For Children (VFC) Program requires that five specific screening questions be completed for each child. The questions are found on the Hepatitis B, MCV4, Tdap, and Varicella Permission/Refusal forms.
10. Hepatitis B, MCV4, Tdap and Varicella vaccines must be administered per the Advisory Committee on Immunization Practices' (ACIP) recommendations for scheduling the series. All four vaccines could be given at the same time, but in different injection sites.
11. Upon completion of the SICU Program, the Final Results Form should be submitted to the Division of Immunizations by the date indicated. If you have any further questions or need additional information, please contact your local District Immunization Consultant or Division of School Health Consultant.
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