What is the significance of the immunization forecast “minimum date” and the “recommended date”?
The “Immunization Forecast” can be viewed in the patient’s profile under “Clinic in a Box”. When the dose # indicates “Dose 3” this may either be a booster dose OR dose 3 of a primary series for an individual who is clinically extremely vulnerable (CEV)/ moderately to severely immunocompromised. ImmsBC will not allow a patient to receive a vaccination before the forecast Minimum Date. If a client has been referred to receive an early dose 2 vaccination or dose 3 vaccination, they can book an appointment on or after the minimum date. The forecast Recommended Date refers to the optimal period where the most beneficial immune response may be achieved. The interval between dose 2 and dose 3 primary series for CEV is typically 28 days; for others the standard interval between primary series and booster dose is approx. 6 months.
Does ImmsBC identify whether a client is Clinically Extremely Vulnerable (CEV) and should be receiving a third dose primary series?
- In-Clinic Experience (ICE) in ImmsBC has a check box in patient details if the individual is CEV, however the CEV flag on a patient’s profile includes all CEV clients and not just the moderately to severely immunosuppressed.
- To help identify the moderately to severely immunosuppressed CEV clients who are eligible for a 3-dose primary series, the following “Active COVID-19 Risk Factor” should be visible in ICE: Special Population – COVID-19 3 Dose Primary Series (*).
- The Alert in Clients Details within ICE will also help identify individuals for dose 3 primary series.
- Use the pharmacist’s professional judgement when reviewing all information.
At the time of a booked appointment, when reviewing the client’s profile, there is nothing to indicate the client is currently eligible for a dose 3 primary series. Should I give the vaccination?
Client may not want to disclose they are clinically extremely vulnerable or immunocompromised, so that status is not marked in ImmsBC. If the client has nevertheless received an invitation for a dose 3 primary series and booked an appointment, assume they are eligible and proceed with the vaccination.
How do I edit vaccine administration data (e.g., lot#, injection site, reason for immunization) or add a comment on a complete record?
- To update a client’s immunization record when the immunization has been completed go to the In-Clinic Experience (ICE) app, click Client List tab.
- Click Today’s Appointments, click View next to the appropriate client.
- Click Vaccine Administration then Edit (pencil).
- After the updates are made, click Confirm & Save Administration.
- If the immunization was completed before today, open Clinic-in-a-Box app, search for the client by entering their name, PHN or Registration # in the Search bar. On the Person Account page, click on the Related tab. Under Immunization Records, click go to ICE, and follow steps above.
How long do clients remain in After Care in ImmsBC?
The system saves and uploads information on the hour, i.e. if client went into after care at 9:45am they’d be in after care for 15 minutes.
Client has arrived at my pharmacy, either with paper documentation or verbally asserting that their immunization history is wrong on their vaccine passport. Can I update the information on ImmsBC?
Pharmacists should NOT enter any historical doses into ImmsBC that were not administered at his/her pharmacy. Clients can submit or update a COVID-19 immunization record online on the Government website.
When checking-in a client, the “EMPI Unverified” indicator appears. Can I proceed with the vaccination?
If the “EMPI Unverified” indicator appears, it means you must run a PHN verification before proceeding further. Review all client details and edit any information that may not be correct e.g. Legal First, Middle, Last Name, Birthdate, Sex and PHN. Click Save & Verify PHN. If the information still does not match and EMPI remains unverified, do not proceed with the vaccination. The client is to call ServiceBC (1-800-663-7867) to correct their record and reschedule the appointment.