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Updated: Jun 21, 2026
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Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Implementing an electronically based, nurse-driven pneumococcal vaccination protocol for inpatients
Joseph J Kishel1, Melissa Maguire, Lorraine Pankratz
1Division of Infectious Diseases, Pharmacy, Penn State Hershey Medical Center, 500 University Drive, H079, Hershey, PA 17033, USA. jkishel@psu.edu
Summary
A new electronic, nurse-led pneumococcal vaccination protocol was developed for hospitalized patients. This system streamlines vaccine administration and improves patient care through systematic screening and electronic documentation.
Area of Science:
- Healthcare Informatics
- Vaccinology
- Nursing Practice
Background:
- Hospitalized patients are at increased risk for pneumococcal disease.
- Vaccination rates for pneumococcal disease among hospitalized patients can be suboptimal.
- A systematic approach is needed to improve vaccination coverage in healthcare settings.
Purpose of the Study:
- To describe the development and implementation of an electronically based, nurse-driven pneumococcal vaccination protocol.
- To enhance pneumococcal vaccination rates in hospitalized patients.
- To standardize the vaccination process through electronic health records.
Main Methods:
- A multidisciplinary team developed an electronic protocol for nurse-driven pneumococcal vaccination.
- Patient screening was conducted by nursing staff upon admission using computer-generated forms.
- Electronic orders were automatically generated for eligible patients, with vaccinations administered within 24 hours.
- Exclusion criteria were established to ensure patient safety and appropriateness of vaccination.
Main Results:
- The electronic protocol enabled systematic identification and vaccination of eligible patients.
- Standardized vaccine order instructions and centralized electronic documentation were achieved.
- Automatic documentation on discharge instructions and data collection for analysis were integrated.
- Extensive training was provided to nursing staff involved in the protocol.
Conclusions:
- An electronically based, nurse-driven pneumococcal vaccination protocol was successfully developed and implemented in a teaching hospital.
- The protocol demonstrated a systematic approach to increasing pneumococcal vaccination rates among hospitalized patients.
- Multidisciplinary collaboration is crucial for refining and maintaining such vaccination programs.
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