F334 - Influenza and Pneumococcal Immunizations

Are You in Compliance?

As you are aware, the new tag F334 – Influenza and Pneumococcal Immunizations went into effect 10/15/06. According to CMS, the facility is considered in compliance with this requirement if the following occurs:

  1. Each resident or the resident’s legal representative receives education regarding the benefits and potential side effects of the vaccine(s);
  2. Each resident has been evaluated for eligibility to receive the vaccine(s);
  3. Each resident is offered, unless medically contraindicated or already vaccinated, an influenza vaccine 10/1 – 3/31 annually;
  4. Each resident is offered, unless medically contraindicated or already vaccinated, a pneumococcal vaccine. (Exception, a second pneumococcal vaccine may be given after 5 years following the first pneumococcal vaccine);
  5. The resident has the opportunity to refuse;
  6. The record includes documentation that indicates, at a minimum:
  7. The resident or the resident’s legal representative was provided education regarding the benefits and potential side effects;
  8. The resident received the immunizations, refused the vaccination(s), or did not receive the vaccine(s) because of already being immunized, or as a result of a medical contraindication (including the nature of the resident’s medical contraindications), unavailability, or a precaution that delayed the administration and a later date for administration has been planned.

Review your facility’s infection control policies and procedures to determine if in need of any revisions to assure compliance to the new regulation.

Your facility may be surveyed outside of the influenza season. However, as part of the survey process, current residents who were in your facility during the previous influenza season will be selected for review to determine if your facility is in compliance with F334.