APHA APHA Legal, Ethical & Professional Standards in Immunization

Question 1

What document must a patient receive before administration of vaccines covered by the National Childhood Vaccine Injury Act (NCVIA)?

Accepted Answer

A Vaccine Information Statement (VIS)

Answer

A signed physician order

Answer

A CDC Pink Book excerpt

Answer

An insurance pre-authorization form

Question 2

Under the National Vaccine Injury Compensation Program (VICP), claims for vaccine injuries must typically be filed within how long after the first symptom of injury?

Accepted Answer

3 years

Answer

6 months

Answer

1 year

Answer

5 years

Question 3

Standing orders for vaccination allow nurses and pharmacists to administer vaccines without a patient-specific physician order. What is a key requirement for a valid standing order program?

Accepted Answer

Standing orders must be approved by a physician, pharmacist, or other authorized provider and reviewed regularly

Answer

A licensed physician must be physically present during each vaccination

Answer

Standing orders are only valid in hospital inpatient settings

Answer

Each patient must sign a standing order authorization form before every visit

Question 4

The principle of informed consent in immunization practice requires that patients are told which information before vaccination?

Accepted Answer

Benefits, risks, alternatives, and the right to refuse vaccination

Answer

Only the name and manufacturer of the vaccine being given

Answer

Only that the vaccine is required by law or employer policy

Answer

The cost of the vaccine and insurance billing codes

Question 5

Which federal program provides a vaccine injury table that creates a presumption of causation for certain adverse events following specific vaccines?

Accepted Answer

VICP (Vaccine Injury Compensation Program)

Answer

VAERS (Vaccine Adverse Event Reporting System)

Answer

VSD (Vaccine Safety Datalink)

Answer

CDC Immunization Safety Office

Question 6

A parent refuses vaccination for their child citing personal beliefs. What is the recommended approach for the immunization provider?

Accepted Answer

Document the refusal, provide education about risks, and request a signed refusal form

Answer

Immediately report the refusal to child protective services

Answer

Refuse to provide any further medical care to the family

Answer

Administer the vaccine anyway citing public health authority