Mass influenza vaccination clinics
Safety and Security
These recommendations were developed to assist local health
departments and other mass immunizers anticipate and respond to safety
and security issues that may occur at large-scale influenza vaccination
clinics. These recommendations are based on the Division of Public
Health Mass Clinic Planning Template and the collective experience of
persons at the state and local levels who have planned and conducted
large-scale vaccination clinics.
- Obtain broadcast and print media assistance
- For whom the clinic is intended and not intended
- What patients should bring for identification and, if
determined to be necessary locally, risk verification (e.g.,
medication bottle, medic alert bracelet, or physicianís note).
- That persons without risk factors will not be vaccinated
- How to access vaccination sites via pubic/private
- Regarding available services, e.g., transportation, for
special needs population
- Regarding hours of clinic operation
- Give appointments or appointment blocks to avoid long waiting
- Give appointments to persons waiting in line, permitting those who
so choose to leave and return at the appointed time.
- Provide sequential numbers on a first-come, first served basis up
to the number of doses available and secure the clinic.
Plan for security
- Identify clinic staff to calm patients who are disruptive.
- Contact local law enforcement agency and identify who can be
contacted if necessary for crowd/disruptive patient control. The
level of law enforcement presence will be determined by the local
law enforcement agency.
- Security personnel can be used to maintain crowd control outside
and security within the clinic, assist with clinic and traffic
control and other security matters.
Plan for response to a medical emergency
- Have clear, written procedures established to deal with
emergencies caused by both vaccine adverse reactions and other
reactions that could be triggered by stress (e.g., syncope, heart
attacks, anaphylactic shock or asthma).
- Identify clinic staff to manage patients who experience a medical
emergency or have symptoms of respiratory infection.
- Identify medical personnel (e.g., first responders) who can be
contacted if a patient attending the clinic develops a medical
- Parking should be available adjacent to clinic location, well lit
- Be sure all areas are accessible to those with special needs.
- Use signage and/or staff to guide people through the clinic.
- Hang signage high enough for maximum visibility. Donít hang
signs from tables.
- Signage mounting instructions: Doorway: 60" from floor to
center of sign on latch side of door. Overhead: 80" minimum
from floor to bottom of sign. Post: 60" from floor to bottom of
- Provide an express lane for frail and disabled patients.
- Provide seating, good ventilation, access to toilet facilities,
tissues, alcohol hand washing gel, waste paper baskets.
- Screen individuals for risk factors individually.
- If determined to be necessary locally, verify proof of risk.
- Divert individuals who do not have risk factors.
- Apologize that there is not enough vaccine to immunize them this
year and note that the Emergency Order prohibits immunizing outside
the priority groups.
- Provide handout on other ways to avoid
- Provide handout on signs and symptoms of influenza and when to
- Encourage / offer pneumococcal vaccine if eligible and vaccine is
Respond to unruly patients
- Attempt to calm patients who are very upset or disruptive
(designated staff person).
- Contact security personnel if behavior escalates.
Respond to patient with medical emergencies
- Assess patientís medical problem (designated staff person).
- Contact first responder if medical emergency present.
Respond to patients with respiratory symptoms
- Offer tissues and alcohol hand washing gel.
- Offer surgical mask to contain large droplets.
- If symptoms cannot be controlled (e.g., continuous coughing)
escort patient from clinic and advise to delay immunization until
Influenza Surveillance Coordinator
Wisconsin Division of Public Health
Bureau of Communicable Diseases and Emergency Response
Phone 608-266-5326 | Fax 608-261-4976
Local Health Departments - Regional offices - Tribal agencies
March 04, 2014