| Dialysis Unit Vaccination Tracker | W.G.M. Rivero MD · FPCP · DPSN · · renalcarematters.com · 2026 |
|
Infection-Prevention Workflow · Section 6.5
Vaccination Tracker
A per-patient immunization record plus a unit roster log, for the Vaccination coverage metric (≥ 90% eligible, quarterly) in the Dialysis Center QAPI vs. CQI field manual, Section 6.5.
|
💉
W.G.M. Rivero MD
FPCP · DPSN Nephrology
renalcarematters.com
|
4 Vaccines tracked — HBV, influenza, pneumococcal, COVID-19 |
≥ 90% Eligible-patient coverage target (Section 6.5) |
Quarterly Rollup feeds the QAPI Scorecard's infection-domain line |
🗂️ 1 · File Keep one Per-Patient Record (below) in each patient's chart; update it at every dose or titer. |
📋 2 · Roster Transfer status to the Unit Roster (page 2) each quarter to compute coverage. |
📊 3 · Report Enter the quarter's coverage % into the QAPI Scorecard's infection-prevention row. |
Vaccination is part of the infection-prevention & control domain because unimmunized patients and a bloodstream-access-heavy population are exactly where a preventable outbreak does the most damage — hepatitis B virus (HBV) transmission in a shared dialysis unit remains a real risk if a single patient's status is unknown.
| Vaccine | Schedule | Revaccination / recheck |
|---|---|---|
| Hepatitis B (HBV)Unit safety | Double-dose series — either 3 doses (0-1-6 mo, dialysis-formulation vaccine) or 4 doses (0-1-2-6 mo, standard vaccine at double concentration) | Anti-HBs titer 1–2 months after the final dose; responders (≥ 10 mIU/mL) rechecked annually; non-responders offered a repeat series |
| Influenza | 1 dose, annually | Every season; re-offer to anyone declining previously |
| Pneumococcal | PCV (conjugate) once, followed by PPSV23 (polysaccharide) ≥ 8 weeks later | One-time revaccination with PPSV23 5 years after the first dose, per current Advisory Committee on Immunization Practices (ACIP) guidance |
| COVID-19 | Primary series, then updated/booster doses | Per current CDC/DOH seasonal recommendation — check before each campaign, the schedule changes |
Dialysis patients mount a weaker antibody response than the general population, which is why the series is doubled in dose for hepatitis B and why titers — not just "series complete" — are what confirm protection.
| Educational tracking aid. Not a validated accreditation instrument. Confirm every schedule against the current CDC/ACIP and DOH Expanded Program on Immunization guidance in effect at the time of vaccination. | renalcarematters.com Page 1 of 2 · renalcarematters.com/guides/dialysis-qapi-vs-cqi.html |
Dialysis Unit Vaccination Tracker — continued Per-Patient Record · Unit Roster · Quarterly Summary |
Page 2 of 2 · renalcarematters.com |
| Patient name / chart no. | Date of birth | Modality start date |
| Vaccine | Dose dates | Titer / next due |
|---|---|---|
| HBV — dose 1 / 2 / 3 / 4Double-dose | / / / | Anti-HBs: mIU/mL on |
| Influenza (this season) | Next due: start of next season | |
| Pneumococcal — PCV / PPSV23 | / | PPSV23 revax due: |
| COVID-19 — primary / booster(s) | / | Next due per current guidance |
Non-responder plan (anti-HBs < 10 mIU/mL after the completed series): ☐Repeat full series scheduled ☐N/A — responder
| Patient / chart no. | HBV series | Anti-HBs | Influenza | Pneumococcal | COVID-19 |
|---|---|---|---|---|---|
Mark each cell complete / due / declined. A patient counts toward the ≥ 90% eligible target once complete for a vaccine they are not medically exempt from or actively declining after documented counseling.
| Metric | This quarter | Target |
|---|---|---|
| Eligible patients | count | |
| HBV series complete | % | ≥ 90% |
| Anti-HBs responders (≥ 10 mIU/mL) | % | track; offer revax to non-responders |
| Influenza, this season | % | ≥ 90% |
| Pneumococcal up to date | % | ≥ 90% |
| COVID-19 up to date | % | per current campaign |
| Overall vaccination coverage | % | ≥ 90% (Section 6.5) |
| ☐Every eligible patient has a per-patient record on file ☐Roster updated this quarter ☐Non-responders identified and offered revaccination | ☐Coverage % transferred to the QAPI Scorecard ☐New admissions this quarter screened for HBV status ☐Any HBV seroconversion this quarter already in RCA |
Type this quarter's coverage % into the Dialysis Unit QAPI Scorecard (renalcarematters.com/guides/calc-dialysis-qapi-scorecard.html) alongside the rest of the infection-prevention domain, then bring any non-responder cluster or coverage gap to the Monthly CQI Meeting Walkthrough (renalcarematters.com/guides/calc-qapi-meeting-wizard.html).
| Educational tracking aid. File alongside your DOH immunisation log and infection-control documentation. Does not replace individualised clinical assessment. | renalcarematters.com Page 2 of 2 · renalcarematters.com/guides/dialysis-qapi-vs-cqi.html |