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.
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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
1How to Use This Tracker
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1 · File
Keep one Per-Patient Record (below) in each patient's chart; update it at every dose or titer.
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2 · Roster
Transfer status to the Unit Roster (page 2) each quarter to compute coverage.
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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.

2Quick-Reference Schedule
VaccineScheduleRevaccination / recheck
Hepatitis B (HBV)Unit safetyDouble-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
Influenza1 dose, annuallyEvery season; re-offer to anyone declining previously
PneumococcalPCV (conjugate) once, followed by PPSV23 (polysaccharide) ≥ 8 weeks laterOne-time revaccination with PPSV23 5 years after the first dose, per current Advisory Committee on Immunization Practices (ACIP) guidance
COVID-19Primary series, then updated/booster dosesPer 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
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Dialysis Unit Vaccination Tracker — continued
Per-Patient Record · Unit Roster · Quarterly Summary
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3Per-Patient Record (one copy per patient, filed in the chart)
Patient name / chart no. Date of birth Modality start date
VaccineDose datesTiter / 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

4Unit Roster (one row per patient, updated quarterly)
Patient / chart no.HBV seriesAnti-HBsInfluenzaPneumococcalCOVID-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.

5Quarterly Coverage Summary
MetricThis quarterTarget
Eligible patientscount
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)
Ready for the Meeting
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

Next step — run the meeting

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
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