Control of Influenza and Pneumococcal Disease in Long-Term Care - mass 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the facility name at the top of the form. This identifies where the vaccination records will be maintained.
  3. Fill in the date on which you are completing the form. This is crucial for tracking vaccination timelines.
  4. In the line list section, document each patient or staff member's name, age, and symptoms experienced. Use checkboxes to indicate if they have had a flu diagnosis test and its results.
  5. Ensure that all relevant vaccination information is recorded, including whether patients received their pneumococcal vaccine and any antiviral treatments administered.
  6. Review all entries for accuracy before saving or sharing the completed form. Utilize our platform’s features to easily export or share your document as needed.

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All long-term care facility residents who have confirmed or suspected influenza should receive antiviral treatment immediately. Initiation of antiviral treatment should not wait for laboratory confirmation of influenza. Antiviral treatment works best when started within the first 2 days of symptoms.
The single best way to reduce the risk of seasonal flu and its potentially serious complications is to get vaccinated each year, but preventive actions like avoiding people who are sick, covering your cough and washing your hands also can help stop the spread of germs and prevent respiratory illnesses like flu.
However, annual vaccination of residents and staff remains the most effective way to prevent the introduction of influenza A or influenza B into LTCFs.
The major nursing care planning goals for influenza are: Patient will achieve and maintain a patent airway. Patient will achieve and maintain normal respiratory pattern and rate, with no adventitious breath sounds to auscultation. Patient will achieve and maintain a normal temperature.

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