The Community Preventive Services Task Force finds insufficient evidence to determine the effectiveness of standing orders, when implemented alone, in increasing influenza, pneumococcal polysaccharide, or hepatitis B vaccination coverage among high-risk adults because no studies qualified for review.
Standing orders programs authorize nurses, pharmacists, and other healthcare personnel where allowed by state law, to assess a client's immunization status and administer vaccinations according to a protocol approved by an institution, physician, or other authorized practitioner. The protocol enables assessment and vaccination without the need for examination or direct order from the attending clinician at the time of the interaction.
Standing orders can be established for the administration of one or more specific vaccines to clients in health care settings such as clinics, hospitals, pharmacies, and long-term care facilities. In settings that require attending clinician signatures for all orders, standing order protocols permit assessment and vaccination in advance of the signature.
Read the Task Force Finding [PDF - 389 kB].