Standing Orders Templates Archives

Additional Travel Vaccine Standing Orders (Military Health System)

Access sample standing orders protocols for Japanese encephalitis, rabies, typhoid, yellow fever, and other vaccines from the Military Health System.

Partner Resource

Language: English

COVID-19 Moderna Updated (2023–2024 Formula) Vaccine – 5 Years of Age and Older (Age 5 Through 11 Yrs – Dark Blue Cap/Green Label; Age 12+ Yrs – Dark Blue Cap/Blue Label and Manufacturer-filled Syringe)

CDC’s form: “Updated (2023–2024 Formula) Moderna COVID-19 Vaccine: Standing Orders for Administering Vaccine – 5 Years of Age and Older”

Partner Resource

CDC CS321571-H

Updated on: 3/15/24

Language: English

COVID-19 Moderna Updated (2023–2024 Formula) Vaccine – 6 Months Through 4 Years of Age (Dark Blue Cap/Green Label)

CDC’s form: “Updated (2023–2024 Formula) Moderna COVID-19 Vaccine: Standing Orders for Administering Vaccine – 6 Months Through 4 Years of Age”

Partner Resource

CDC CS321571-N

Updated on: 9/29/23

Language: English

COVID-19 Novavax Updated (2023-24 Formula) 12 Years of Age and Older (Multidose Vial with Blue Cap/Blue Label)

CDC’s form: “Updated (2023-24 Formula) Novavax COVID-19 Vaccine Standing Orders for Administering Vaccine to Persons 12 Years of Age and Older”

Partner Resource

CDC CS328127-E

Updated on: 3/15/24

Language: English

COVID-19 Pfizer-BioNTech Updated (2023–2024 Formula) Vaccine – 6 Months Through 4 Years of Age (Yellow Cap/Yellow Label)

CDC’s form: “Updated (2023–2024 Formula) Pfizer-BioNTech COVID-19 Vaccine: Standing Orders for Administering Vaccine – 6 Months Through 4 Years of Age”

Partner Resource

CDC CS321570-AO

Updated on: 9/29/23

Language: English

COVID-19 Pfizer-BioNTech Updated (2023–2024 Formula) Vaccine — 5 Years of Age and Older (Blue Cap/Blue Label, Gray Cap/Gray Label, Manufacturer-filled Syringe)

CDC’s form: “Updated (2023–2024 Formula) Pfizer-BioNTech COVID-19 Vaccine: Standing Orders for Administering Vaccine – 5 Years of Age and Older”

Partner Resource

CDC CS321570-AB

Updated on: 3/15/24

Language: English

Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools

Checklist of links to key COVID-19 vaccination resources, including the date they were last revised. Updated at least monthly.

#P3130

Updated on: 4/1/24

Language: English

Guidance for Developing Admission Orders in Labor & Delivery and Newborn Units to Prevent Hepatitis B Virus Transmission

For HBsAg screening in labor and delivery units and hepatitis B immunization in newborn nurseries

#P2130

Updated on: 7/14/23

Language: English

Medical Management of Vaccine Reactions in Adults in a Community Setting

Table describes procedures to follow if various reactions occur in adult patients, includes supply list

#P3082

Updated on: 4/19/23

Language: English

Medical Management of Vaccine Reactions in Children and Teens in a Community Setting

Table describes procedures to follow if various reactions occur in children and teens, includes supply list

#P3082a

Updated on: 4/19/23

Language: English

Monkeypox Vaccine Standing Orders for Administering Vaccine Intradermally (Alternative Regimen) [CDC]

CDC’s form: “JYNNEOS Smallpox and Monkeypox Vaccine Alternative Regimen Standing Orders for Administering Vaccine Intradermally”

Partner Resource

CDC 333240-S

Updated on: 9/27/22

Language: English

Monkeypox Vaccine Standing Orders for Administering Vaccine Subcutaneously (Standard Regimen) [CDC]

CDC’s form: “JYNNEOS Smallpox and Monkeypox Vaccine Standard Regimen Standing Orders for Administering Vaccine Subcutaneously”

Partner Resource

CDC CS333240-R

Updated on: 9/27/22

Language: English

Sample Text for Developing Admission Orders in Newborn Units for the Hepatitis B Vaccine Birth Dose

This document gives sample text for admission orders for hepatitis B vaccine birth dose in a newborn nursery

#P2131

Updated on: 7/14/23

Language: English

Standing Orders for Administering DTaP Vaccine to Children Younger Than 7 Years

Eligible healthcare professionals may vaccinate children under 7 who meet any of the criteria on this form

#P3073

Updated on: 2/1/23

Language: English

Standing Orders for Administering Haemophilus influenzae Type B Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3083

Updated on: 7/10/23

Language: English

Standing Orders for Administering Haemophilus influenzae Type B Vaccine to Children & Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3083a

Updated on: 3/15/23

Language: English

Standing Orders for Administering Hepatitis A Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3077

Updated on: 11/1/22

Language: English

Standing Orders for Administering Hepatitis A Vaccine to Children and Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3077a

Updated on: 4/20/23

Language: English

Standing Orders for Administering Hepatitis B Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3076

Updated on: 10/23/23

Language: English

Standing Orders for Administering Hepatitis B Vaccine to Children and Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3076a

Updated on: 11/1/22

Language: English

Standing Orders for Administering Human Papillomavirus Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3091

Updated on: 7/10/23

Language: English

Standing Orders for Administering Human Papillomavirus Vaccine to Children and Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3090

Updated on: 7/1/22

Language: English

Standing Orders for Administering Inactivated Poliovirus Vaccine to infants and Children

Eligible healthcare professionals may vaccinate infants who meet any of the criteria on this form

#P3071

Updated on: 5/26/23

Language: English

Standing Orders for Administering Influenza Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3074

Updated on: 9/14/23

Language: English

Standing Orders for Administering Influenza Vaccine to Children and Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3074a

Updated on: 9/14/23

Language: English

Standing Orders for Administering Measles, Mumps, and Rubella Vaccine to Children and Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3079a

Updated on: 3/23/23

Language: English

Standing Orders for Administering Meningococcal ACWY Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3081

Updated on: 1/1/23

Language: English

Standing Orders for Administering Meningococcal ACWY Vaccine to Children and Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3081a

Updated on: 2/12/24

Language: English

Standing Orders for Administering Meningococcal B Vaccine to Adolescents and Adults

Eligible healthcare professionals may vaccinate adolescents and adults who meet any of the criteria on this form

#P3095

Updated on: 7/10/23

Language: English

Standing Orders for Administering Nirsevimab RSV Preventive Antibody to Infants

Eligible healthcare professionals may vaccinate infants who meet any of the criteria on this form

#P3097

Updated on: 1/11/24

Language: English

Standing Orders for Administering Pfizer Respiratory Syncytial Virus (RSV) Vaccine (Abrysvo) During Pregnancy

Eligible healthcare professionals may vaccinate pregnant persons who meet any of the criteria on this form

#P3096

Updated on: 11/6/23

Language: English

Standing Orders for Administering Pneumococcal Vaccines (PCV15, PCV20, and PPSV23) to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3075

Updated on: 4/28/23

Language: English

Standing Orders for Administering Pneumococcal Vaccines to Children and Teens

Eligible healthcare professionals may vaccinate children or adolescents who meet any of the criteria on this form

#P3086

Updated on: 2/16/24

Language: English

Standing Orders for Administering Recombinant Zoster Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3092

Updated on: 3/1/22

Language: English

Standing Orders for Administering Rotavirus Vaccine to Infants

Eligible healthcare professionals may vaccinate infants who meet any of the criteria on this form

#P3087

Updated on: 3/13/23

Language: English

Standing Orders for Administering Td/Tdap Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3078

Updated on: 1/1/23

Language: English

Standing Orders for Administering Tdap During Pregnancy

Eligible healthcare professionals may vaccinate pregnant persons who meet any of the criteria on this form

#P3078b

Updated on: 1/1/23

Language: English

Standing Orders for Administering Tdap/Td Vaccine to Children and Teens Age 7 Years and Older

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3078a

Updated on: 2/1/23

Language: English

Standing Orders for Administering Varicella Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3080

Updated on: 4/3/23

Language: English

Standing Orders for Administering Varicella Vaccine to Children and Teens

Eligible healthcare professionals may vaccinate children and teens who meet any of the criteria on this form

#P3080a

Updated on: 4/3/23

Language: English

Standing orders for Administering Measles, Mumps, and Rubella Vaccine to Adults

Eligible healthcare professionals may vaccinate adults who meet any of the criteria on this form

#P3079

Updated on: 3/23/23

Language: English

Steps To Implementing Standing Orders for Immunization in Your Practice Setting

Covers the basic principles to implement standing orders procedures for immunization

#P3067

Updated on: 6/12/23

Language: English

Using Standing Orders for Administering Vaccines: What You Should Know

This handout explains what are standing orders

#P3066

Updated on: 5/29/23

Language: English

Vaccine Topics

General Topics

Patient Safety Honor Rolls

Clinical Resources: Standing Orders Templates

Our Affiliated Sites