Skip to main content

Table 1 CARD™ Framework for Immunization Delivery – Key Phases and Activities

From: Feasibility of implementation of CARD™ for school-based immunizations in Calgary, Alberta: a cluster trial

Phase

Key Activities

Preparation of staff in the school immunization program

Educate staff about CARD™

Tailor CARD™ processes to local context

School immunization preparation/planning

Secure adequate clinic space for immunization clinic

Educate students about CARD™

Students choose CARD™ strategies they want to use during immunization

Send reminders (students, parents, school staff)

Immunization day

Minimize visual cues that elicit fear (e.g., create separate waiting spaces, obscure equipment and other students getting immunized from view)

Introduce immunizers and review CARD™ preferences

Identify and triage students with fear and special requests (e.g., privacy)

Use CARD™ during immunization including inquiring about student fear and honoring student coping requests

  1. See also related training video [11]