Table 2 Examples of Start/End Cues for Immunization Tasks

Task 1:

Client Registration

The client hands the health card to the registration staff member for swiping

The staff member stops confirming the demographic information that is entered into the system

The staff member begins asking the clients for demographic information

The staff members puts his/her pen down following collecting data

Task 2:

Medical History Collection

The staff member begins asking the client about risk status

The staff member direct the client to the vaccination area

The staff member begins asking the client about risk status

The staff member direct the client to the vaccination area

Task 3:

Medical History Review

The client sits with the nurse at the vaccination area

The nurse appears to have stopped asking questions/is no longer typing

The client sits with the nurse at the vaccination area

The nurse appears to have stopped asking questions/is no longer typing

Task 4:

Vaccine Administration Record-Keeping

Nurse checks off computerized form for record keeping

Nurse switches to next form

Nurse picks up pen to record details of the vaccination

Nurse puts his/her pen down

Task 5:

Preparation of Proof of Vaccine Administration for Client

Nurse types in proof of vaccine administration (name, date, vaccine name)

Nurse tells client the visit is complete

Nurse picks up pen to complete the proof form

Nurse hands the form to the client