Date of Award

Summer 5-25-2019

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Joseph Burkard, DNSc, CRNA

Second Advisor

Kimberly Woodruff, MD, MPH


Objectives: The primary purpose of this evidence-based practice project is to increase influenza vaccination documentation in the student health setting utilizing a standardized clinical reminder.

Participants: 1,337 undergraduate and graduate students at a private university is Southern California.

Methods: A clinical reminder template was created and added to the intake form in the electronic medical record. The medical assistants complete the template with the patient. The provider then orders the vaccine or educates the patient based on the documented refusal reason.

Results: During the 10-week implementation period there was a 46% increase from baseline in flu vaccine documentation at the student heath center.

Conclusions: Implementing a clinical reminder template for the flu vaccine in a student health clinic standardizes documentation and improves compliance. The documented refusal reason also provides an educational opportunity during the visit, and ultimately the potential to increase flu vaccination rates among college students.