Vaccination process The vaccination process starts when the person to be vaccinated (“vaccinee”) arrives. If the vaccine

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Vaccination process The vaccination process starts when the
person to be vaccinated (“vaccinee”) arrives. If the vaccinee is a
member of staff, this will happen at the vaccine clinic location
(within the hospital), and for all others, this happens at the
hospital front door. For non-staff, they will be greeted by the
hospital concierge and given directions to the COVID Vaccine Clinic
which is near the front door. Once the Vaccinee arrives at the
Vaccine Clinic, they will be greeted by the Clinic Concierge, who
assesses their vaccine booking status and priority phase. If the
patient is a hospital staff member, or a member of the Queensland
Ambulance Service (QAS) or Queensland Police Service (QPS) on duty,
they are prioritised through the queue for registration. This
ensures that people in these services spend the minimum time in the
queue. The Concierge provides Vaccinees with the government
mandated consent process for them to complete, and awaits their
response. Once handed in, the Concierge checks the paperwork and
the Vaccinees’ answers. Vaccinees’ responses on the form may raise
questions (for example, the person may have a chronic disease and
the Concierge does not know what effect the vaccine will have on
this), and if the Concierge cannot answer the questions or if the
Vaccinee is asking a question above the authority of the Concierge
to answer (for example, Vaccinee is requesting a vaccine for which
they are not eligible), then the Concierge seeks advice from the
senior Clinic Clinician. If the decision is that the Vaccinee is to
proceed with vaccination, then they move to the next phase. If the
Vaccinee is not to proceed with vaccination, then the Concierge
informs the Vaccinee that he/she can now leave the clinic and
monitor government announcements on eligibility for other vaccines.
The Concierge also destroys the paper forms the Vaccinee had
completed, and the process ends. Sometimes the Vaccinee did not
complete all questions, and the Concierge will ask them to provide
that information before proceeding, and in a very small number of
cases, the Vaccinee does not complete the form before the clinic
closes at 6pm, in which case the Concierge asks them to complete
the form at home and return the next day. If there are no further
questions, the Concierge will call the Vaccinees in to be
registered by the administrative staff, utilising the standard
processes as set out in the government software. The Administration
Staff double-check certain items of information with the Vaccinee
as they proceed through the process. If there are concerns
regarding aspects of the registration process, then the
Administration Staff seek the advice of the Senior Clinic
Clinician. This may again result in the Vaccinees not being able to
proceed with vaccination, at which point the same process is
followed for the Vaccinee to leave the Vaccine Clinic, except that
it is done by the Administration Staff. Once registration is
complete, the Administration Staff checks that the Vaccinee has
his/her vaccine receipt card, and if not provides them with one.
The Vaccinee then joins the queue for vaccination and is given a
Number Card. If the Vaccinee is a member of on-duty hospital
staff/QPS/QAS, s/he is prioritised in Page 3 of 5 this queue, by
being directed to seating separate from other Vaccinees and given a
purple-coloured Number Card. When identifying their next patient,
Vaccination nurses first check the on-duty priority area, calling
hospital staff/QPS/QAS on duty in to be vaccinated in order of
their Number Card. Vaccination nurses then call non-hospital
staff/QPS/QAS in, in order of their Number Cards. Vaccinees are
invited to sit at a small table where the nurse has the necessary
equipment and information. The nurse will then check the form to
confirm which vaccine is to be administered, and to check for any
complications. If there are concerns regarding aspects of the
vaccination, then the Vaccination Nurse seeks the advice of the
Senior Clinic Clinician. This may again result in the Vaccinee not
being able to proceed with vaccination, with the process ending as
before (except that it is done by the Vaccination Nurse). In all
other cases, the Vaccination Nurse administers the vaccine to the
Vaccinee in accordance with the processes mandated by the vaccine
manufacturer. Key steps include taking the vaccine supply from the
vaccine storage, extracting the recommended dose into a vaccine
syringe, before covering the syringe and returning to the Vaccinee
to administer the correct vaccine. The vaccine storage is centrally
located to the vaccine administration area and easily accessible to
the Vaccination Nurses. Once the vaccine is administered, the
Vaccination Nurse signs the patient’s vaccine receipt card, then
asks the patient if they would like to take a lollipop, and then
escorts the Vaccinee to the Observation Area (also closeby). Though
very rare, at any point after registration and before the vaccine
is administered, the Vaccinee may realise that they had received
the flu vaccine within the past 14 days (despite ticking the box
earlier to say that they hadn’t). In these cases, when s/he informs
the relevant Vaccination staff member, the Vaccinee’s registration
and confirmation of receipt of vaccine must be reversed, and s/he
is advised to return after the 14 days since the flu injection have
passed to start the process again. The Observation Clinician
informs Vaccinees that they are wait in that area to be observed
for 15 minutes to ensure there is no immediate, significant adverse
reaction to the vaccine. The Observation Clinician will then
double-check the Vaccinees’ clinical history, and will ask those
with adverse reactions in the past to wait for 30 minutes. If a
Vaccinee has an adverse reaction, the Observation Clinician will
bring them to the resuscitation area, make observations and provide
necessary treatment, including calling in the Senior Clinic
Clinician as required. If the reaction is very significant, the
Vaccinee is brought to the Emergency department by the Observation
Clinician, after ensuring another clinician can observe the
remaining Vaccinees. After their 15 (or 30) minutes of observation,
Vaccinees, if well, are invited to leave and are signed out by the
Observation Clinician, and the process ends.
full BPMN As-is model of the process described above