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Clinical Practice Guidelines

The Winnipeg Regional Health Authority’s (WRHA) Mission is to protect and improve the health and well-being of citizens who utilize health care services within the City of Winnipeg. The WRHA is committed in providing evidence-based practice. One tool to support evidence based practice are Clinical Practice Guidelines (CPGs) which are systematically developed publications and tools that are based on evidence derived from journal articles and scientific publications. They are intended to assist practitioner and patient decisions about appropriate healthcare for specific clinical circumstances. The CPGs are reviewed and validated regularly to ensure clinical accuracy, and are to be used as an adjunct to sound clinical decision-making.

Clinical practice guidelines have been developed to establish recommendations, best practices, and standards for the delivery of immunization services in the WRHA.  Each program is responsible for reviewing, approving, and adopting these guidelines for immunization services.  The guidelines should be applicable for all service providers within the Winnipeg Health Region.   

Access to Immunization for Non-Residents of Canada

Adverse Events Following Immunization

Documentation and Record Keeping of Immunizations

General Considerations prior to Immunization

Immunizing Alone

Immunization Clinics: Pre-loading Vaccines

Immunization Schedules and Establishing Immunization Status

Infection Control for Immunization Clinics

Infection Prevention and Control (IP&C) Procedures/Processes

Informed Consent for Immunization

Insured and Uninsured Immunizations

Manitoba Provincial Anaphylaxis Protocol

Storage and Handling of Vaccines

  • Appendix A – Minimum-Maximum Thermometer Instructions
    • Appendix A-1– Minimum-Maximum Thermometer Quick Reference
  • Appendix B-1- Temperature Log for Vaccines
  • Appendix B-2– Vaccine Temperature Monitoring Log for Offsite Clinics
  • Appendix C – WRHA Population and Public Health Adverse Storage Conditions (ASC) Response Process (Updated Jan 2025)
  • Appendix D- WRHA Community Health Services: Adverse Storage Condition (ASC) Response Process (Updated Jan 2025)
    • Appendix D-1- Transport/After Hours Packing of Vaccines and Designated Site Refrigerator Instructions (Updated Jan 2025)
    • AppendixD-2- After Hours Adverse Storage Conditions (ASC) Documentation (FILLABLE, Dec 2024)
    • Appendix D-3- Minimum-Maximum Thermometer Quick Reference (Appendix A-1)

Student Nurses and Immunizing in the Public Health Program

Vaccine Administration Practices


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