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

• Governing Law and Jurisdiction Agreement

Adverse Events Following Immunization

• Appendix A –  AEFI Flowchart for Reporting

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 – Maximum-Minimum Thermometer Instructions
• Appendix B – Temperature Log for Vaccines
• Appendix C – WRHA Population and Public Health Cold Chain Failure Response Plan
• Appendix D – WRHA After Hours Vaccine Refrigerator Failure Rescue Procedure (Updated January 9, 2022)
  • Appendix D-1 Vaccine rescue locations (Updated November 24, 2021)
  • Appendix D-2 After hours packing for vaccine transport
  • Appendix D-3 After Hours Adverse Storage Conditions Documentation
  • Appendix D-4 Min-Max Thermometer instructions

Student Nurses and Immunizing in the Public Health Program

Vaccine Administration Practices

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