Welcome!
Congratulations! You are one amazing healthcare provider who goes beyond the basics!
Scheduling a travel consult can be done in three easy steps.
1.Travel Clinics of America website has “find a clinic” locator where travelers will find your clinic.
2. A traveler will call the office and/or email you a request for an appointment.
3. A front office staff adds the patient to your schedule as a “travel consult”.
Here is the list of resources to help you with consultation! As Travel Clinics of America member, you can use the information below to structure a template in your electronic medical record to make your future travel consults easier and help save time on documentation.
1. Check out CDC TRAVEL SITE for most uptodate report to share with the traveler. https://wwwnc.cdc.gov/travel
2. Interview the patient:
A) Verify purpose of the trip, dates and activities.
B) Verify allergies, meds and contraindications to vaccines
3.Illnesses in Crowded areas: (Covid/Flu/Meningitis)
4. Food and Water Illnesses: (HepA, Typhoid and food poisoning)
5. Traveler’s Diarrhea:
A) Mild, moderate, severe
B) Treating with OTCs vs. Rxs
C) Rehydration
D) Diarrhea lasting more than 5 days
6. Vector Born Illnesses:
A) Insect Repellants handout
B) Disease specific patient handout if relevant (check out bonus library)
7. Malaria Prophylaxes:
A) signs and symptoms
B) Chemoprophylaxis
8. Other conditions: jet lag, motion sickness, nausea, altitude illness
9. Animal Bites: discuss dog bites and/or Rabies risk
10. General advice:
A) register with state department
B) travel insurance
MEDICATION COMMON DOSING RX GIVEN
1. Azithromycin 1000 mg x 1 or 500 mg QD x 3 d for T.D.
2. Ciprofloxin 750 mg QD 1-3 d for T.D.
3. Rifaximin 200 mg QD while traveling
4. Diflucan 150 mg once for yeast infection
5. Chloroquine 500mg QW (1-2 wk before->4 wk after)
6. Doxycycline 100 mg QD (1-2 d before->4 wk after)
7 .Malarone 250 mg QD (1-2 d before ->7 d after)
8. Mefloquine 250 mg QW (1wk before ->4 wk after)
9. Zofran 4mg every 8 hrs PRN vomiting x3d
10. Diamox 125 mg BID (1 d before -> 2 d at top)
The information contained herein is intended for informational purposes only and it is to be used in combination with the healthcare provider’s judgment.
Rare: Japanese encephalitis, rabies
Others: HepB, Shingles, Cholera
At Checkout please verify that the patient has:
Here is a list of handouts for the traveler! If you would like us to develop a handout that you don’t see below please email us at contact@travelclinicsofamerica.com
Here is a useful resource to help you master the vaccines!
You can order vaccines though a vaccine purchasing group to save on the cost of the vaccines. Travel Clinics of America currently doesn’t have any contracts with vaccine manufacturers.
It has been our experience that many travelers call at the last minute, and even a one-day appointment delay can cause the traveler to go elsewhere. Therefore, we recommend routinely stocking the following vaccines:
Although travelers typically do not inquire on the availability of the routine vaccines, it may also be beneficial to keep in stock meningitis, tetanus (Tdap and Td), polio and MMR vaccines.
Alternatively, you can order most of the vaccines as the need arises. Expect vaccine shipments to arrive 24-72 hours after order placement.
Japanese encephalitis and rabies vaccines are expensive and are infrequently needed. Many physicians order these vaccines only when pre-paid by a traveler.
Vaccines need to be stored at correct temperatures and properly monitored. If your office experiences a temperature excursions, please contact the manufacturers to check whether the vaccines are still viable to use.
· In order to retain their efficacy, vaccines must be stored in a dedicated refrigerator capable of maintaining temperature at 2-8°C.
· Frozen vaccines, varivax, zostavax and live flu, must be stored in a dedicated freezer maintaining a temperature below -15°C. If the freezer is part of a refrigerator, it must have a separate freezer door.
· Refrigerator and freezer temperatures need to be recorded twice daily.
Proper vaccine administration is critical to ensure that vaccination is safe and effective. CDC recommends that all health care personnel who administer vaccines receive comprehensive, competency-based training on vaccine administration policies and procedures BEFORE administering vaccines. Comprehensive, skills-based training should be integrated into existing staff education programs such as new staff orientation and annual education requirements. A free vaccine administration e-Learn is available though CDC that offers continuing education for health care personnel.
You can download the vaccine information sheets zip file to your desktop and/or obtain the VIS sheets at the link below.
https://www.cdc.gov/vaccines/hcp/vis/current-vis.html
Your should be authorized as a Yellow Fever Vaccination Center by your state health department in order to be able to order yellow fever vaccine. The process is different for each state and can take up to several months. If you do not have the yellow fever vaccine stamp, please contact TCA for assistance at contact@travelclinicsofamerica.com
Yellow fever immunization must be documented on the traveler’s International Certificate of Vaccination or Prophylaxis (Yellow Cards).
You can order yellow cards below:
https://bookstore.gpo.gov/products/international-certificate-vaccination-or-prophylaxis-approved-world-health-organization-0
As a member, you are able to promote your clinic on the travel clinics of America website which has supreme search engine optimization.
Sanofi has announced that we will have an update for yellow fever ordering in summer 2021. We are actively working on offering the yellow fever expansion program to Travel Clinics of America members. We will keep you posted.
Yes you can. You can manually adjust the prices of the consult, vaccines and/or procedures at the checkout screen on the NoLaPro accounting website.
If you are offering travel consultations, you should ieally always have typhoid vaccine in stock.