Ages 0 to 2 Years

Molina Healthcare of Utah operates under an accelerated immunization schedule. In accordance to the Recommended Childhood and Adolescent Immunization Schedule from CDC, an accelerated schedule has been recommended in order to boost immunization rates and get children vaccinated on time. Such schedules have been adopted in California, Idaho, Oklahoma, Kansas, New Mexico and now Utah with much success. Molina encourages the use of the accelerated schedule in hopes to get children "Done by One".

PDF icon Immunization Timing Chart

Screening/ImmunizationFrequency
Height, weight,head circumferencePlotted on growth chart Newborn or at 2-4 days if discharged < 24 hours post delivery then 1, 2, 4, 6, 9, 12, 15, 18 and 24 months.
Vision, subjective by historyNewborn or at 2-4 days if discharged < 24 hours post delivery, then 1,2,4, 6, 9, 12, 15, 18 and 24 months
Hearing, objective by standard testing method.Newborn
Hearing, subjective by historyAt 2-4 days, then 1, 2, 4, 6, 9, 12, 15, 18 and 24 months.
Lead screeningAt 9-12 months and 24 months and in accordance with state law
PKUAfter birth, prior to discharge
*Hematocrit, for anemia or polycythemiaAt 9-12months and 15months – 5 years for high risk for iron deficiency
* Hematocrit See AAP Nutrition Handbook (1998) for a discussion of universal and selective screening options. Consider earlier screening for high-risk infants (e.g. premature and low birth weight). See also Recommendations to Prevent and Control Iron Deficiency in the United Sates. MMWR. 1998: 47 (RR-3): 1-29.
OcularprophylaxisAfter birth, no later than1 hour

 

Additional Recommendations

Breast feeding infants - follow-up after discharge – 48-72 hours after birth
*Congenital hypothyroidism - After birth, optimally between 2-6 days
 
* Congenital Hypothyroidism See Newborn Screening; Recommended Guidelines. Pediatrics. 1993; 91:1203-1209
*Hemoglobinopathy  - Discuss with “at risk “ patients
* Hemoglobinopathy The AAFP strongly recommends ordering screening tests for PKU, hemoglobinopathies and thyroid function abnormalities in neonates.
 
*TB Screening - To be performed for high-risk population and in accordance with state law.
 
* Tuberculosis screening – The AAFP strongly recommends screening for tuberculosis by applying the mantoux test to patients at high risk for tuberculosis, including those with close contacts to a person with known or suspected TB, health care workers, immigrants from countries with high TB prevalence, HIV positive individuals, alcoholics, injection drug users, residents of long term care facilities, and medically underserved low income people.
Dental Referral at 1-2 years.
Order fluoride supplementation age 6 months through 16 years based on fluoride concentration of patient’swater supply (lessthan 0.6 ppm)
Domestic Violence screening
Counseling
Nutrition with counseling to maintain caloric balance,encourage breastfeeding through atleast 6 months of age, Accidental Injury Prevention, Car Seat Use, Violence Prevention, Second-Hand Smoke, Dental Health, SleepPositioning

 

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