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BREAKING BARRIERS OF VACCINATION. Submitted by: Sadikshya Bhattarai December 03, 2013. Introduction. Clinical Rotation Justification of Needs National Significance Immunization Tool ACE Star Model Conclusion. Clinical Rotation. Facility name: Chevy Chase Pediatrics - PowerPoint PPT Presentation
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BREAKING BARRIERS OF VACCINATION
Submitted by: Sadikshya Bhattarai
December 03, 2013
Introduction
• Clinical Rotation
• Justification of Needs
• National Significance
• Immunization Tool
• ACE Star Model
• Conclusion
Clinical Rotation
• Facility name: Chevy Chase Pediatrics• Address: 5225 Connecticut Ave
Washington, DC, 20015• Preceptor: Gay Ohlrich, RN, BSN• Duration of Practicum:
Spring, Fall 2013
Justification of Needs• Curiosity• Parent’s refusal to vaccinate due to lack of information
regarding side effects• Parents do not have time for extended education
session• Vaccine administered not complying to the Center for
Disease Control and Prevention (CDC) guidelines• Delaying vaccine until the child turns two years of age
National Significance• 62.8% of US children are fully immunized with all the
recommended vaccine. (NNII, 2010)• The 2012 outbreak of whooping cough infected more
than 42,000 people (CDC, 2013).• According to Pediatric Academic Society, childhood
vaccinations in the US prevent about 10.5 million cases of infectious illness and 33,000 deaths per year.
Immunization ToolRationale for Immunization Tool• Need for patient education(Healy & Pickering, 2011)• Effective communication with parents (Walther, 2011)• Assessment and feedback for vaccination provider. (CDC,
2011)• Completing the whole series of vaccine will reduce infectious
disease (Leuridan & Damme, 2011)
Immunization Tool FOR NURSES
• Vaccine tracking System
• Vaccine Review Checklist
FOR THE FAMILIES
• Package for the family
Vaccination Tracking System (2 month Period)
Name
Initial of Patient’s
last name
Date Initiated
Review of the Vaccination
DTP HIB Hep MMR ROTAIPV PCV B VZV VIRUS
Evaluation
Nurse 1 A
Nurse 2 B
Nurse 3 C
Nurse 4 D
Nurse 5 E
Vaccination Review ChecklistPatient Name:Date of Birth:Name of Nurse:Date reviewed:
Evaluation/ Comment
Vaccines Dose 1 Dose 2 Dose 3 Dose 4 Dose 5
DTaP
Polio
Hib
Hep B
MMR
VZV
PCV
Rotavius
Package for Family
1. Recommended Immunization Schedule
Package cont…
• Vaccine Information Sheet• Reminder Appointment Card• Client held medical records
5th Stage (Evaluation):• Semi Annual Meeting• Survey for Nurses (Questionnaires)• Survey for Parents (Questionnaires)
ACE Star Model
Conclusion
• Re-emphasis on importance of vaccination
• Increase routine vaccination coverage
• Decrease vaccine preventable infection
References
• American Academy of Pediatrics. (2013). Documenting parental refusal to have their children vaccinated. Retrieved from http://www2.aap.org/immunization/pediatricians/pdf/refusaltovaccinate.pdf
• Centers for Disease Control and Prevention (2009). If you chose not to vaccinate your child, understand the risk and responsibilities. Retrieved April 22, 2013, from http://www.cdc.gov/vaccines/hcp/patient-ed/conversations/downloads/not-vacc-risks-bw-office.pdf
• Center for prevention and disease control. (2011). Immunization strategies for healthcare practices and providers. Retrieved October 2, 2013, from http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/strat.pdf
• Center for Disease Control and Prevention (2013). Pertussis outbreak trends. Retrieved October 2, 2013, fromhttp://www.cdc.gov/pertussis/outbreaks/trends.html
References
• Healy, C., Pickering, L. (2011) How to communicate with vaccine-hesitant parents. American Academy of Pediatrics.
• Leuridan, E., & Damme, P. (2011, 1).. Hepatitis B and the Need for a Booster Dose. Oxford Journals | Medicine | Clinical Infectious Diseases Retrieved April 21, 2013, from http://cid.oxfordjournals.org/content/53/1/68.full.pdf+html
• NNii. (2009). Concerns about vaccine safety. National Network for Immunization Info. Retrieved from http://www.immunizationinfo.org/issues/vaccine-safety/concerns-about-vaccine-safety
• Shan, Y. (2011). Primary Health Care, 21(2), 16-21. Retrieved October 3, 2013, from http://search.proquest.com/docview/858023172?accountid=28903
• Walther, S. (2011). A parent’s decision on immunization: making the right choice. Retrieved October 3, 2013, from
• http://pediatrics.aappublications.org/content/127/Supplement_1/S5.full.pdf+html
Thank You!