Annals of Tropical Medicine and Public Health

LETTER TO THE EDITOR
Year
: 2015  |  Volume : 8  |  Issue : 5  |  Page : 230-

Influenza vaccination given by the nurse: What do nurses consult about with physicians and what about the incorrect practice by nurses?


Pathoom Sukkaromdee1, Viroj Wiwanitkit2,  
1 TWS Primary Care Center, Bangkok, Thailand
2 Hainan Medical University, China

Correspondence Address:
Pathoom Sukkaromdee
TWS Primary Care Center, Bangkok
Thailand




How to cite this article:
Sukkaromdee P, Wiwanitkit V. Influenza vaccination given by the nurse: What do nurses consult about with physicians and what about the incorrect practice by nurses?.Ann Trop Med Public Health 2015;8:230-230


How to cite this URL:
Sukkaromdee P, Wiwanitkit V. Influenza vaccination given by the nurse: What do nurses consult about with physicians and what about the incorrect practice by nurses?. Ann Trop Med Public Health [serial online] 2015 [cited 2019 May 23 ];8:230-230
Available from: http://www.atmph.org/text.asp?2015/8/5/230/162652


Full Text

Dear Sir,

The influenza vaccination is presently used worldwide. It is recommended as it corresponds to the present worldwide pandemic of influenza. In general, influenza vaccination is the best method for primary prevention of influenza. To give the vaccine to the target population, the public health workers and nurses are the main authorized practitioners in several settings. [1] There is an interesting concern about whether the public health workers and nurses can effectively manage the influenza vaccination practice and give good information to the vaccinees. To have an audit on the practice can give the information regarding to the raised query. Here, the authors try to retrospectively review on the influenza vaccination by the nurse to a group of vaccinees during 1-week period in a primary care center. In the study period, there are 67 cases receiving influenza vaccination. Reviewing the record, there are only two cases that the nurses-in-charge consult about with the physician for making a decision on vaccination. The first case is a case with a history of milk allergy and the second one is a case with a history of penicillin and co-trimoxazole allergy. Additional interviewing of all vaccinees revealed that there is one possible incident of malpractice in giving influenza vaccine by nurse. The incident pertains to the administration of the influenza vaccine to a case with concurrent problems of fever and upper respiratory tract illness. After the matter was tracked back to the nurse, it was found that she forgot to ask the patient before giving the vaccine and though she knew about the problems after vaccination, she did not inform the physician about it or write an incident report. Based on this small study, it can be seen that there are still many problems with regard to a nurse vaccinating patients. Indeed, according to a recent report by Ofstead et al. "misconception" is usually common among nurses despite sufficient information on vaccination that nurses-in-charge already have. [2] Nurses should get proper training and education on the vaccine before they start practicing in clinics. Also, repeated competency surveys to confirm the ability of the nurse-in-charge should be done.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Pinquier D, Lefevre S. The place of the nurse in the vaccination programme in France. Soins 2013;15-8.
2Ofstead CL, Tucker SJ, Beebe TJ, Poland GA. Influenza vaccination among registered nurses: Information receipt, knowledge, and decision-making at an institution with a multifaceted educational program. Infect Control Hosp Epidemiol 2008;29:99-106.