Marie Therese Massey QN

Best practice guidelines for managing a childhood immunisation clinic

Background

Immunisation programmes in the UK are one of the most successful public health strategies that are delivered by general practice nurses. The current childhood immunisation and vaccination regime has become increasingly complex over the last decade and mistakes around the administration of these now form the largest increase in significant events in general practice, see Lang et al (2014); Rees et al (2015a) and Rees et al (2015b).

 

The current childhood immunisation and vaccination regime has become increasingly complex over the last decade and mistakes around the administration of these now form the largest increase in significant events in general practice

 

The General Practice Nursing (GPN) Forum have set out to produce some 'Good Practice ' guidelines in the form of a resource to support general practice nurses when setting up, improving or negotiating a change in managing child vaccination clinics with their employers that recognises the complexity of this role. 

Aims and objectives

To produce a pocket-sized resource providing evidence based guidance on managing baby vaccination and immunisation clinics. From this we will produce a poster in order to assist with the dissemination and communication of the guidelines, as well as a visual resource for printing to display in clinical rooms.

Activity to date

  • An evidence base has been established
  • The resource has been produced and a final draft submitted for four country approval to the RCN’s production team
  • The resource has been reviewed by the RCN’s vaccination and immunisation lead and David Green (Green Book) and their comments have been addressed
  • A bid has been submitted to the Forum Governance Group (FGG) to produce the resource

Outputs to Date

Awaiting final sign off by Wendy Preston 

Lessons learned

 At the outset of the project we realised that we needed to produce guidelines on running baby vaccination and immunisation clinics that mapped to current RCN guidance on vaccination and immunisation and national guidance.

open book

The way forward

A bid has been submitted for the production of the pocket size resource and poster for distribution and dissemination.  The release of the resource will be communicated via RCN media and communication strategies. In the future the guidelines could be presented at clinical conferences and via our Facebook page and web page 

Sustaining momentum 

By use of social media and seeking feedback and evaluation

References

Lang S, Ford K, Tessa J, Pollard AJ, McCarthy ND (2014) Immunisation errors to a vaccine advice service: Intelligence to improve practice, Quality in Primary Care, 22, pp 139-46
Rees P, Edwards A, Panesar S, Powell C, Carter B, Williams H, Hubbert P, Luff D, Parrt G, Mayor S, Avery A, Sheikh A, Donaldson L, Carson-Stevens A (2015a) Safety incidents in the primary care office setting, Pediatrics, 135(6)
Rees P, Edwards A, Panesar S, Powell C, Carter B, Williams H, Hubbert P, Luff D, Parrt G, Mayor S, Avery A, Sheikh A, Donaldson L, Carson-Stevens A (2015b) Pediatric immunization-related safety incidents in primary care: A mixed methods analysis of a national database, Vaccine 33(32), pp3873-3880

Resources utilised to support the resource:

Vaccine incident guidance: responding to vaccine errors

Routine childhood immunisation schedule

Immunisation against infectious disease

Vaccination of individuals with uncertain or incomplete immunisation status

Profesional standards of practice and behaviour for nurses, midwives and nursing associates: The Code

Immunisation: Information for immunisation practitioners and other health professionals

Protocol for ordering, storing and handling vaccines