Glenn Raybone wrote;
>as you know where I work (NHS) we give vaccines and immunisations and
>generally are covered by a signed document from the Consultant to say that
>we are both happy and safe to administer such.
>
>My concern is that at times as a nurse, I make the decision to commence
>vaccination, for example, a Doctor performing EPP who has a Hep B titre of
>0.0, but is core negative, then it is down to me as the nurse in clinic at
>that time to proceed with vaccination, and this I feel is making decisions
>independantly without directly following a 'standing order' or having a
>physicians prescription.
>
Hello Glenn
One could argue that if there is a protocol in the department which
outlines clearly what action the nurse should take in the case of a doctor
performing EPP who is core negative, that you are not making the decision
independently. If there is no such protocol, then perhaps one should be
drawn up. In the end, you have to convince yourself and others that:
a. you are working within your competence;
b. what you are doing is evidence based;
c. equally importantly, that your actions are clearly in line with the
policy in your organisation and sanctioned and supported by your employer
and profession.
I hope that this is some help. You haven't said what response you got from
the UKCC and RCN.
Regards
Bashyr
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