Hi Diane,
I think any nurse who does not feel competent to do any procedure,invasive
especially, should stand by their principles..esp re professional
accountability and code of conduct. However..the purpose of the heaf is to
establish if BCG may be indicated...its also important to ask re HIV, and to
use a good technique. Checking BCG scars after a few (6?) weeks is a
reasonable audit of response to vaccination (and technique). As with
everything...risk assess what would be the liability of leaving someone
unvaccinated who then contracted TB???
OK if drs are available and also trained...often we have relied on sessional
GPs with interest in OH and had never given BCGs, so nurses vaccinated as
needs must!! I don't recall being given an option, but now have no worries
over giving BCG vaccines. I personally though prefer to err on the side of
caution, especially with boarderline Heaf results, and sometimes repeat
these or liase with TB specialists within the Trust.
regards,
Christine
-----Original Message-----
From: diane romano woodward [mailto:[log in to unmask]]
Sent: 02 December 2003 15:02
To: [log in to unmask]
Subject: Re: BCG Vaccinations: dissent?
All seem to be very positive about nurses doing this.
Is this considered to be an extended role that one can chose not to do?
I remember opting out when working in the NHS some years ago as (I think) it
is possible to cause some disruption to the arm if they are actually immune.
On that basis I felt it was better to let OHP take responsibility, (they get
paid more..)
For those of you in the NHS would you frown upon employing a nurse who
declined to do them, as long as they could do heaf tests, Hep Bs etc?
Best wishes,
Diane
(independent practitioner)
----- Original Message -----
From: "Fields Shirley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 02, 2003 10:49 AM
Subject: Re: BCG Vaccinations
Hi Chris (remember me)
At Burton one of our nurses is currently undergoing training from the chest
clinic nurse to do BCG's. There is no reason why nurses cannot do this
procedure with adequate training.
Say hi to Sally
Shirley Fields
OH Manager
Burton NHS Trust
-----Original Message-----
From: Baldwin Chris (RFF) Occupational Health Nurse Advisor
[mailto:[log in to unmask]]
Sent: 02 December 2003 10:01
To: [log in to unmask]
Subject: BCG Vaccinations
Good morning everyone,
a question particularly for NHS colleagues. Do NHS Occupational Health
colleagues allow the vaccination to be nurse or doctor administered? your
comments and thoughts on this are appreciated.
chris Baldwin
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