Interesting that you are checking scars afterwards(for audit or any other
reason) I have recently looked at the 2000? guidelines of the BTS(I think
that's the group) and if there is documentary evidence that they have had a
BCG , that is enough. Particularly if the BCG is done within your own
department, why check for scar- unless it is that it is healing
correctly...An I interpreting this guidance incorrectly?
And with regards to asking about HIV.. is that enough- surely the only way
one can check that their immune response is not being affected by HIV is by
doing a blood test to see if it is there...And then one opens a whole
different set of problems....
With regards to leaving people unvaccinated, well ,it is routine in this
country but in other parts of the civilised world, routine BCG is not
performed.
I'm being deliberately thought provoking ...sorry.
Diane
----- Original Message -----
From: "Christine Bouckley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 02, 2003 3:19 PM
Subject: Re: BCG Vaccinations: dissent?
> 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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