This has certainly proved to be an interesting debate - but I must confess
to be horrified to read that nurses are still talking about something called
'the extended role of the nurse' which has been extinct for some years now
and harps back some 20 years. Where administration of vaccinations are
concerned I must again draw attention to the accepted 'clinical guidelines'
in the 'UK Guidance on best practice in vaccine administration'. In fact the
opening paragraph states that 'nurses are now the major force in
administering vaccinations' . Obviously one requires the appropriate
training and initial supervised practice, but for as long as I have been in
OH (25years) nurses have given vaccinations of all sorts both in and out of
the NHS. I don't think that any of my travel vaccinations at my local health
centre have ever been given by anyone other than one of the nurses, and that
includes yellow fever. As Bob Dunn from Oxford Univ OHS said - the nurse do
them all and I have worked there too. I think there are a few of us who
would not employ a nurse who refused to give them provided he/she was given
appropriate training and support.
Greta Thornbory
Consultant, Occupational Health & Education
www.gtenterprises-uk.com
Tel: 01235 770156
Mob: 07778 518 027
----- Original Message -----
From: "Fields Shirley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 02, 2003 3:05 PM
Subject: Re: BCG Vaccinations: dissent?
I certainly wouldn't mind if any of the nurses declined to give, personally
I don't like intra dermal injections and have therefore always refused.
Shirley Fields
OH Manager Burton NHS
-----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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