00:01
Who is the advisory committee
on immunization practices?
Well, this is where you can
find the latest recommendations
from this group at our own CDC.
00:11
So if you want to find like
this year's recommendations
cdc.gov/flu
that's where you need to go
and the latest recommendations
will always be there.
00:23
I want to talk to you.
00:24
There are several things
I want to kind of
walk you through
so sit back and let's just have
a conversation about these.
00:31
Don't worry about
memorizing them
or putting them
together right now.
00:34
I just want you to walk
through a conversation
with each one of these.
00:38
Now here's what the
advisory committee
on immunization
practices recommends.
00:43
So this is what our government
CDC recommends us to do.
00:48
So, this is what healthcare
provider should be familiar with.
00:51
Okay,
so routine annual vaccinations
for everyone six years
of age and older.
00:57
Cross the board,
that's what they recommend
if six or older you
should have one.
01:02
A licensed age appropriate
influenza vaccine should be used.
01:07
So make sure you look at
the package information
for any age indications
and have this conversation
with your healthcare provider.
01:13
But if you're the one providing
the vaccine to patients
make sure you've read all about the
vaccines you'll be administering
before you give them or
interact with patients.
01:23
Make sure you place
emphasis on vaccinations
of high-risk groups and their
contacts and caregivers.
01:29
So you want to make sure if
patient is a high-risk group
and we talked about several of
those so pause for just a minute
and see if you can list off
some high risk groups
based on age or diagnosis.
01:46
Cool.
01:47
Now we gave you
four other examples,
see how many of those
who can remember.
01:58
Okay, so when the vaccine
supply is limited,
we're going to have to
make some tough choices
and sometimes this happens.
02:04
So vaccination efforts
should focus on making sure
people who get the vaccine are
the ones that are at highest risk
for your they're
developing influenza
or for complications
from influenza.
02:16
Okay, pretty much
all this makes sense.
02:18
Doesn't it?
I mean, it's just common sense.
02:21
So everyone 6 and
older should get it.
02:24
You want to get an
age-appropriate influenza vaccine
You want to make sure that
people who are at high risk
and their context and
caregivers receive it
and if we're running short
that's exactly who we want
to make sure gets priority
people are at high
risk to contracted
and those who take care of them.
02:42
Alright, next page
and we've got a few more to go
but these are the things
that every nurse should
know about the flu vaccine
remember as health
care team members.
02:51
Yay.
02:52
We're considered high risk due
to potential rate of exposure
people get the flu have
to be hospitalized,
We're going to see far more
ready sick influenza patients
than the average population.
03:05
Now most hospitals
have taken a super
strong and strict stance on this
if you want to be employed
at certain hospitals,
you don't have the
option anymore to
opt out of the vaccine
you take it
or it put your
employment in Jeopardy.
03:21
Now vaccine should be offered
by the end of October.
03:23
Now, we think they likely
can be ready by September
but vaccination
should be offered
no later than the end of October
but they should be
continued to be offered
as long as the influenza
viruses are circulating
and there's a vaccine available.
03:38
So you just keep offering it
until all the vaccine is gone.
03:42
And and as long as that
virus is still circulating.
03:45
Now children under six
months through eight years
who require two doses should
receive the first dose
of soon as possible
after the vaccine
becomes available
and the second dose
about four weeks later.
03:57
That's why you want
to get them in early
because they need to
get that second dose
you want to get it in in time.
04:03
Okay.
So looking at this page we know
yay is Health Care team members.
04:07
We're going to,
we need to have this
because we're exposed to more.
04:11
You want to make sure the
vaccine should be available
according to our CDC
by the end of October
but you keep offering it
until either the supply runs out
as long as that virus is
still being circulated
and six months to eight years
those who need two doses.
04:27
We want to get it early as
possible to start that routine
so it can get that second dose
in as quickly as possible.
04:33
Okay so in all cases
manufacturer
packaging information
should be consulted
that's the authoritative
guidance that guards the storage
and handling of each
of the vaccines.
04:45
So when you're giving a vaccine
you want to make sure that
you have read that package,
you know information about it,
What's age-appropriate
and you know how it should
be stored and handled.
04:57
That's our responsibility
as nurses and providers.
05:00
So when vaccine
supply is limited,
remember, they said vaccination
efforts go on giving the vaccine
to those who are at highest risk
and vaccine should be
protected from light
and stored at the
recommended temperatures
off on these are stored in some
type of small refrigerator.
05:17
So influenza vaccines are
recommended to be stored
refrigerated between 28
degrees Celsius or 36 to 46.
05:25
So when you're on the unit
and you're getting
ready to give these
where will you find them
cracked in a
medication refrigerator
clearly marked and labeled
with date and time
that they were opened
if they are already open.
05:38
Vaccine that's been frozen
should be discarded.
05:40
You can't use it.
05:42
Single-dose vials
should not be accessed
for more than one dose.
05:46
Most of the vials
I've seen have been multi-dose.
05:49
But if it's a single-dose vial
you just use it for one dose.
05:53
Multi-dose vials
should be returned
to the recommended
storage conditions,
which will likely
be the refrigerator
between uses.
06:00
Now if you're at a vaccine clinic
in your giving multiple doses
right after each other
boom, boom, boom.
06:05
You're not going to
run back and forth
to the refrigerator every time
because you're going
to use that whole vial
but for in an office and you
just give one or a clinic
and you just give one
put it back in the
refrigerator when you're done?
Okay so once it's
initially accessed,
it should not be kept
beyond the recommended
period of time.
06:22
So how would you know that?
Check the packaging
that's going to give
you the information
Now vaccines again
should not be used
after the expiration
date on the label.
06:33
So that's different than,
hey I open this and I dated it
and timed it and used one dose.
06:38
They'll be an expiration date
on the label of the vaccine.
06:41
And it absolutely should
not be used after that.
06:46
Immuno compromised patient's
pose extra challenge
when we're talking
about influenza vaccine
the AICP recommends
that immunocompromised persons
should receive an
age-appropriate IIV or RIV4.
07:00
Live attenuated virus should not be
used by immuno compromised patients
or those who care for
immuno compromised patients.
07:10
see the immune
response to vaccines
could be blunted in an
immuno compromised person.
07:14
So it's just not going
to be helpful to them.
07:17
Timing of vaccination
might be a consideration
in some time periods
after receiving
immunocompromising intervention.
07:25
So if the patient is
receiving chemotherapy
health care provider can provide
the best time for the
patient to receive a vaccine.