Influenza Vaccine: Advisory Committee on Immunization Practices (ACIP) (Nursing)

by Rhonda Lawes, PhD, RN

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    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 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.

    About the Lecture

    The lecture Influenza Vaccine: Advisory Committee on Immunization Practices (ACIP) (Nursing) by Rhonda Lawes, PhD, RN is from the course Antiviral Medications (Nursing).

    Included Quiz Questions

    1. Those 6 years of age or older
    2. Those 2 years of age or older
    3. Those 8 years of age or older
    4. Those 10 years of age or older
    1. Long-term care facilities
    2. Gyms
    3. Retailers
    4. University housing
    1. Influenza vaccines must be refrigerated and kept out of sunlight.
    2. Single-dose vials of the influenza vaccine must not be accessed for more than one dose.
    3. The vaccine packaging will provide all the information needed for storing the vaccine.
    4. Multiple-dose vials of the vaccine must always be stored at room temperature after the first use.
    5. A frozen vaccine can be used once it returns to room temperature.
    1. The live attenuated influenza (LAIV4) vaccine should not be used in immunocompromised clients.
    2. The LAIV4 vaccine should be used in immunocompromised clients.
    3. The timing of vaccination is never considered for immunocompromised clients.
    4. Age-appropriate inactivated influenza vaccine (IIV) and recombinant influenza vaccine (RIV4) are not recommended for immunocompromised clients.

    Author of lecture Influenza Vaccine: Advisory Committee on Immunization Practices (ACIP) (Nursing)

     Rhonda Lawes, PhD, RN

    Rhonda Lawes, PhD, RN

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