influenza vaccine delivery...influenza vaccine delivery at karori medical centre robyn taylor rn...
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INFLUENZA VACCINE DELIVERY
at Karori Medical Centre
Robyn Taylor RN MPHCNurse Manager
Karori Medical Centre
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Staff at KMC:
• 14 General Practitioners• 8 Practice Nurses• 12 Administration Staff• 1 Health Care Assistant
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CHAMPION in the practice …
• Ensure ready to go at beginning of the season
• Ensure all the GPs (and nurses) have had training on how to give the flu vaccines
• Ensure all the GPs know how to record the flu vaccine into the immunisation screen so goes to NIR
One of the most important
ingredients for success
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• Personal mission to ensure as many of our eligible population are vaccinated as possible
• Carries out regular audits / follow-ups to get people in
• Has the confidence to …
• Approach GPs / Admin / Nurses who are regularly missing patients or are making mistakes
• Needs to be approachable
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• Receive the flu kit
• Pre-order the vaccines
• Nurses meet specifically to discuss the logistics of how best to deliver the vaccines … how to improve on last year
particularly important this year with Zostavax coming in on 1st April 2018
Lead in ….
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Make patients aware the flu vaccines are available
• Once flu vaccines arrive …
• Initial contact is via patient portal
• Wait on ‘word of mouth’ for a couple of weeks
• Identify eligible population (including pregnant women) who haven’t had the vaccine via the DrInfoAudit tool
• Text / telephone / send letters to unvaccinated patients - this is an ongoing task
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• All clinicians recommend the influenza vaccine to patients
• All staff are offered a free influenza vaccine at KMC
• Opportunistic vaccination is a main focus
• Use Medtech Appointment Scanner every morning to identify eligible patients – ‘FLU’ note put on appointment template
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TEAM APPROACH …
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Receptionists:
• Ask every patient presenting to reception 65 years or over if they would like a flu vaccine before seeing the doctor or nurse
• Place on the nurse appointment template. Every attempt is made for the nurse to give vaccine before seeing the doctor to reduce waiting time for thepatient
• Once season in full swing, reception use Dashboard to identify those who have not yet had the vaccine
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Nurses:
• Ask every patient if they want a flu vaccine –eligible or not, including children
• Always recommend the flu vaccine
• Check the Dashboard for unvaccinated patients who are seeing the nurse
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DOCTORS …
• Encourage patients to have vaccine
• Doctors are gently encouraged to …
• There is reluctance to give to children –understandable due to different doses etc.
the vaccine
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• Verbal consent is documented from our enrolled patients 16 years and older
• Written consent is obtained from parents/guardians for those under 15 years, and casual patients
Logistics …
• Ensure there is enough room in the vaccine fridges to appropriately store the vaccines
• Are consent forms ready / pamphlets available?
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• Open clinics every week day
• Booked appointments in the nurse evening and Saturday clinics
• Visit two rest-homes and a residential facility for disabled people. Vaccinate residents and staff
• Visit people in their own home who find it difficult to come into KMC
• Offer workplace flu vaccines to organisations in Karori … New World, Countdown, Zealandia, local school staff
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• All new staff at KMC are trained on how to give and record influenza vaccines on the NIR.
• Refresher offered to those who may have forgotten from last year … (or at least I check if they know)
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• All clinicians are given a laminated copy of:
o the eligible medical conditions for patients … particularly for those ‘other’ criteria that are not as well known
o the strains for the current season
o the age range for the different vaccines
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Plastered everywhere …
• Many places around KMC
• Library noticeboard
• Mall noticeboard
• Advertising in the local newspaper
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On the back of every clinical door …
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Questions