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BREAKING BARRIERS OF VACCINATION

BREAKING BARRIERS OF VACCINATION. Submitted by: Sadikshya Bhattarai December 03, 2013. Introduction. Clinical Rotation Justification of Needs National Significance Immunization Tool ACE Star Model Conclusion. Clinical Rotation. Facility name: Chevy Chase Pediatrics

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BREAKING BARRIERS OF VACCINATION

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  1. BREAKING BARRIERS OF VACCINATION Submitted by: SadikshyaBhattarai December 03, 2013

  2. Introduction • Clinical Rotation • Justification of Needs • National Significance • Immunization Tool • ACE Star Model • Conclusion

  3. Clinical Rotation • Facility name: Chevy Chase Pediatrics • Address: 5225 Connecticut Ave Washington, DC, 20015 • Preceptor: Gay Ohlrich, RN, BSN • Duration of Practicum: Spring, Fall 2013

  4. Justification of Needs • Curiosity • Parent’s refusal to vaccinate due to lack of information regarding side effects • Parents do not have time for extended education session • Vaccine administered not complying to the Center for Disease Control and Prevention (CDC) guidelines • Delaying vaccine until the child turns two years of age

  5. National Significance • 62.8% of US children are fully immunized with all the recommended vaccine. (NNII, 2010) • The 2012 outbreak of whooping cough infected more than 42,000 people (CDC, 2013). • According to Pediatric Academic Society, childhood vaccinations in the US prevent about 10.5 million cases of infectious illness and 33,000 deaths per year.

  6. Immunization ToolRationale for Immunization Tool • Need for patient education(Healy & Pickering, 2011) • Effective communication with parents (Walther, 2011) • Assessment and feedback for vaccination provider. (CDC, 2011) • Completing the whole series of vaccine will reduce infectious disease (Leuridan & Damme, 2011)

  7. Immunization Tool FOR NURSES • Vaccine tracking System • Vaccine Review Checklist FOR THE FAMILIES • Package for the family

  8. Vaccination Tracking System (2 month Period)

  9. Vaccination Review Checklist

  10. Package for Family 1. Recommended Immunization Schedule

  11. Package cont… • Vaccine Information Sheet • Reminder Appointment Card • Client held medical records

  12. ACE Star Model • 5th Stage (Evaluation): • Semi Annual Meeting • Survey for Nurses (Questionnaires) • Survey for Parents (Questionnaires)

  13. Conclusion • Re-emphasis on importance of vaccination • Increase routine vaccination coverage • Decrease vaccine preventable infection

  14. References • American Academy of Pediatrics. (2013). Documenting parental refusal to have their children vaccinated. Retrieved from http://www2.aap.org/immunization/pediatricians/pdf/refusaltovaccinate.pdf • Centers for Disease Control and Prevention (2009). If you chose not to vaccinate your child, understand the risk and responsibilities. Retrieved April 22, 2013, from http://www.cdc.gov/vaccines/hcp/patient-ed/conversations/downloads/not-vacc-risks-bw-office.pdf • Center for prevention and disease control. (2011). Immunization strategies for healthcare practices and providers. Retrieved October 2, 2013, from http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/strat.pdf • Center for Disease Control and Prevention (2013). Pertussis outbreak trends. Retrieved October 2, 2013, fromhttp://www.cdc.gov/pertussis/outbreaks/trends.html

  15. References • Healy, C., Pickering, L. (2011) How to communicate with vaccine-hesitant parents. American Academy of Pediatrics. • Leuridan, E., & Damme, P. (2011, 1).. Hepatitis B and the Need for a Booster Dose.Oxford Journals | Medicine | Clinical Infectious Diseases Retrieved April 21, 2013, from http://cid.oxfordjournals.org/content/53/1/68.full.pdf+html • NNii. (2009). Concerns about vaccine safety. National Network for Immunization Info. Retrieved from http://www.immunizationinfo.org/issues/vaccine-safety/concerns-about-vaccine-safety • Shan, Y. (2011). Primary Health Care, 21(2), 16-21. Retrieved October 3, 2013, from http://search.proquest.com/docview/858023172?accountid=28903 • Walther, S. (2011). A parent’s decision on immunization: making the right choice. Retrieved October 3, 2013, from • http://pediatrics.aappublications.org/content/127/Supplement_1/S5.full.pdf+html

  16. Thank You!

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