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Hi Maree,
Have just finished the immuniser course so this is very fresh in my mind.
“The cornerstone of anaphylaxis treatment is the timely administration of adrenaline IM.” (ATAGI 2013, p89)In my organisation we are similar to yours in that we have code blue and MET teams available 24/7.
Our immunisation clinic has an anaphylaxis kit that we check every week.
According to the Authority for Nurse Immunisers in Victoria we are allowed to stock and administer Adrenaline IM in the event of anaphylaxis so long as we have access to medical assessment or emergency services.
The Immunisation handbook also states that it is more harmful to under-treat anaphylaxis than it is to over-treat mild to moderate allergic reactions.
Personally I’d be administering it very quickly and then calling a code blue (or getting my other staff to be calling it).
Hope this is useful.
Regards Monica.Monica McHugh | Infection Control Nurse | Infection Prevention and Control
Old Library Building- TBH | Bendigo Health
PO Box 126 Bendigo Victoria 3552
p. 03 5454 8410 | Monday to Friday
e. mmchugh@bendigohealth.org.au
w. http://www.bendigohealth.org.au
w. http://www.bendigohospitalproject.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hello all
As a nurse immuniser and someone who gives staff their flu vaccine in mobile clinics to get to our staff to improve access to them to vaccinate (no excuses – they cant run away!!) I have always ensured I carry adrenalin with me in my immunisation kit/ trolley that I check each time I go to run the clinic and I would not hesitate to give it if required (touch wood I have not to had to do this yet)
….. – of course I would also request assistance from the staff on the ward or location to call a MET call/ code blue …whatever it is called in facilities to get support / assistance from our lifesaving expert team ASAP you bet…… (something I have always appreciated being able to do doing vaccination inside a HCF)…..Just like in schools when you may have to give it (still been lucky here too touch wood) you still call for and ambulance and back up support but dont wait for them to give the adrenalin if they are having anaphylaxis .However if there is some uncertainly/ clarity about local policy/ authorisations/ scope of practice in doing this as an accredited nurse immuniser inside a health care facility than I would be clearing this up with my hospital executive/ management / authority before I undertook any more vaccinations as I would hate to have to even think I would have to hesitate with the decision of providing first line treatment in lieu of worrying about my scope of practice- registration / lively hood/ career… very unfair when staff vaccination is such a worthy and proactive infection prevention action. Keep up the great work!!
Kind regards
Lindy
Ps keep well everyone and keep vaccinating!!
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Monica McHugh
Sent: Friday, 1 May 2015 12:07 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Administering adrenaline for anaphylaxis following ‘flu vaccinationHi Maree,
Have just finished the immuniser course so this is very fresh in my mind.
“The cornerstone of anaphylaxis treatment is the timely administration of adrenaline IM.” (ATAGI 2013, p89)In my organisation we are similar to yours in that we have code blue and MET teams available 24/7.
Our immunisation clinic has an anaphylaxis kit that we check every week.
According to the Authority for Nurse Immunisers in Victoria we are allowed to stock and administer Adrenaline IM in the event of anaphylaxis so long as we have access to medical assessment or emergency services.
The Immunisation handbook also states that it is more harmful to under-treat anaphylaxis than it is to over-treat mild to moderate allergic reactions.
Personally I’d be administering it very quickly and then calling a code blue (or getting my other staff to be calling it).
Hope this is useful.
Regards Monica.Monica McHugh | Infection Control Nurse | Infection Prevention and Control Old Library Building- TBH | Bendigo Health PO Box 126 Bendigo Victoria 3552 p. 03 5454 8410 | Monday to Friday
e. mmchugh@bendigohealth.org.au
w. http://www.bendigohealth.org.au
w. http://www.bendigohospitalproject.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
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This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
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