Abstract
At the inception of a general practice well child clinic, a checklist card was introduced into the clinic notes to summarize specific and relative contraindications to immunizations. This card was used by the practice nurses as they ran the immunization procedures during the clinic. A failure on the checklist led to a consultation with the clinic doctor who decided whether to proceed with the immunization. Of 155 immunizations given during the six-month period, only 23 (15%) failed the checklist and required the child to be assessed by the clinic doctor. Of these, nine (39%) were for simple upper respiratory tract infection. All the children were deemed fit to receive immunization. Only one child was found to have a specific contraindication to pertussis. The checklist cards allowed the smooth operation of the immunization procedures by practice nurses who were able to check comprehensively whether there were any contraindications and whether immunizations were being inappropriately refused.
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Selected References
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- Bateman D. E., Elrington G., Kennedy P., Saunders M. Vaccine related poliomyelitis in non-immunised relatives and household contacts. Br Med J (Clin Res Ed) 1987 Jan 17;294(6565):170–171. doi: 10.1136/bmj.294.6565.170. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bergman A. B., Probstfield J. L., Wedgwood R. J. Task identification in pediatric practice. Am J Dis Child. 1969 Sep;118(3):459–468. doi: 10.1001/archpedi.1969.02100040461008. [DOI] [PubMed] [Google Scholar]
- Brook C. G. Immunisation policies. Br Med J (Clin Res Ed) 1983 Apr 2;286(6371):1082–1083. doi: 10.1136/bmj.286.6371.1082. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Colver A. F., Steiner H. Health surveillance of preschool children. Br Med J (Clin Res Ed) 1986 Jul 26;293(6541):258–260. doi: 10.1136/bmj.293.6541.258. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jefferson N., Sleight G., Macfarlane A. Immunisation of children by a nurse without a doctor present. Br Med J (Clin Res Ed) 1987 Feb 14;294(6569):423–424. doi: 10.1136/bmj.294.6569.423. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jefferson N., Sleight G., Macfarlane A. Immunisation of children by a nurse without a doctor present. Br Med J (Clin Res Ed) 1987 Feb 14;294(6569):423–424. doi: 10.1136/bmj.294.6569.423. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kemple T. Study of children not immunised for measles. Br Med J (Clin Res Ed) 1985 May 11;290(6479):1395–1396. doi: 10.1136/bmj.290.6479.1395. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mourin K. A practice nurses' course--content and evaluation. J R Coll Gen Pract. 1980 Feb;30(211):78–84. [PMC free article] [PubMed] [Google Scholar]
- Mourin K. The role of the practice nurse. J R Coll Gen Pract. 1980 Feb;30(211):75–77. [PMC free article] [PubMed] [Google Scholar]
- Richards D. H. Dilution in general practice. Lancet. 1966 Jan 1;1(7427):41–42. doi: 10.1016/s0140-6736(66)90023-7. [DOI] [PubMed] [Google Scholar]
- Schiff D. W., Fraser C. H., Walters H. L. The pediatric nurse practitioner in the office of pediatricians in private practice. Pediatrics. 1969 Jul;44(1):62–68. [PubMed] [Google Scholar]
- White P. M., Green J. Prevalence of antibody to poliovirus in England and Wales 1984-6. Br Med J (Clin Res Ed) 1986 Nov 1;293(6555):1153–1155. doi: 10.1136/bmj.293.6555.1153. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yankauer A., Connelly J. P., Andrews P., Feldman J. J. The practice of nursing in pediatric offices--challenge and opportunity. N Engl J Med. 1970 Apr 9;282(15):843–847. doi: 10.1056/NEJM197004092821505. [DOI] [PubMed] [Google Scholar]