This site is for health professionals
image
Document your CPD for FREE

Get started with Ausmed to document your CPD online

Flu Vaccination Season - Recap and Resources for Nurses

CPD
8m

Published: 20 April 2017

Cover image for article: Flu Vaccination Season - Recap and Resources for Nurses

It’s that time of the year again for flu vaccines.

‘The annual National Seasonal Influenza Vaccination Program will commence in April 2017.’

(NSW Health 2017)

This article is a quick brush up on injection technique and a reminder about what the ‘flu vacc.’ is. Obviously, you will need to be familiar with, and work according to, your workplace organisational policies, procedures and protocols, as well as professional and ethical standards. Below we will examine information put forward by the New South Wales State and Australian Governments as well as the World Health Organisation (WHO).

What is ‘the Flu’ and Why are Vaccinations Offered?

‘The flu’ or influenza is very contagious and spreadable by close contact, contact with infected hands, contact with infected hard surfaces, sneezing, or coughing.

Signs such as: headache, runny nose, decreased appetite, chills, tiredness, sore muscles, fever, and sore throat can occur (usually around 3 days post-infection); and serious (potentially fatal) complications of the flu can involve sinus infections, bronchitis, pneumonia and even complications of the heart, liver and blood (Department of Health, 2017).

There are three different types of influenza viruses that infect humans. They are influenza A, B and C. ‘Only influenza A and B cause major outbreaks and severe disease, and these types are included in seasonal influenza vaccines’ (Department of Health, 2017).

Who Should Receive the Flu Vaccination?

From your experience working in healthcare or your health studies, you are probably aware that the groups most at risk of the dangers or complications of the flu are: older adults, pregnant women, Aboriginal and Torres Strait Islander people, very young children, and people with medical conditions (Department of Health, 2017).

It is important to note also that ‘Immunisation providers should report influenza vaccines given to all people to the Australian Immunisation Register (taking care to note the correct vaccine brand name).’; and, that ‘Immunisation providers should report any suspected adverse events following immunisation (AEFI) directly to their local Public Health Unit on 1300 066 055.’ (NSW Health 2017).

Prevention of the Flu:

This year, the flu shot will be available throughout April from GP surgeries and other providers. It is available free under the Nationa Immunisation Program for people who face a ‘high risk’ from influenza, though is recommended for all people over six months old (Department of Health 2017).

In 2017, four age-specific vaccines will be available under the National Immunisation program. Visit the Australian Government Department of Health website for more information and the names of each vaccine (‘parents should make sure vaccination providers know the age of their child so they can receive the correct vaccine’) (2017).

Other points to be aware of:

  1. There is no live virus in the flu shot
  2. The composition of the vaccine changes every year
  3. The flu shot is safe for pregnant women at all stages

(Department of Health 2017)

Resources on Injection Skills for Giving Vaccinations:

Important Points from the Australian Immunisation Handbook

  • OHS must be considered (e.g. routine hand hygiene, use of PPE, correct disposal of sharps, cleaning of the workplace environment, keep sharps containers out of reach of children at all times, and adherence to post-exposure prophylaxis guidelines as exposure to blood or body fluids occurs)
  • Selection of appropriate injection site and injection equipment (e.g. gauge of needle) based on the individual client
  • You may wish to consider appropriate and respectful diversional therapy activity for the client to minimise discomfort during vaccination process (e.g. children may enjoy focusing on a rattle)
  • Ensure that the vaccine has been stored at the correct temperature in the refrigerator (+2°C to +8°C) and that it has not been damaged or tampered with, and has not expired
  • Complete the five moments of hand hygiene
  • Vastus lateralis or deltoid are the preferred IM sites but refer to the government link for more details for making an informed decision about the injection site when administering vaccinations to clients
  • ‘Provided the skin is visibly clean, there is no need to wipe it with an antiseptic (e.g. alcohol wipe). If the immunisation service provider decides to clean the skin, or if the skin is visibly not clean, alcohol and other disinfecting agents must be allowed to dry before vaccine injection (to prevent inactivation of live vaccines and to reduce the likelihood of irritation at the injection site)’
  • ‘If using a safety needle system, once the vaccine has been drawn up, draw back on the syringe to ensure as much vaccine as possible is removed from the tip of the needle, and then eliminate any air to the tip of the syringe without re-priming the needle.’
  • For all injectable vaccines:
    • ‘Do not extrude small air bubbles through the needle for injection. However, in the rare instance of a large air bubble in a pre-filled syringe, first draw back on the needle to ensure no vaccine is expelled along with the air, and then expel the air through the needle, taking care not to prime the needle with any of the vaccine, as this can lead to increased local reaction.’
    • ‘Never mix other vaccines together in the one syringe (unless that is the manufacturer’s registered recommendation, e.g. Infanrix hexa).’
    • ‘Never mix a local anaesthetic with a vaccine’.

(Department of Health, page updated 6th March 2017).

[show_more more=”Show References” less=”Hide References” align=”center” color=”#808080″]

References:

[/show_more]

Author

Portrait of Madeline Gilkes
Madeline Gilkes

Madeline Gilkes focused the research project for her master's of healthcare leadership on health coaching for long-term weight loss in obese adults. Madeline is also a qualified weight management practitioner and Registered Nurse. Her vision is to prevent lifestyle diseases, obesogenic environments, dementia, and metabolic syndrome. She has a master of healthcare leadership, a graduate certificate in aged care, and a bachelor of nursing. Madeline works as an academic and has spent the past years in the role of clinical facilitator and clinical nurse specialist (gerontology & education). She is due to complete her Graduate Certificate in Adult and Vocational Education at CSU before November 2018. See Educator Profile

Related Learning Hubs

Learner Reviews

3

1 Total Rating(s)

Generic portrait
Anna Carter
19 Jun 2019

Quick overview of the flu vaccine