I presently work as a Community Health Nurse. In my practice, I am faced with an ethical dilemia. Three clients who were diagnosed with RHD since childhood receive long acting penicillin monthly.This medication was prescribed years ago, and is to be continued till age thirty five. Although these clients say they are periodically reviewed by their physicians, they cannot produce a prescription. It is widely accecpted that nurses administed monthly doses as per previously recorded administered doses without actually seeing the original prescription or a recent prescription. Recently I have refused to administer these monthly injections unless I can see a newly written prescription. Please share your views on this type of practice.https://allnurses.com

[*]long acting prenicillin administration

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As a community Health Nurse I am required to administer vaccines to 12yr. old students yearly.This is done in collaboration with the Ministry of Education. Parents are asked to send in their child's Health Passports to the school. the Community Health Nurse then sets a date with the school principal, where she comes in and vaccinates every child. What concerns me is that no written consent is obtained from the parents. We are told that by virtue of the fact that the parents send in their childrend's Health cards their have consented to have their children vaccinated. I believe that as professionals within the Health System we should always strive to maintain high standards firstly to protect our practice, and also to protect the public. In light of what I've just said, I think it shold be mandatory that every parent who wishes to have their child receive vaccines through the school immunization should have a consent form signed.

What is the practice in your country? Please share your thoughts with me.

Nurses in St. Lucia celebrate International Nurses Day on Wednesday 12th May. It is the birthday of Florence Nightingale. Lately I've been reading some very negative things about Florence Nightingale's Nursing practice. Please share your comments. :chuckle

I will be visiting Canada nest month, whilse there I want to explore the possibility of working as an RN. I am a registered Nurse trained in 1981,and trained as a midwife in 1990.

As a community Health Nurse I am required to administer vaccines to 12yr. old students yearly.This is done in collaboration with the Ministry of Education. Parents are asked to send in their child's Health Passports to the school. the Community Health Nurse then sets a date with the school principal, where she comes in and vaccinates every child. What concerns me is that no written consent is obtained from the parents. We are told that by virtue of the fact that the parents send in their childrend's Health cards their have consented to have their children vaccinated. I believe that as professionals within the Health System we should always strive to maintain high standards firstly to protect our practice, and also to protect the public. In light of what I've just said, I think it shold be mandatory that every parent who wishes to have their child receive vaccines through the school immunization should have a consent form signed.

What is the practice in your country? Please share your thoughts with me.

I'm from Michigan and we request a parent signature prior to administering. They are given a handout to read and they have to sign that they received, read and understand it and all questions were answered.

As a community Health Nurse I am required to administer vaccines to 12yr. old students yearly.This is done in collaboration with the Ministry of Education. Parents are asked to send in their child's Health Passports to the school. the Community Health Nurse then sets a date with the school principal, where she comes in and vaccinates every child. What concerns me is that no written consent is obtained from the parents. We are told that by virtue of the fact that the parents send in their childrend's Health cards their have consented to have their children vaccinated. I believe that as professionals within the Health System we should always strive to maintain high standards firstly to protect our practice, and also to protect the public. In light of what I've just said, I think it shold be mandatory that every parent who wishes to have their child receive vaccines through the school immunization should have a consent form signed.

What is the practice in your country? Please share your thoughts with me.

Hi Lucianurse

I am from solomon islands, nursing overseas. But when I was working in my country, vaccination is mandatory. Its the policy of the ministry of health that all children from age 0-8 months should be given vaccination from TB, polio, diptherea, tetorifice and measels. These can be repeated at the school age period esp, the tetorifice vac. The parents know that because these vaccines are protection from the communicable disease which is just around the corner, they felt obligated to do so.

But just recently things have changed, I didn't see the community nurses doing the school satellite clinics anymore but parents can take them to the clinic if they think that these vaccines can protect their child from these comm. disesease that we often have esp TB, tetorifice, measels. Polio has been eradicated years agao and I still see measels and tetorifice cases once in 5-10 years.