Oops, sorry! Son got wrong vaccination - page 6

My son is 8 years old. He had a well-child check up Friday. NP said he's due for varrivax booster and they also recommend Hep A. I had never heard of Hep A for kids. She said that it's not a new... Read More

  1. by   mamason
    Quote from LPNtoBSNstudent
    Are you guys serious??? Jeez, I thought this was a board full of nurses who have been put in situations which a mistake could have happened??? Oh wait, we're all beyond reproach, right? We'd never make a mistake.

    And how many people here are screaming 'lawsuit'???? I wonder why we can't get raises...all the money and energy and time is going to BS lawsuits. ***. For a lawsuit to be successful there has to be HARM, actual harm involved. This kid got the first dose...protecting him from hepatitis A...which probably protects the mom. Most kids don't have any symptoms from Hep A disease but pass it on readily. Adults, after a period of being non symptomatic have serious problems from it...hence the need for vaccine. (it doesn't stop people from working at fast food restaurants) How do you know who is preparing your food? I have given literally a thousand Hepatitis A injections with no reports of even minor swelling afterward. Yep, there is commonly soreness at the site, which is minor considering HOW THE IMMUNE SYSTEM WORKS. I'd pretty much guess that the Varicella vaccine caused the redness. Hep A is given IM and can be given in the thigh or arm. I prefer the thigh until age 5...for any vaccine. Main reason is because it is easier for the nurse to give a shot there and still hold the child. Parents are notorious for not being good at holding them down...and I'd rather not have a needle break off in someones muscle.

    Now as far as getting consent...yes this person should have made it clear exactly what was given before it was given. But it is not mandatory to get parent signatures, etc. Most places do obtain signatures because of fear of BS lawsuits. And everyone gets mad because they have to wait for 1-2- hours in the immunization clinic.

    I am not surprised by someone coming here to vent about a situation like this (who wouldn't be mad about this...) but what I am surprised is how our profession can't wait to pounce on others WITHIN OUR OWN PROFESSION who are not absolutely PERFECT. A few words to the manager of the clinic should suffice (unless actual harm occurs due to the immunization) so it can be brought to the attention of the clinic. It sounds to me like a 'system' problem rather than any specific person being at fault.

    At last count; 13 states in the USA require Hep A immunizations for school entry...and that number will only increase. I'm sure in your research you know that it is a TWO shot series....ONE now and one in (after) SIX months...and you don't have to repeat the first dose if you don't get it on time. It is given every day in my clinic to children age 12 months, safely.

    This thread should be a head's up to us all that bedside manner and patient/parent teaching is one of the most important things we can do.
    I guess I'm looking at it from a mother's standpoint. Mom first then RN. If this would have happened to me, you darn right, I'd be stark raving mad! I think what upsets me the most is the callous attitude that the "person" had while interacting with the family. I don't put up with this type of behavior in everyday life. Let alone from a dr's office that I utilize when my kids are sick. This is America and we still have a "right" to say "no" to any procedure. Doesn't matter if it's vaccinations, blood tests, oral medication, surgery, etc. So, if that's pouncing on someone, well, it is what it is.
  2. by   balutpinoysabutuan
    unacceptable!she has no manners and negligent on her duties:angryfire
  3. by   texas_lvn
    [QUOTE=LPNtoBSNstudent]Are you guys serious??? Jeez, I thought this was a board full of nurses who have been put in situations which a mistake could have happened??? Oh wait, we're all beyond reproach, right? We'd never make a mistake.

    IMO, the biggest mistake here was the "nurse/MA?" not taking responsibility for giving the shot and trying to "hide" the fact it was given. If she is doing this, what else could/is she doing to patients?
  4. by   flashpoint
    [QUOTE=texas_lvn]
    Quote from LPNtoBSNstudent
    Are you guys serious??? Jeez, I thought this was a board full of nurses who have been put in situations which a mistake could have happened??? Oh wait, we're all beyond reproach, right? We'd never make a mistake.

    IMO, the biggest mistake here was the "nurse/MA?" not taking responsibility for giving the shot and trying to "hide" the fact it was given. If she is doing this, what else could/is she doing to patients?

    That is my problem with the whole thing...the nurse's attitude about the mistake. I don't expect her to burst into tears or throw herself at the mom's feet or anything, but she should admit there was a mistake, give mom a list of possible side effects, ask the office manager to write off the charges, and whatever else can make the situation a little better.
  5. by   hogan4736
    Quote from LPNtoBSNstudent
    ...At last count; 13 states in the USA require Hep A immunizations for school entry...and that number will only increase. I'm sure in your research you know that it is a TWO shot series....ONE now and one in (after) SIX months...and you don't have to repeat the first dose if you don't get it on time. It is given every day in my clinic to children age 12 months, safely.

    This thread should be a head's up to us all that bedside manner and patient/parent teaching is one of the most important things we can do.
    As well as informed consent...Many parents have the right to refuse any and ALL immunizations, d/t any personal beliefs...Schools have to let them in regardless...There is much legal precedent...
  6. by   BSNtobe2009
    My daughter was receiving synergis (sp) to prevent RSV and it was the only shot she was getting that day at the pediatrician's office. I had a change of insurance due to a job change, and called them A MONTH in advance to tell them that if they filed with COBRA and they denied it to call me immediately b/c we would still be in-transition with the paperwork, but I was definately in a financial position to pay cash if I needed to and then get reimbursement from the insurance company.

    I showed up with my daughter for an appointment, a roomfull of sick children....took a 1/2 day off from work, drove 15 miles to get my child and 15 miles through heavy, city traffic to get to the pediatrician....and they didn't have the meds for my daughter.

    I was LIVID!
  7. by   txspadequeenRN
    I dont even know what to say about this post. No one here is even making a agrument about receiving/benifits of immunizations or even the s/e of the medications. However, the person administering the medications was rude, rough and did not follow Dr. orders putting that child at risk. What if the child had a allergy to the medication or it was being held for whatever reason. If this had been your child would you just say a couple of words to the office manager and chalk it up to being a mistake and go on about your day. I dont really think so..... I am thinking like a mother here and not a nurse. It is my job to protect my children and I make it my buisness to know what is being given to my children. I dont know about the laws for requiring signatures for immunizations, but I do know you cant just give these type of immunizations without consent. I am in charge of their healthcare and I have the final decision PERIOD. Im not sure what kinda system problem you see, because I see a problem a whole lot bigger than the system. The staff member in question didnt follow orders and this could have been a hugh problem for the child .. thank God is was not. But how many more kids has this person given injections too or taken care of. Saying a couple of words to the office manager is just not enough. It would be one thing if the Nurse/MA admitted to the mistake and apologized. But this person see's no mistake and in my opinion does not know her limitations. Now, I dont think I made any comments towards securing a attorney personally . Because thats just not my way of taking care of buisness.





    Quote from LPNtoBSNstudent
    Are you guys serious??? Jeez, I thought this was a board full of nurses who have been put in situations which a mistake could have happened??? Oh wait, we're all beyond reproach, right? We'd never make a mistake.

    And how many people here are screaming 'lawsuit'???? I wonder why we can't get raises...all the money and energy and time is going to BS lawsuits. ***. For a lawsuit to be successful there has to be HARM, actual harm involved. This kid got the first dose...protecting him from hepatitis A...which probably protects the mom. Most kids don't have any symptoms from Hep A disease but pass it on readily. Adults, after a period of being non symptomatic have serious problems from it...hence the need for vaccine. (it doesn't stop people from working at fast food restaurants) How do you know who is preparing your food? I have given literally a thousand Hepatitis A injections with no reports of even minor swelling afterward. Yep, there is commonly soreness at the site, which is minor considering HOW THE IMMUNE SYSTEM WORKS. I'd pretty much guess that the Varicella vaccine caused the redness. Hep A is given IM and can be given in the thigh or arm. I prefer the thigh until age 5...for any vaccine. Main reason is because it is easier for the nurse to give a shot there and still hold the child. Parents are notorious for not being good at holding them down...and I'd rather not have a needle break off in someones muscle.

    Now as far as getting consent...yes this person should have made it clear exactly what was given before it was given. But it is not mandatory to get parent signatures, etc. Most places do obtain signatures because of fear of BS lawsuits. And everyone gets mad because they have to wait for 1-2- hours in the immunization clinic.

    I am not surprised by someone coming here to vent about a situation like this (who wouldn't be mad about this...) but what I am surprised is how our profession can't wait to pounce on others WITHIN OUR OWN PROFESSION who are not absolutely PERFECT. A few words to the manager of the clinic should suffice (unless actual harm occurs due to the immunization) so it can be brought to the attention of the clinic. It sounds to me like a 'system' problem rather than any specific person being at fault.

    At last count; 13 states in the USA require Hep A immunizations for school entry...and that number will only increase. I'm sure in your research you know that it is a TWO shot series....ONE now and one in (after) SIX months...and you don't have to repeat the first dose if you don't get it on time. It is given every day in my clinic to children age 12 months, safely.

    This thread should be a head's up to us all that bedside manner and patient/parent teaching is one of the most important things we can do.
  8. by   mamason
    [quote=txspadequeen921]I dont even know what to say about this post. No one here is even making a agrument about receiving/benifits of immunizations or even the s/e of the medications. However, the person administering the medications was rude, rough and did not follow Dr. orders putting that child at risk. What if the child had a allergy to the medication or it was being held for whatever reason. If this had been your child would you just say a couple of words to the office manager and chalk it up to being a mistake and go on about your day. I dont really think so..... I am thinking like a mother here and not a nurse. It is my job to protect my children and I make it my buisness to know what is being given to my children. I dont know about the laws for requiring signatures for immunizations, but I do know you cant just give these type of immunizations without consent. I am in charge of their healthcare and I have the final decision PERIOD. Im not sure what kinda system problem you see, because I see a problem a whole lot bigger than the system. The staff member in question didnt follow orders and this could have been a hugh problem for the child .. thank God is was not. But how many more kids has this person given injections too or taken care of. Saying a couple of words to the office manager is just not enough. It would be one thing if the Nurse/MA admitted to the mistake and apologized. But this person see's no mistake and in my opinion does not know her limitations. Now, I dont think I made any comments towards securing a attorney personally . Because thats just not my way of taking care of buisness.[/quot
    Very well said.
  9. by   labcat01
    Quote from txspadequeen921
    Saying a couple of words to the office manager is just not enough. It would be one thing if the Nurse/MA admitted to the mistake and apologized. But this person see's no mistake and in my opinion does not know her limitations. Now, I dont think I made any comments towards securing a attorney personally . Because thats just not my way of taking care of buisness.
    Absolutely! Everyone has made mistakes at some point but it is the ATTITUDE that was given that was really bothersome. I don't think it warrants a lawsuit either but sometimes you have to shake things up if you want to effect real change.
  10. by   nuberianne_RN
    I agree with the poster who said this is a system problem. Where did the MA/Nurse get the idea to give a Hep A shot? There should be a proper system in place so that the "education" form is not mixed up with an actual order. Wait a minute! Perhaps the NP verbalized the order to the MA/Nurse and ordered the additional shot by mistake. See what I mean.....system error. Where are the checks and balances? I am not at all trying to make any excuses for this MA/nurse's attitude for this alone is enough for SERIOUS DISCIPLINE not termination as far as I am concerned. I just wanted to give some more food for thought.
  11. by   morte
    Are you guys serious??? Jeez, I thought this was a board full of nurses who have been put in situations which a mistake could have happened??? Oh wait, we're all beyond reproach, right? We'd never make a mistake.

    Put this in the context of a med error....say you gave APAP too soon, or MSO4 too soon.......the ERROR is the same, the consequences are different.....WE DONT KNOW the potential consequences for this child.....the fact is there was NO consent, bottom line.......
  12. by   LPNtoBSNstudent
    Well, I am still surprised about this whole post. I completely understand why someone would be upset if this happened to their child. But to completely blow it out of proportion like this....? I am really dumbfounded. 8 pages of responses and almost everyone is ready to hang her.

    I really don't understand why our profession does this to each other.
  13. by   LPNtoBSNstudent
    Quote from txspadequeen921
    I dont even know what to say about this post. No one here is even making a agrument about receiving/benifits of immunizations or even the s/e of the medications. .
    I replyed the way I did to show there was likely NO HARM DONE that would warrent a lawsuit.

close