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| No. 10 |
Dec 30, 2008, 09:34 AM
Updated
Dec 30, 2008 at 09:46 AM by racing-mom4
Re: Is This Ethical? Originally Posted by iceyspots The only thing I'd be concerned about, is if the child has a negative reaction to one of the vaccines, and it would be unable to be pinpointed because of the fact they got 3 at the same time. So if there's an allergy, they'll never find out which one it was.
That has never stopped the board of health from using my babes as a pin cushion!!! If you dont give multiple vaccinations at the same time do you know how many times you would have to take your kiddos in?? What is the new rule something like 24 shots by the time they are 2 or something like that??
| | Advertisement Sponsored Links | | | | No. 12 |
Dec 30, 2008, 09:39 AM
Re: Is This Ethical?
Where is your source that 3 shots should not be given at the same time? I work in an immunization clinic, and we either give all of the shots indicated, or we have to have the parents sign a waiver stating they decline.
Here is from the CDC: I've heard people talk about "simultaneous" and "combination" vaccines. What does this mean? Why are vaccines administered this way?
"Simultaneous vaccination" is when multiple vaccines are administered during the same doctor's visit, usually in separate limbs (e.g., one in each arm). A "combination vaccine" consists of two or more separate vaccines that have been combined into a single shot. Combination vaccines have been in use in the United States since the mid-1940s. Examples of combination vaccines in current use are: DTaP (diphtheria-tetanus-pertussis), trivalent IPV (three strains of inactivated polio vaccine), MMR (measles-mumps-rubella), DTaP-Hib, and Hib-HepB (hepatitis B). Giving a child several vaccinations during the same visit offers two practical advantages. First, we want to immunize children as quickly as possible to give them protection during the vulnerable early months of their lives. Second, giving several vaccinations at the same time means fewer office visits, which saves parents both time and money and may be less traumatic for the child. Is simultaneous vaccination with multiple vaccines safe? Wouldn't it be safer to separate combination vaccines and spread them out, vaccinating against just one disease at a time?
The available scientific data show that simultaneous vaccination with multiple vaccines has no adverse effect on the normal childhood immune system. A number of studies have been conducted to examine the effects of giving various combinations of vaccines simultaneously. These studies have shown that the recommended vaccines are as effective in combination as they are individually, and that such combinations carry no greater risk for adverse side effects. Consequently, both the Advisory Committee on Immunization Practices and the American Academy of Pediatrics recommend simultaneous administration of all routine childhood vaccines when appropriate. Research is underway to find methods to combine more antigens in a single vaccine injection (for example, MMR and chickenpox). This will provide all the advantages of the individual vaccines, but will require fewer shots. Another advantage is that combination vaccines result in fewer shots and less discomfort for children. In addition, spreading out the administration of separate vaccines may leave children unnecessarily vulnerable to disease. | | No. 13 |
Dec 30, 2008, 09:48 AM
Re: Is This Ethical?
Here is more from the CDC (from the myths about vaccines section) Myth number 6:Giving a child multiple vaccinations for different diseases at the same time increases the risk of harmful side effects and can overload the immune system. Children are exposed to many foreign antigens every day. Eating food introduces new bacteria into the body, and numerous bacteria live in the mouth and nose, exposing the immune system to still more antigens. An upper respiratory viral infection exposes a child to 4 - 10 antigens, and a case of "strep throat" to 25 - 50. According to Adverse Events Associated with Childhood Vaccines, a 1994 report from the Institute of Medicine, "In the face of these normal events, it seems unlikely that the number of separate antigens contained in childhood vaccines . . . would represent an appreciable added burden on the immune system that would be immunosuppressive." And, indeed, available scientific data show that simultaneous vaccination with multiple vaccines has no adverse effect on the normal childhood immune system. A number of studies have been conducted to examine the effects of giving various combinations of vaccines simultaneously. In fact, neither the Advisory Committee on Immunization Practices (ACIP) nor the American Academy of Pediatrics (AAP) would recommend the simultaneous administration of any vaccines until such studies showed the combinations to be both safe and effective. These studies have shown that the recommended vaccines are as effective in combination as they are individually, and that such combinations carry no greater risk for adverse side effects. Consequently, both the ACIP and AAP recommend simultaneous administration of all routine childhood vaccines when appropriate. There are two practical factors in favor of giving a child several vaccinations during the same visit. First, we want to immunize children as early as possible to give them protection during the vulnerable early months of their lives. Second, giving several vaccinations at the same time will mean fewer office visits for vaccinations, which saves parents both time and money and may be less traumatic for the child. | | No. 14 |
Dec 30, 2008, 09:52 AM
Re: Is This Ethical?
Here is one specifically related to HPV vaccination from the MMWR (March 12, 2007): Simultaneous Administration with Other Vaccines Although no data exist on administration of quadrivalent HPV vaccine with vaccines other than hepatitis B vaccine, quadrivalent HPV vaccine is not a live vaccine and has no components that adversely impact safety or efficacy of other vaccinations. Quadrivalent HPV vaccine can be administered at the same visit as other age appropriate vaccines, such as the Tdap and quadrivalent meningococcal conjugate (MCV4) vaccines. Administering all indicated vaccines together at a single visit increases the likelihood that adolescents and young adults will receive each of the vaccines on schedule. Each vaccine should be administered using a separate syringe at a different anatomic site. | | No. 16 |
Dec 30, 2008, 10:26 AM
Re: Is This Ethical? Originally Posted by racing-mom4 I think the OP is looking for a way to get the newly lic nurse/ex-wife in trouble!! Instead of looking up info on the internet of the legalities of admin a vaccine to her step kids- I am sure she has more constructive things she could be doing. This was her 1st post and I doubt she will be back on to even read the replies.
Well, you're wrong there. I am back, and I am reading,and quite frankly up until this one, am kinda satisfied with what I see. I am asking these questions, because their mom, the professional RN, did NOT tell us what she had done and instead left it up to the children to tell us. This has been her M.O. and quite unfortuneately, she has been caught doing MANY other illegal things. I just wanted to make sure this was okay, and so far it is. Thanks to the other Nurses who answered my questions, without trying to bash what I was trying to do.
| | No. 17 |
Dec 30, 2008, 10:33 AM
Re: Is This Ethical?
Add me to the list- I gave my kids their flu and hepatitis shots etc. (Our doctor knows and approves- got them from work, signed their vaccination sheets )
Just make sure you keep records in case the school need to know
| | No. 19 |
Dec 30, 2008, 10:47 AM
Re: Is This Ethical?
In my neck of the woods, employee health only administers work related immunizations...no clinics at our hospital for staff. However, did get to use last dose of Flu vaccine from my employer instead of being discarded 2 years ago during shortage to administer to my Dad with order from PCP...
Sons all taken to Dr Maddy's office for their shots; however, Mom gave their desenitization shots to them while at summer camp---along with about 25 other kids shots as employeed as Camp RN.
Forwarning you re immunizations would have been professional courtesy...along with being good mom wanting to make sure no followup issues.
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