Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Nursing Issues On Patient Safety /

Is This Ethical?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,434 members! Join today to network with other nurses, laugh, share, and much more.
Page 2 of 4 < 1 2 34 >

No. 10
Old Dec 30, 2008, 09:34 AM
Updated Dec 30, 2008 at 09:46 AM by racing-mom4

Default Re: Is This Ethical?
Originally Posted by iceyspots View Post
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??
Top

3 Readers Gave Kudos
 
Advertisement
Sponsored Links
 
No. 11
from traumaRUs
Old Dec 30, 2008, 09:38 AM

Default Re: Is This Ethical?
I have never ever heard of giving shots to one's own family member at home w/o some kind of order. I am so surprized this is a common practice! So many things can go wrong, not to mention you are treating your own children. Have I been living under a rock?
Top

1 Reader Gave Kudos
 
No. 12
from LaneyB
Old Dec 30, 2008, 09:39 AM

Default 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.
Top

4 Readers Gave Kudos
 
No. 13
from LaneyB
Old Dec 30, 2008, 09:48 AM

Default 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.
Top

1 Reader Gave Kudos
 
No. 14
from LaneyB
Old Dec 30, 2008, 09:52 AM

Default 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.
Top
 
No. 15
from LaneyB
Old Dec 30, 2008, 09:55 AM

Default Re: Is This Ethical?
Not to be completely obnoxious, but again, please give me one REPUTABLE source that states you should not give simultaneous vaccines to children. It has nothing to do with inexperience - it has more to do with evidence-based practice. At the current time both the CDC and the American Academy of Pediatrics (and ACIP) recommend simultaneous vaccination of children.
Top

6 Readers Gave Kudos
 
No. 16
Old Dec 30, 2008, 10:26 AM

Default Re: Is This Ethical?
Originally Posted by racing-mom4 View Post
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.
Top

1 Reader Gave Kudos
 
No. 17
Old Dec 30, 2008, 10:33 AM

Default 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
Top
 
No. 18
Old Dec 30, 2008, 10:37 AM

Default Re: Is This Ethical?
Originally Posted by WorriedinPA View Post
she has been caught doing MANY other illegal things. .
Wow good luck with that---but this one was not illegal. Hopefully your encouraging of your step kids to have a good relationship with thier mom. I am hoping you only say positive things about thier mother to them. Nothing worse than hearing negative statments about your own parents.
Top

5 Readers Gave Kudos
 
No. 19
from NRSKarenRN
Old Dec 30, 2008, 10:47 AM

Default 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.
Top
 
Page 2 of 4 < 1 2 34 >
Reply




Thread Tools


Who's Online
340 members
3,655 guests
3,995

2

Interesting article on ThedaCare's Collaborative Care Model

6

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

10

Really interesting article on Indian open hearts

6

High-Tech Pump Does What Her Heart Can't

4

Air Force RN Found Not Guilty

7

California Imposes Stricter Rules Regarding Drug Abuse In...

48

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: