I'm a med surg nurse with no peds experience. I'm learning things I never thought I would! I have been reviewing immunization records for a day care. My question is regarding the HIB vaccine. When I check sources on how many doses a child is to receive, it says it depends on the brand used by the health care practitioner. Of course, none of that info is on the record I get, just the date. I have sent several children to get another dose of the HIB only to be told they don't need it.
I have no communication with the parents or the health care providers. I report my findings to the director and she takes it from there. She agrees this is a concern.
This day care is in a very poor area and health care can be received from many different places. Has any one else had this problem or concern?