Is This Ethical?

i gave my kids their flu shots and i did give my daughter 2 of the 3 HPV shots (health clinic gave her the 1st one)- I did in fact get them from our corporate health center located with in the hosp with a Drs order.

Granted mom should have told you in case they had any sort of delayed reaction.

LOL the vet on the other hand will NOT allow me to get the vaccines from him and give them to the dog---but my Dr will allow me to vaccinate my children!!

Congrats to thier mom for becoming a Nurse---nursing school is very challenging and difficult. I am sure they are proud of her.

It is quite legal to obtain the vaccines with a primary care provider's order and give them yourself 9or whomever is on the prescription) if you are a nurse. A doctor doesn't have to be present when a vaccine is given. It sure is more convenient than trudging them into the office just for a shot.

I have written orders for vaccines for children to get them at their parent's place of work by a nurse (since it is usually a free clinic). I myself obtained an order for a vaccine (rabies-don't ask), obtained the vaccine via special order at the pharmacy and gave it to myself at home.

As a pediatrictric nurse practitioner, I applaud a mom who is making sure her children are up-to-date with the current and recommended vaccine schedule. But it would have been considerate of her to let you know, so you could monitor for common side effects.

I routinely give my family vaccines and prescriptions, however, I also currently work in Saudi Arabia and medications are available w/o prescription. Flu vaccines are sold in pharmacies but I get vaccinations from the hospital I work in and other meds when needed.

My concern is the giving of three vaccines at one time. As an NP, I am more conservative then that and would likely not offer three different vaccines at one time, especially to younger patients or kids, then sending them to another state with no information. They could have negative responses. This is irresponsible and likely related to a lack of experience and knowledge by the mom who is a new grad. I would counsel her on safety issues but as the kids mothers it is her decision (should the dad be involved? I would say yes...) decision regarding their health care.

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.

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.

Yep sounds about right to me as well. Step mother needs to back off a bit and leave it to the mother and father to handle.

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.

I think it is legal and ethical but would have been really nice if she had notified your or their Dad so you could be prepared. Also, some advice on what to look for in the way of reactions or how to treat symptoms of discomfort, etc. would have been helpful for you and the children.

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??

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-tetorifice-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.