2 month vaccination question

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So I see that at the age of 2 months, there are 6 vaccinations that are due. Do we have to prescribe all 6 on the same day? I feel that it's too much vaccination for just one visit. Do they need to be separated by a few days?

Here is the immunization schedule: https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

Getting patients in the clinic once is hard enough. Trying to get them to come back several times is a great way to lose them to follow up and have them be left unvax'd.

The body is exposed to millions of new antigens everyday. 6 vaccines is proven safe and effective.

If the vaccines must be split for any reason. You do the inactive vax first then 2 weeks later the live vax. You must wait 4 weeks after giving any live vax or Ig to give another vax. This is what we learn in pharmacology 1 in nursing school. I am very concerned that you are an FNP that doesn't have this foundational knowledge.

I agree with you, it is concerning. That is why I'm doing research on it.

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Specializes in NICU, Trauma, Oncology.

Fwiw. 2 month shots are worse for mama than they are for baby. As a mom that first set was heartbreaking.

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OP, I'll commend you for seeking this information out. I guess better late than never?

Where are you working as an FNP?

It seems your learning curve is more steep than others and I wish you luck.

I just started my first FNP job in Chicago. I just graduated a couple months ago.

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I am in Australia so won't give you information Re: the schedule as ours is slightly different, but no its not preferable to give them spaced out, for the reasons others have said such as potentially leaving the infant unvaccinated and at risk of exposure to the disease, having the parent not follow through with so many additional appointments, having issues with minimal spacing between one routine appointment and the next. But also if vaccines are spaced out, that is more stress on the child who now needs to go through multiple upsetting visits than if they were all just done on the same visit when recommended. As others have said, the current schedule has been proven to be safe and provides adequate immune response. Infants come into contact with millions of antigens every day and the immune system is able to handle this, it has no problem dealing with a minute few at each immunisation visit, it's like a drop in the ocean.

I would recommend reading your immunisation handbook, I haven't seen your country's but our is very informative, it gives in depth information regarding immunisation with evidence.

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Specializes in Med/surg, Tele, educator, FNP.

we give pediarix which is Hep B, polio, and Dtap, which helps cut down on pokes, I give the parent the choice on how many pokes but reinforce how important it is to get them all in a timely manner,

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No I didn't know. I am a recent Family Nurse Practitioner (FNP) grad and we only had 4 case studies for pediatrics. Thanks for telling me about this. I will look them up.

This is absolutely horrifying. 4 case studies in pediatrics and yet this person is somehow legally allowed to be an independent practitioner? Contrast this to the family medicine physician who has to do three years of training after graduation from medical school before they're allowed to be independent.

Horrifying.

OP, tell me where you work so I know to never bring my kids there!

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what are case studies???????????????? didnt know that was a primary way to learn in didactrics

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