re: flu vaccines

[panurse101]

To all infection control nurses out there. I am an Rn, presently working on getting my APIC certification, but that just started. The flu vaccines are being given FIANALLY at my place of employment. What do you recommed or what is common practice, in take a tamperature following the infejection. It is every 8 hours for 24 hours? or is it more. Please.. any one.. can you help? I am trying to find information on the computer..and not having much luck.

i will appreciated any information you can provide me.

Thanks alot.

Tracy RN

[Nurse Ratched, RN]

This is going to be a really dumb question, but why would you take the temp at all beyond just routine vitals - concern over an allergic reaction? Since it's attentuated, that should be the only reason one would have problems (unless you're talking flumist.) What am I missing? (it is early! :) )

[panurse101]

This is going to be a really dumb question, but why would you take the temp at all beyond just routine vitals - concern over an allergic reaction? Since it's attentuated, that should be the only reason one would have problems (unless you're talking flumist.) What am I missing? (it is early! :) )

You are absolutely correct. However, our DON is saying it "has" to be done.. for 3 days. It used to just be common practice for the first 24 hours, but I dont see a reason why. Just want to know what the rest of you do? Thank yiu

[chris_at_lucas_RN, RN]

Are you maybe talking about following immune-compromised or otherwise vulnerable patients who get the vaccine? That would make sense to me, because they can react in all sorts of ways, and you don't want them sick, nor do you want to be neglectful and maybe be sued.

But if it is for you, the caregiver, and you are healthy and hearty, then I guess temps will be one of those things you just do, even though it doesn't make sense, because you are told to......

[Nurse Ratched, RN]

You are absolutely correct. However, our DON is saying it "has" to be done.. for 3 days. It used to just be common practice for the first 24 hours, but I dont see a reason why. Just want to know what the rest of you do? Thank yiu

We have instituted flu shots at our hospital as a "standing order" now, and have no recommendations for temps beyond our routine VS. Giving them in my primary job in an outpatient clinic, we similarly make no recommendations for watching for elevated temp.

It sounds like your DON needs a refresher in "evidence-based nursing" - AKA, why it's silly to waste staff time on things that are of no benefit. Good luck!