RVNs sch 3 Vaccinations- KC?

RE: RVNs sch 3 Vaccinations- KC?

Alison Clare Hickman — Mon, 15 May 2017 20:57:20 GMT

Thanks for the clarification Apache. I am now clear, so ignore what I posted earlier y'all, as Apache has the gen. Good to know.

Hope the original poster is now fully and correctly informed.

RE: RVNs sch 3 Vaccinations- KC?

apache — Mon, 15 May 2017 16:27:49 GMT

The vet has to individually authorise the administration of the vaccine. That can be given by a VN (even the first one). You could argue if they came in too young for first vacc the VS could authorise a VN to give first and second injection. So long as a clinical exam and 'authorisation' then a nurse can do it. The KC is clearly authorised at the first vaccine by the VS.

RE: RVNs sch 3 Vaccinations- KC?

Alison Clare Hickman — Mon, 15 May 2017 16:13:40 GMT

Hmm - now I am confused!

[quote user="apache"]subsequent vaccination [/quote]

but is it? It's a novel vaccination, surely? I can see what you mean though, as the vet has examined the animal at the first vaccination...Oh heck

RE: RVNs sch 3 Vaccinations- KC?

apache — Mon, 15 May 2017 15:45:44 GMT

[quote user="Alison Clare Hickman"]he subsequent vaccination some two weeks or so later (close in time to the first vaccination) is usually authorised by the veterinary surgeon at the time of the first vaccination (directed by the veterinary surgeon when the animal is under his or her care and when the clinical assessment is carried out), and therefore the administration of this second vaccination and all dealings may be through a veterinary nurse or student veterinary nurse at the practice[/quote]

Clearly the VS authorised the KC at 2nd vacc when seen for first vacc, so this is fine to be a VN job.

I don't know if you've seen the recent VDS newsletter regarding unlicensed use of booster/KC at time of rabies boosters? I can see a lot of animals that got all 3 coming in to see the vet, getting their rabies and then back 2 weeks later for booster/KC. I can see nurses doing a lot MORE kennel coughs and boosters.

The wording is clearly to avoid nurse only boosters with no vet input. So long as seen recently and its authorised then you are 100% covered.

RE: RVNs sch 3 Vaccinations- KC?

PHA86 — Mon, 15 May 2017 13:41:08 GMT

I never felt as though I was compromising my integrity by doing so, and I do still think that the above info can be interpreted in one of two ways. Obviously I would never want to do something that I wasn't aurthorised to, so would air on the side of caution when going back into nursing!

RE: RVNs sch 3 Vaccinations- KC?

Alison Clare Hickman — Sat, 13 May 2017 20:40:08 GMT

[quote user="Yvette Morrison"]I personally don't feel happy doing this either but I'm not sure how to bring it up [/quote]

Show them the relevant VS Act S3 section? I have refused to give KC before now! It is difficult to cross a determined VS but I remain polite and resolute at all times. I won't compromise my professional integrity or limits so I have 'educated' my VS accordingly!

I am absolutely not criticising you btw - am recognising how difficult it can be to stand up for oneself when a decision is made by a boss or VS (or both) that one feels conflicted about. However, this is one of the costs of being a professional nurse... we must be fully aware what we can and cannot do in law (as one example) and educate other professionals and lay people accordingly.

Gosh I sound like a school marm - soz, just giving you (hopefuly) some useful guidance is all!

xxx

Ali h

https://www.rcvs.org.uk/advice-and-guidance/code-of-professional-conduct-for-veterinary-surgeons/supporting-guidance/delegation-to-veterinary-nurses/

Vaccination of companion animals

18.10 To give a first vaccination with a POM-V medicine, the animal must be under care of the prescribing veterinary surgeon (see the supporting guidance on the meaning of ‘under his care’) and the veterinary surgeon must carry out a clinical assessment (see the supporting guidance on the meaning of ‘clinical assessment’) and then the veterinary surgeon may administer, or under his or her direction, a veterinary nurse or student veterinary nurse may administer (see paragraph 18.5). If the veterinary surgeon is to certify the vaccination, the certification rules apply (see the supporting guidance on certification) and generally he or she must do it him or herself or witness it done.

18.11 The subsequent vaccination some two weeks or so later (close in time to the first vaccination) is usually authorised by the veterinary surgeon at the time of the first vaccination (directed by the veterinary surgeon when the animal is under his or her care and when the clinical assessment is carried out), and therefore the administration of this second vaccination and all dealings may be through a veterinary nurse or student veterinary nurse at the practice, provided the veterinary surgeon is not intending to certify this vaccination. Nevertheless, it is helpful for a veterinary surgeon to be on the premises at the time the vaccine is administered to the animal, to be able to assist in the event of the animal suffering an adverse reaction.

18.12 For booster or subsequent vaccinations not close in time to the first vaccination, the advice is the same as for the first vaccination (see paragraph 18.10).

RE: RVNs sch 3 Vaccinations- KC?

Yvette Boffey — Sat, 13 May 2017 19:49:59 GMT

Yeah my practice where I'm working is making it where the vet writes in the notes at the 1st vacc that it's okay for the RVN to administer the kennel cough at the 2nd vacc. I personally don't feel happy doing this either but I'm not sure how to bring it up seeing as it's within the whole vet group I'm working for.

RE: RVNs sch 3 Vaccinations- KC?

PHA86 — Sat, 13 May 2017 19:46:50 GMT

We used to do them at 2nd vacc in my last practice too.

RE: RVNs sch 3 Vaccinations- KC?

Nicola Smith — Sat, 13 May 2017 19:39:55 GMT

Oh ok - so we shouldn't be then!!

RE: RVNs sch 3 Vaccinations- KC?

Alison Clare Hickman — Sat, 13 May 2017 18:05:16 GMT

hi, VS Act, Schd3 18.11 1st vaccs VS only. Kennel cough is clearly a '1st vacc' if given around the time of 1st vacc course, even if administered at time of the 2nd vacc's of the course.

18.12 is clear that for booster and subsequent vaccinations not close to the first vaccination it (solely) under the remit of a VS (not RVN even with direction or supervision).

RE: RVNs sch 3 Vaccinations- KC?

Nicola Smith — Sat, 13 May 2017 13:59:49 GMT

If it has been prescribed by vet and dog seen recently I don't think it's a problem. I will do them if in for 2nd vacc and vet has put that nurse is to give kc at time of 2nd vacc. I don't think it could just be for any kc vacc as animal should have been examined and deemed healthy to undergo the vaccine by the vet.