Objectives
a. Describe how ethical principles apply to immunization, including the individual’s rights to confidentiality and privacy, informed consent, and informed refusal. (Ethical principles include beneficence, nonmaleficence, respect for autonomy, fairness, truthfulness, and justice.)
b. Differentiate between federal and state laws related to immunization practice and required activities such as administration, record-keeping, and reimbursement.
c. Identify your state’s immunization requirements, including those for child care settings, schools, colleges and universities, and health care settings.
d. Identify your state’s immunization requirements for health care personnel.
e. Describe the three types of vaccine exemptions (medical, religious, and philosophical).
f. Identify the nurse’s own professional scope of practice as it relates to immunization (jurisdiction or board of nursing, accountability, delegation, organization, practice setting, etc.).
g. Discuss fiscal implications (barriers and facilitators) related to immunization access.
h. Describe nursing roles related to legal/ethical issues: advocate, leader, and lifelong learner.
b. Differentiate between federal and state laws related to immunization practice and required activities such as administration, record-keeping, and reimbursement.
c. Identify your state’s immunization requirements, including those for child care settings, schools, colleges and universities, and health care settings.
d. Identify your state’s immunization requirements for health care personnel.
e. Describe the three types of vaccine exemptions (medical, religious, and philosophical).
f. Identify the nurse’s own professional scope of practice as it relates to immunization (jurisdiction or board of nursing, accountability, delegation, organization, practice setting, etc.).
g. Discuss fiscal implications (barriers and facilitators) related to immunization access.
h. Describe nursing roles related to legal/ethical issues: advocate, leader, and lifelong learner.
Resources
Web pages
American College of Obstetricians and Gynecologists (ACOG)–Ethical Issues with Vaccination for the Obstetrician-Gynecologist
CDC Vaccines and Immunizations
National Vaccine Advisory Committee (NVAC)–The Standards for Pediatric Immunization Practice
CDC Vaccines and Immunizations
- Awardee Immunization Websites
www.cdc.gov/vaccines/imz-managers/awardee-imz-websites.html - Requirements and Laws
www.cdc.gov/vaccines/imz-managers/laws/index.html - SchoolVaxView: School Vaccination Requirements and Exemptions
www2a.cdc.gov/nip/schoolsurv/schImmRqmt.asp - State Immunization Laws for Healthcare Workers and Patients
www2a.cdc.gov/vaccines/statevaccsApp/default.asp - State School and Childcare Vaccination Laws
www.cdc.gov/phlp/publications/topic/vaccinations.html
National Vaccine Advisory Committee (NVAC)–The Standards for Pediatric Immunization Practice
learning modules
NURSING INITIATIVE PROMOTING IMMUNIZATION TRAINING (NIP-IT)
- Module 3: Vaccine Concerns
- Module 4: Nursing Roles–Nurse Role as Communicator
Video
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CDC YouTube Channel–Standards for Adult Immunization Practice
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Book
Marshall G. Standards, Principles, and Regulations. In: Marshall G. The Vaccine Handbook: A Practical Guide for Clinicians, 5th ed. West Islip, NY: Professional Communications, Inc.; 2015:80–100.
