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    • 5. Types of Vaccines
    • 6. Immunization Schedules
    • 7. Communications
    • 8. Legal/Ethical Issues
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8. Legal/Ethical Issues

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.

Resources

Web pages
American College of Obstetricians and Gynecologists (ACOG)–Ethical Issues with Vaccination for the Obstetrician-Gynecologist
  • https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/05/ethical-issues-with-vaccination-for-the-obstetrician-gynecologist​

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
  • ​www.hhs.gov/nvpo/nvac/reports-and-recommendations/the- standards-for-pediatric-immunization-practice/index.htm
learning modules
NURSING INITIATIVE PROMOTING IMMUNIZATION TRAINING (NIP-IT)
  • Module 3: Vaccine Concerns
          nip-it.org/vaccine_concerns.asp

  • Module 4: Nursing Roles–Nurse Role as Communicator
​          nip-it.org/nursing_roles.asp
Video
CDC YouTube Channel–Standards for Adult Immunization Practice
  • www.youtube.com/watch?v=hWsX2vu3PQU
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.
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  • Home
  • Topics
    • 1. Public Health Perspectives
    • 2. Immunization Strategies
    • 3. Immune System/Immunology
    • 4. Vaccine-Preventable Diseases
    • 5. Types of Vaccines
    • 6. Immunization Schedules
    • 7. Communications
    • 8. Legal/Ethical Issues
    • 9. Vaccine Storage and Handling
    • 10. Vaccine Administration
    • 11. Documentation
    • 12. Vaccine Safety
  • Resources
  • Background
  • Feedback