1. H1N1 Vaccination in General Practice Chris Liu PDA RN BN

2. Objective  To promote a team approach to deliver H1N1 vaccination program in general practice

3. Practice Preparation  Plan a Practice meeting  Determine a strategy to implement H1N1 vaccination program  Arrange appointment schedule  Consider practice capacity/room availability  Promote practice vaccination plan (waiting room posters, “on hold” message, newsletter, patient handouts)  Staff training

4. Pre-Vaccination Procedures  Prepare an anaphylaxis response kit  Cold chain management  Pre-vaccination screening  Consent policy  Documentation (QLD health requirements & practice)  Develop/prepare resources (documentation “shortcut”)

5. Practice equipment  Sharps containers  Needles/syringes will be provided  Container to store prepared doses (to protect from light, foil)  Consider seating requirements  Consent forms/patient information sheets (provided)  Discard 2009 seasonal influenza vaccine

6. Who to vaccinate?  Database search for at risk groups  PEN CAT Tool Recipe (GPGC website)  Recall target groups  Can be offered to anyone 10 years and over who would like to be vaccinated  Can also be provided to overseas travellers who request vaccination (DO NOT need to have a medicare card)

7. Administration of H1N1 vaccine  On Arrival Book patients in, provide patient information leaflet/consent form  Consultation Pre-vaccination screening checklist, check/document allergies (severe egg, neomycin, polymyxin), explain risks/benefits, obtain and record consent  Vaccine service provider Prepare vaccine as per MDV protocol, request patient to wait 15 minutes after administration

9. Record Keeping  Record in patient’s file  Complete QLD Health data collection sheet  Complete QLD Health vaccine wastage sheet if required

10. Billing  Item Numbers 3 (Brief consult) $15.35 10993 (PN)$11.10 10990 x 2 $6.50 x 2 (under 16 years or CCH) Total$39.45

11. Resources  Pandemic (H1N1) 2009 Vaccination Information & Guidelines (GGC website) www.gpgc.com.au  KISS guide to Vaccine Management  Commonwealth Government’s Qs & As for providers at www.healthemergency.gov.auwww.healthemergency.gov.au  Australian Immunisation Handbook  MDV guidelines www.racgp.org.au/h1n1/3www.racgp.org.au/h1n1/3  Recall letter template www.gppartners.com.au www.gppartners.com.au

12. Websites  Queensland Health Pandemic Vaccination website http://www.health.qld.gov.au/swineflu/ht ml/vacc.asp http://www.health.qld.gov.au/swineflu/ht ml/vacc.asp  General Practice Gold Coast www.gpgc.com.au  Health Emergency website www.healthemergency.gov.au

13. Questions ???