1. British Columbia’s Immunization Competency Program
Cheryl McIntyre
BC Centre for Disease Control
March 21, 2005

3. BC Infant Immunization Program
DaPT/IPV/Hib
Hepatitis B
MMR
Varicella
Meningococcal C conjugate
Pneumococcal conjugate
Influenza
Mixed delivery system
~ 1000 Public Health Nurses

4. Immunization Competency
To support health care professionals in their role as vaccine providers, educators and advocates for immunization
Goal: vaccine providers will demonstrate the knowledge and skills necessary to provide safe and effective immunization programs

5. Process Original examination, paper-based, open book, developed 2001
Working group 2003
Revisions
Web-based format
Access to the University of British Columbia on-line learning WebCT
Pilot testing

6. Immunization Competency
Vaccinology
Vaccine Preventable Diseases
Contraindications and Precautions, Adverse Events
Scheduling
Specific Vaccines
Special Populations
Informed Consent, Benefit-Risk Communication

7. Overview Document Benefit – Risk Communication
Canadian Immunization Guide:
Addressing Parents’ Concerns: Do multiple vaccines overwhelm or weaken the immune system. Dr. Paul Offit et al:

8. Competency on - line

9. Original Examination Vaccinology
Protection from infectious disease is described as immunity. What are the two basic mechanisms for acquiring this protection? Explain how these mechanisms work and give examples of how each are acquired.
Explain the difference between humoral immunity and cell-mediated immunity.

10. Vaccinology: True or False
Inactivated vaccines are usually effective with the administration of only one dose
Passive immunity produces a response similar to disease
Immunologic memory produced by vaccination is not always detectable by serologic testing

11. A healthy 12 month old received a first dose of DaPT/IPV/Hib and Hepatitis B vaccine at 6 months of age. What vaccines is he eligible for today?
DaPT/IPV/Hib, PCV7, MMR, Hep B
DaPT/IPV/Hib, PCV7, MMR, Hep B, meningococcal C conjugate, varicella
DaPT/IPV/Hib, MMR, Hep B
MMR, Hep B, PCV7, varicella

12. Examination - Student

13. Examination - Instructor

14. Skills Checklist Clinic set up Client assessment
Determination of vaccines to be given
Informed consent
Vaccine preparation and administration
Documentation
Reminders

15. From the nurses…
“…these materials have been an excellent resource for all of us in the field, to ensure that Public Health Nurses have the best practice knowledge and skill sets to provide the immunization program.”

16. Acknowledgements Immunization Competency Working Group:
Karen Pielak, Mary Margaret Proudfoot, Margot Smythe, Anne Carten, Carol Harrison, Elaine Klassen, Denise McKay, Gillian Youngberg, Claire Coombs, Myrna Klein, Gerry Barnes, Shirley Jones, Valery Dubenko, Karen McColgan
Fred Zhang, University of Victoria, School of Health Information Science
Maryjane Trepanier, BCCDC Surveillance Analyst
University of British Columbia

17. Thank you