In this section
Definition of Terms
The aims of this guideline are:
An admission assessment should be completed by the nurse with a parent or care giver, upon arrival to the ward. A history of immunisation status is to be documented in the nursing admission section of EMR. Once you have identified that the patient requires immunisation, providers should:
1. Occupational health and safety issuesStandard
occupational health and safety guidelines should always be followed during vaccination
2. Equipment for vaccinationThe equipment chosen will vary depending on whether the vaccine is a reconstituted vaccine or a vaccine in a pre-filled syringe. Equipment may include:
3. Preparing the vaccine
Injectable vaccines that do not require reconstitution
Injectable vaccines that require reconstitution
For all injectable vaccines
4. Administering the vaccine
Photo courtesy Lloyd Ellis, The Royal Children’s Hospital, Victoria (pg 80 of Australian Immunisation handbook, 10th ed. 2013)
Children aged 12 months or older
Photo courtesy Jane Jelfs NCIRS (pg 82 of Australian Immunisation handbook, 10th ed. 2013)
6. Positioning for vaccination
It is important that movement of infants and children is minimised during injection of vaccines. The following positions may be used for vaccinating.
Infants less than 12 months of age
Position the infant in a semi-recumbent position on the lap of the parent/carer (see figure below). It can also be used for young children.
Photo courtesy of Dr Joanne Molloy, Victoria (pg 75 of Australian Immunisation handbook, 10th ed. 2013)
Photo courtesy CHW Photography (pg 77 of Australian Immunisation Handbook, 10th ed. 2013)
Adolescents and adults
7. Distraction techniques
Immunisations can result in distress and anxiety for infants, children and their parents. It is important that effective pain management strategies are used during immunisation. Some
strategies that are recommended during administration of the vaccine include;
Topical anaesthetic agents, such as AnGel cream or EMLA can also be used. Routine use of paracetamol at the time of, or immediately after, vaccination is not recommended, unless Bexsero® is being administered (see MVEC).
The Evidence Table for this guideline can be viewed here.
Remember to read the
The development of this nursing guideline was coordinated by Sonja Elia, NUM, Immunisation Service, and approved by the Nursing Clinical Effectiveness Committee. Updated March 2018.