GG: Immunization Specialty
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1 GG: Immunization Specialty College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 255
2 Competency: GG-1 Self-Regulation and Accountability GG-1-1 GG-1-2 Demonstrate knowledge and understanding of the immunization restricted activity in the Health Professions Act Licensed Practical Nurse (LPN) Regulation (2013). Demonstrate knowledge and ability to provide immunization in accordance with professional Legislation, Regulation, Standards and Guidelines. Note: LPNs who administer vaccines complete additional education recognized by the College of Licensed Practical Nurses of Alberta. 256 College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.
3 Competency: GG-2 Immunity and Communicable Disease Control GG-2-1 GG-2-2 GG-2-3 GG-2-4 Demonstrate knowledge of concept of immunity and principles of communicable disease prevention and control. Demonstrate knowledge of anatomy, physiology and pathophysiology of communicable diseases. Demonstrate knowledge of national and provincial standards of immunization. Demonstrate knowledge of importance of immunization schedules: prevention of communicable disease differentiate between immunization schedules infants children adults seniors populations College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 257
4 Competency: GG-3 Principles of Immunizing/ Biological Agents GG-3-1 GG-3-2 GG-3-3 GG-3-4 GG-3-5 GG-3-6 Demonstrate knowledge of the action, purpose, uses and nature of common immunizing/biological agents. Demonstrate knowledge and ability to identify the factors which affect the action of immunizing/biological agents. Demonstrate knowledge and ability to identify side effects, adverse effects, and contraindications of common immunizing/biological agents, and report appropriately. Demonstrate knowledge and ability to adhere to the legal responsibilities, policy, procedure, and scope of practice in the preparation and administration of immunizing/biological agents. Demonstrate knowledge and ability to adhere to the standard of the rights for administering medications. Demonstrate knowledge and ability to maintain the cold chain in the transportation and storage of immunizing/biological agents. 258 College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.
5 Competency: GG-4 Assessment of Client Prior to Immunization GG-4-1 GG-4-2 GG-4-3 GG-4-4 Demonstrate knowledge and ability to identify need for administration of an immunizing / biological agent. Demonstrate knowledge and ability to review pertinent health information of client prior to immunization. Demonstrate knowledge and ability to identify risk factors and contraindications to immunization and report appropriately. Demonstrate knowledge and ability to document assessment and nursing actions related to risk factors. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 259
6 Competency: GG-5 Informed Consent and Client Teaching GG-5-1 GG-5-2 Demonstrate knowledge and ability to ensure client, family or guardian has sufficient information to give informed consent for immunization including: name of immunizing/biological agent to be administered disease being prevented benefits of immunizing/biological agent common side effects risks and rare side effects rationale for minute wait following injection contact for follow-up or emergency Demonstrate ability to witness informed consent for immunization using appropriate agency protocol. 260 College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.
7 Competency: GG-6 Prepare Immunizing/ Biological Agents GG-6-1 GG-6-2 GG-6-3 GG-6-4 GG-6-5 GG-6-6 GG-6-7 Demonstrate knowledge and ability to perform critical elements to ensure safety in preparation and administration of immunizing/biological agent. Demonstrate knowledge and ability to check for correct name and expiration date of immunizing/biological agent. Demonstrate knowledge and ability to properly prepare immunizing/ biological agent for injection. Demonstrate knowledge and ability to use proper technique to draw immunizing/biological agent from vial or ampoule. Demonstrate knowledge and ability to maintain asepsis in changing needle to appropriate size for injection into client. Demonstrate knowledge and ability to properly label multi-dose vials. Demonstrate knowledge and ability to properly dispose of sharps and to store or discard unused immunizing/biological agent. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 261
8 Competency: GG-7 Administer Immunizing/ Biological Agents GG-7-1 GG-7-2 GG-7-3 GG-7-4 GG-7-5 GG-7-6 GG-7-7 Demonstrate knowledge and ability to check client s name, immunizing/biological agent, dosage, route, site and time of administration. Demonstrate knowledge and ability to explain steps of procedure and pertinent information regarding immunization to client, family or guardian. Demonstrate knowledge and ability to select site and landmark site for injection. Demonstrate knowledge and ability to use proper technique to administer intramuscular, subcutaneous and intradermal injection. Demonstrate knowledge and ability to dispose of sharps, used equipment and supplies. Demonstrate knowledge and ability to record immunizing/biological agent administration and client s response. Demonstrate knowledge and ability to document and report undesirable effects from immunizing/biological agent. 262 College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed.
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