Embed Size (px)
Citation preview
Immunisation knowledge and skills competence assessment tool
This publication is due for review in September 2018. To provide feedback on its contents or on your experience of using the publication, please email [email protected]
RCN Legal Disclaimer
This publication contains information, advice and guidance to help members of the RCN. It is intended for use within the UK but readers are advised that practices may vary in each country and outside the UK.
The information in this booklet has been compiled from professional sources, but its accuracy is not guaranteed. Whilst every effort has been made to ensure the RCN provides accurate and expert information and guidance, it is impossible to predict all the circumstances in which it may be used. Accordingly, the RCN shall not be liable to any person or entity with respect to any loss or damage caused or alleged to be caused directly or indirectly by what is contained in or left out of this website information and guidance.
Published by the Royal College of Nursing, 20 Cavendish Square, London W1G 0RN
© 2015 Royal College of Nursing. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise, without prior permission of the Publishers. This publication may not be lent, resold, hired out or otherwise disposed of by ways of trade in any form of binding or cover other than that in which it is published, without the prior consent of the Publishers.
Acknowledgements
This publication originated from work developed by the London Immunisation Network which includes representative immunisation leads and consultant paediatricians from across London, as well as colleagues from the London health protection units and the Institute of Child Health.
Key contributors
Helen Donovan, Royal College of Nursing Public Health Adviser; Health Protection Nurse and Immunisation specialist.
Laura Craig, Immunisation Nurse Specialist, Immunisation, Hepatitis and Blood Safety Department, Centre for Infections, Health Protection Agency
Michael Corr, Immunisation Co-ordinator, Lewisham Healthcare NHS Trust/NHS Lewisham
Dr Helen Bedford, Senior Lecturer in Children’s Health, Centre for Epidemiology and Biostatistics, UCL Institute of Child Health
Tina Bishop, RCN practice nurse forum
Dr Rebecca Cordery, Consultant in Communicable Disease Control, North East and North Central London Health Protection Unit
Dr David Elliman, Consultant Paediatrician, Whittington Health
Dr Rachel Heathcock, Consultant in Communicable Disease Control, Director, South East London
Elizabeth Hunt, Immunisation Specialist Nurse, Immunisation Task Force, Hillingdon Community Health Central and North West London Foundation Trust
Philippa Kemsley, Immunisation Lead, City and Hackney
Dr Gabrielle Laing, Consultant Paediatrician Immunisation Co-ordinator, City and Hackney
Maggie Meltzer, Consultant in Communicable Disease Control, North West London Health Protection Unit
Dr Barry Walsh, Director/Consultant in Communicable Disease Control, South West London Health Protection Unit
Rachel Webber, Childhood Health Programme Manager, Barking and Dagenham Public Health
In addition, the RCN would also like to thank the following for their involvement in this publication:
RCN Northern Ireland, RCN Scotland and RCN Wales
Public Health England
Health Protection Scotland
Public Health Wales
RCN Public Health Forum
Royal colleGe of nuRsinG and public health enGland
3
Immunisation knowledge and skills competence assessment tool
Background
These competence assessments have been developed by the Royal College of Nursing (RCN) and Public Health England (PHE) to support the training and assessment of registered and non-registered health care workers who have a role in immunisation. (See PHE National Minimum Standards and Core Curriculum for Immunisation training and the RCN Supporting the delivery of immunisation education (publication code 005 335) for further information.)
In addition to acquiring knowledge through a theoretical taught course, practitioners need to develop clinical skills in immunisation and apply their knowledge in practice. A period of supervised practice to allow acquisition and mentor observation of clinical skills and application of knowledge to practice when the practitioner is new to immunisation is therefore strongly recommended.
Whilst there is no agreement or finite evidence as to how many times this supervised practice should occur, both the mentor and new practitioner need to feel confident that the practitioner has the necessary skills and knowledge to advise on and/or administer vaccines.
Information for users
The competence assessment tools have been divided into three areas.
1. Knowledge.
2. Core clinical skills – many of the competences are core skills used in a range of clinical areas, but for the purposes of this assessment tool, they should be used in the context of immunisation.
3. The clinical process/procedure for vaccine administration.
One competence assessment form is for registered health care staff. The other is for non-registered health care staff. This will include health care support workers (HCSWs) who may have a role in the administration of influenza, pneumococcal and/or shingles vaccines. Some of the competences will also apply to administrative staff for example, those who have a role in checking the storage of vaccines (cold chain) and those in children’s centres and education settings who may have a role in directing patients and parents/carers to the right resources or services.
The competences link to the National Minimum Standards and Core Curriculum for Immunisation Training (HPA, 2005) and the National Minimum Standards and Core Curriculum for Immunisation Training of Healthcare Support Workers (PHE, 2015). These curricula describe the learning outcomes that should be covered by immunisation training courses. These competence assessments are not intended as a check list for all the outcomes but as a tool to assure knowledge, competence and safe practice. Mentors and practitioners should refer back to the learning outcomes when assessing knowledge and skills.
It is recognised that not all competences will be relevant to all staff. For example, in some areas such as schools, pharmacy or prison health, immunisers will require very specific knowledge and skills. The competences required will depend on the individual service area and the specific range of vaccines given by the immuniser. The word ‘patient’ has been used throughout but can be interchanged with the appropriate word for the health setting in which the competence assessment framework is used.
Where there are very specific needs for particular service areas, service leads may wish to extract the relevant competences for their service for ease of assessment. This is acceptable but for consistency and ease of transfer between areas, the wording should be the same and any documentation should clearly state which area(s) and for which vaccine (s) the assessment has been carried out.
4
ImmunIsatIon knowledge and skIlls competence assessment tool
What is a competence framework?
For the purpose of this document competence can be defined as:
“The state of having the knowledge, judgement, skills, energy, experience and motivation required to respond adequately to the demands of one’s professional responsibilities” (Roach, 1992)
Competences are the essential building blocks that shape nursing work in all clinical and practice settings. As practitioners acquire skills, knowledge, understanding and confidence in their field they are able to demonstrate how they meet increasingly challenging levels of competence.
This document provides a resource for all grades of staff to enable learning and development in the field of immunisation.
The framework aims to identify the competences required to meet the specific needs of patients requiring immunisation as well as to provide support to both registered and non-registered staff, wishing to grow their expertise and progress their career in this field.
How to use these competence assessments:
This document can be used as a self-assessment tool, an assessment tool for use by a mentor or both, as described below. Where a particular competence is not applicable to the individual’s role, indicate ‘not applicable’ (NA).
1. Select the relevant competence assessment. Either: registered health care staff or non-registered health care staff (e.g. HCSW).
2. Vaccinators: those administering immunisations should be assessed against all competences, except where the vaccinator is only required to use specific administration techniques, for example if they are only giving the intranasal influenza vaccine or intradermal Bacillus Calmette-Guérin vaccine (BCG).
Other role in immunisation: If a practitioner’s role is to advise about or support immunisation programmes, but not to actually administer vaccines, they and their assessor need to identify which competences are applicable.
3. Practitioner to complete self-assessment column: practitioners are stating that they feel competent in their role and have the necessary knowledge and skills.
4. Share with mentor.
Mentors: the mentor needs to be a registered health care practitioner who is competent and experienced in delivering immunisation programmes.
The mentor should:
• reviewthepractitioner’sself-assessment,discussingany areas that are identified as ‘need to improve’ and the relevant action plans
• observetheirperformanceastheyprovideimmunisations/advice to several patients and indicate whether each competence is ‘met’ or ‘needs to improve’ in the mentor review column
• ifimprovementisneeded,helptheimmunisertodevelop an action plan that will help them achieve the required level of competence with a review date for further assessment
• whenmentorandpractitioneragreethatthepractitioner is competent in all the relevant areas, sign off the section at the bottom of the assessment.
Useful links
• PHE Immunisation pages for the Green Book, Vaccine Update and other useful resources.
• RCN Immunisation resources for specific guidance for Health Care Support Workers (HCSW) and other resources and links.
• World Health Organization (WHO) for vaccine schedules for each country across the world.
• European Centre for Disease Control (ECDC) for European vaccine schedules.
Royal colleGe of nuRsinG and public health enGland
5
Com
pete
nce
asse
ssm
ent t
ool:
regi
ster
ed s
taff
Com
pete
nce
asse
ssm
ent
tool
: reg
iste
red
staf
f – fo
r st
aff w
ho
are
on a
pro
fess
iona
l reg
iste
r su
ch a
s N
MC,
GM
C, H
CPC,
GP
hCN
ot a
ppli
cabl
e (N
A) t
o cu
rren
t ar
ea
of p
ract
ice
Sel
f-as
sess
men
t re
cord
: ne
ed t
o im
prov
e (N
I) o
r m
et
(M) (
init
ial a
nd d
ate)
Men
tor
revi
ew r
ecor
d:
need
s to
impr
ove
(NI)
or
met
(M
) (in
itia
l and
dat
e)
Rec
ord
acti
on p
lan
for
any
asse
ssed
as
need
s to
im
prov
e (a
s ag
reed
wit
h m
ento
r)
P
art
1: k
now
ledg
e
Sel
f-as
sess
men
tM
ento
r re
view
1aC
an p
rovi
de e
vide
nce
of
atte
nda
nce
at
a sp
ecifi
c, c
ompr
ehen
sive
imm
un
isat
ion
tr
ain
ing
cou
rse.
Th
e co
urs
e sh
ould
cov
er a
ll of
th
e to
pics
det
aile
d in
th
e C
ore
Cur
ricu
lum
for
Imm
unis
atio
n Tr
aini
ng a
nd/
or p
rovi
de e
vide
nce
of
com
plet
ing
an im
mu
nis
atio
n e
-lea
rnin
g pr
ogra
mm
e (s
tate
th
e n
ame
of c
ours
e/ty
pe
of
trai
nin
g at
ten
ded)
.
1bH
as s
ucc
essf
ully
com
plet
ed a
kn
owle
dge
asse
ssm
ent
e.g.
an
e-l
earn
ing
cou
rse
asse
ssm
ent,
end
of c
ours
e te
st o
r th
e P
HE
on
line
quiz
.
1cA
ble
to a
cces
s th
e on
line
Gre
en B
ook
and
is a
war
e of
th
e el
ectr
onic
upd
ate
nat
ure
of
this
pu
blic
atio
n.
1dA
ble
to a
cces
s ot
her
rel
evan
t im
mu
nis
atio
n g
uid
ance
e.g
. DH
/PH
E/N
HS
En
glan
d le
tter
s, v
acci
ne
upd
ate,
Q&
As
on n
ew o
r re
vise
d va
ccin
e pr
ogra
mm
es,
the
PH
E a
lgor
ith
m fo
r p
erso
ns
wit
h u
nkn
own
or
un
cert
ain
imm
un
isat
ion
st
atu
s.
1eK
now
s w
ho
to c
onta
ct fo
r ad
vice
if u
nsu
re a
bou
t va
ccin
atio
n s
ched
ule
s, v
acci
ne
spac
ing
and
com
pati
bilit
y, e
ligib
ility
for
vacc
ines
or
if a
vac
cin
e er
ror
occu
rs.
(e.g
. loc
al s
cree
nin
g an
d im
mu
nis
atio
n t
eam
, PH
E h
ealt
h p
rote
ctio
n t
eam
or
oth
er lo
cally
ava
ilabl
e im
mu
nis
atio
n le
ad)
1fA
ble
to a
cces
s cu
rren
t in
form
atio
n o
n o
ther
cou
ntr
ies’
sch
edu
les
if r
equ
ired
(e
.g. W
HO
or
EC
DC
web
site
s) a
nd
can
adv
ise
pati
ents
an
d/or
par
ents
/car
ers
if
any
addi
tion
al v
acci
nes
are
nee
ded.
1gA
ble
to d
iscu
ss t
he
rele
van
t n
atio
nal
an
d lo
cal i
mm
un
isat
ion
pro
gram
mes
an
d th
e di
seas
es fo
r w
hic
h v
acci
nes
are
cu
rren
tly
avai
labl
e. A
war
e of
pro
gram
mes
fo
r sp
ecifi
c cl
inic
al r
isk
grou
ps a
nd
use
of
vacc
inat
ion
in o
utb
reak
sit
uat
ion
s.
Kn
ows
wh
ere
to r
efer
to
if v
acci
nes
are
not
ava
ilabl
e lo
cally
(e.
g. B
CG
or
trav
el
vacc
ines
).
1hIs
abl
e to
adv
ise
on a
ppro
pria
te s
afe,
tim
ely
adm
inis
trat
ion
of
the
vacc
ine(
s)
requ
ired
by
the
pati
ent.
1iU
nde
rsta
nds
th
e di
ffer
ent
typ
es o
f va
ccin
e, is
abl
e to
sta
te w
hic
h v
acci
nes
are
liv
e an
d w
hic
h a
re in
acti
vate
d an
d is
aw
are
of t
he
diff
eren
t ro
ute
s of
ad
min
istr
atio
n e
.g. i
nje
cted
, in
tran
asal
or
oral
.
1jA
ble
to e
xpla
in t
he
gen
eral
pri
nci
ples
of
imm
un
isat
ion
e.g
. why
mu
ltip
le a
nd/
or b
oost
er d
oses
are
req
uir
ed, w
hy in
terv
als
nee
d to
be
obse
rved
bet
wee
n d
oses
an
d w
hy t
he
infl
uen
za v
acci
ne
nee
ds t
o be
giv
en a
nn
ual
ly.
1kA
war
e of
loca
l an
d n
atio
nal
tar
gets
for
imm
un
isat
ion
up
take
an
d w
hy v
acci
ne
up
take
dat
a is
imp
orta
nt.
6
ImmunIsatIon knowledge and skIlls competence assessment tool
Com
pete
nce
asse
ssm
ent
tool
: reg
iste
red
staf
f – fo
r st
aff w
ho
are
on a
pro
fess
iona
l reg
iste
r su
ch a
s N
MC,
GM
C, H
CPC,
GP
hCN
ot a
ppli
cabl
e (N
A) t
o cu
rren
t ar
ea
of p
ract
ice
Sel
f-as
sess
men
t re
cord
: ne
ed t
o im
prov
e (N
I) o
r m
et
(M) (
init
ial a
nd d
ate)
Men
tor
revi
ew r
ecor
d:
need
s to
impr
ove
(NI)
or
met
(M
) (in
itia
l and
dat
e)
Rec
ord
acti
on p
lan
for
any
asse
ssed
as
need
s to
im
prov
e (a
s ag
reed
wit
h m
ento
r)
P
art
2: c
ore
skil
ls fo
r im
mun
isat
ion
S
elf-
asse
ssm
ent
Men
tor
revi
ew
2aIs
up-
to-d
ate
wit
h lo
cal r
equ
irem
ents
for
anap
hyla
xis
and
CP
R t
rain
ing
(nor
mal
ly r
ecom
men
ded
ann
ual
ly).
2bA
war
e of
th
e w
her
eabo
uts
of
anap
hyla
xis
and
emer
gen
cy c
are
equ
ipm
ent,
how
an
d w
hen
to
use
it a
nd
the
follo
w-u
p ca
re r
equ
ired
.
2cC
an e
xpla
in in
cide
nt
resp
onse
an
d re
por
tin
g pr
oces
s in
cas
e of
a p
roce
dura
l er
ror,
nee
dle
stic
k in
jury
as
per
loca
l pro
toco
l.
2dD
emon
stra
tes
good
pra
ctic
e in
han
d hy
gien
e an
d re
leva
nt
infe
ctio
n p
reve
nti
on
tech
niq
ues
.
2eD
isp
oses
of
shar
ps, v
acci
ne
vial
s an
d ot
her
vac
cin
e eq
uip
men
t sa
fely
in li
ne
wit
h lo
cal g
uid
ance
.
2fD
emon
stra
tes
know
ledg
e an
d u
nde
rsta
ndi
ng
of t
he
rati
onal
e fo
r m
ain
tain
ing
the
vacc
ine
cold
ch
ain
. Fam
iliar
wit
h lo
cal p
roto
cols
for
cold
ch
ain
m
anag
emen
t an
d th
e ac
tion
to
be t
aken
in c
ase
of c
old
chai
n fa
ilure
an
d w
ho
to
con
tact
.
Par
t 3:
cli
nica
l pro
cess
and
pro
cedu
re
Sel
f-as
sess
men
tM
ento
r re
view
3aC
hec
ks p
atie
nt’s
iden
tity
an
d pa
tien
t's r
ecor
ds p
rior
to
vacc
inat
ion
to
asce
rtai
n
prev
iou
s im
mu
nis
atio
n h
isto
ry a
nd
wh
ich
vac
cin
es a
re r
equ
ired
e.g
.to
brin
g pa
tien
t u
p-to
-dat
e w
ith
nat
ion
al s
ched
ule
, for
pla
nn
ed t
rave
l, fo
r sp
ecifi
c id
enti
fied
ris
k, p
ost-
exp
osu
re p
roph
ylax
is e
tc.
3bC
an e
xpla
in w
hic
h v
acci
nes
are
to
be g
iven
an
d ab
le t
o an
swer
pat
ien
t’s a
nd/
or
pare
nts
’ qu
esti
ons,
ref
erri
ng
to le
aflet
s to
aid
exp
lan
atio
ns/
disc
uss
ion
as
appr
opri
ate
and
usi
ng
inte
rpre
ter
if n
eces
sary
to
ensu
re p
atie
nt/
pare
nt
info
rmed
. Kn
ows
wh
o to
ref
er t
o or
wh
o to
con
tact
if fu
rth
er d
etai
l or
advi
ce is
re
quir
ed.
3cA
ble
to c
lear
ly a
nd
con
fide
ntl
y di
scu
ss t
he
risk
s an
d be
nefi
ts o
f va
ccin
atio
n a
nd
able
to
addr
ess
any
con
cern
s pa
tien
ts a
nd/
or p
aren
ts m
ay h
ave.
3dA
war
e of
, an
d ab
le t
o di
scu
ss, a
ny c
urr
ent
issu
es, c
ontr
over
sies
or
mis
con
cep
tion
s su
rrou
ndi
ng
imm
un
isat
ion
.
3eD
emon
stra
tes
know
ledg
e of
con
sen
t re
quir
emen
ts a
nd
the
part
icu
lar
issu
es
rele
van
t to
th
e ar
ea o
f pr
acti
ce, s
uch
as
the
capa
city
to
con
sen
t, M
enta
l C
apac
ity
Act
an
d th
e ag
e of
th
e in
divi
dual
. En
sure
s co
nse
nt
is o
btai
ned
pri
or t
o va
ccin
atio
n a
nd
is a
ppro
pria
tely
doc
um
ente
d.
3fD
emon
stra
tes
know
ledg
e an
d u
nde
rsta
ndi
ng
of c
ontr
ain
dica
tion
s an
d is
abl
e to
ass
ess
appr
opri
atel
y fo
r co
ntr
ain
dica
tion
or,
if n
eces
sary
, th
e n
eed
to
pos
tpon
e va
ccin
atio
n.
3gC
hec
ks t
hat
th
e va
ccin
e h
as b
een
app
ropr
iate
ly p
resc
ribe
d vi
a a
Pati
ent
Spec
ific
Dir
ecti
on (
PSD
) or
is a
uth
oris
ed t
o be
su
pplie
d an
d/or
adm
inis
tere
d vi
a a
Pati
ent
Gro
up
Dir
ecti
on (
PG
D).
Com
pete
nce
asse
ssm
ent t
ool:
regi
ster
ed s
taff
Royal colleGe of nuRsinG and public health enGland
7
Com
pete
nce
asse
ssm
ent
tool
: reg
iste
red
staf
f – fo
r st
aff w
ho
are
on a
pro
fess
iona
l reg
iste
r su
ch a
s N
MC,
GM
C, H
CPC,
GP
hCN
ot a
ppli
cabl
e (N
A) t
o cu
rren
t ar
ea
of p
ract
ice
Sel
f-as
sess
men
t re
cord
: ne
ed t
o im
prov
e (N
I) o
r m
et
(M) (
init
ial a
nd d
ate)
Men
tor
revi
ew r
ecor
d:
need
s to
impr
ove
(NI)
or
met
(M
) (in
itia
l and
dat
e)
Rec
ord
acti
on p
lan
for
any
asse
ssed
as
need
s to
im
prov
e (a
s ag
reed
wit
h m
ento
r)
P
art
3: c
lini
cal p
roce
ss a
nd p
roce
dure
con
tinu
ed
Sel
f-as
sess
men
tM
ento
r re
view
3h
Ch
ecks
th
e pr
esen
tati
on o
f va
ccin
e pr
odu
cts,
th
e ex
piry
dat
e, h
ow t
hey
hav
e be
en s
tore
d pr
ior
to u
se a
nd
prep
ares
th
em a
ccor
din
g to
th
e su
mm
ary
of
prod
uct
ch
arac
teri
stic
s (S
PC
).
3iPo
siti
ons
pati
ent
appr
opri
atel
y an
d ch
oose
s ap
prop
riat
e va
ccin
atio
n s
ite(
s) e
.g.
use
of
ante
rior
late
ral a
spec
t of
th
e th
igh
in b
abie
s u
nde
r on
e ye
ar a
nd/
or
upp
er a
rm in
old
er c
hild
ren
an
d ad
ult
s fo
r in
ject
able
vac
cin
es.
3jC
hoo
ses
the
corr
ect
adm
inis
trat
ion
rou
te fo
r th
e va
ccin
e(s)
to
be d
eliv
ered
.
3kD
emon
stra
tes
corr
ect
subc
uta
neo
us
inje
ctio
n t
ech
niq
ue
e.g.
for
adm
inis
trat
ion
of
sh
ingl
es v
acci
ne.
3lD
emon
stra
tes
corr
ect
intr
ader
mal
tec
hn
iqu
e e.
g. fo
r ad
min
istr
atio
n o
f B
CG
va
ccin
e.
3mD
emon
stra
tes
corr
ect
intr
amu
scu
lar
tech
niq
ue
e.g.
for
adm
inis
trat
ion
of
DTa
P
vacc
ine.
3nD
emon
stra
tes
corr
ect
intr
anas
al t
ech
niq
ue
e.g.
for
adm
inis
trat
ion
of
live
infl
uen
za v
acci
ne
to c
hild
ren
.
3oD
emon
stra
tes
corr
ect
oral
tec
hn
iqu
e e.
g. fo
r ad
min
istr
atio
n o
f liv
e ro
tavi
rus
vacc
ine
to b
abie
s
3pD
emon
stra
tes
an u
nde
rsta
ndi
ng
of p
ract
ice/
clin
ic p
roce
dure
s fo
r th
e re
por
tin
g of
vac
cin
e re
acti
ons
and
know
s h
ow a
nd
wh
en t
o re
por
t u
sin
g th
e M
edic
ines
an
d H
ealt
hca
re p
rodu
cts
Reg
ula
tory
Au
thor
ity’
s (M
HR
A)
Yello
w C
ard
Sch
eme.
3qC
ompl
etes
all
nec
essa
ry d
ocu
men
tati
on, r
ecor
din
g ty
pe
and
prod
uct
nam
e of
va
ccin
e, b
atch
nu
mbe
r, ex
piry
dat
e, d
ose
adm
inis
tere
d, s
ite(
s) u
sed,
dat
e gi
ven
an
d n
ame
and
sign
atu
re.
3rD
emon
stra
tes
good
rec
ord
keep
ing
and
un
ders
tan
ds t
he
imp
orta
nce
of
mak
ing
sure
vac
cin
e in
form
atio
n is
rec
orde
d on
GP
dat
a sy
stem
, rep
orte
d to
loca
l C
hild
Hea
lth
In
form
atio
n S
yste
m (
CH
IS),
in t
he
Pers
onal
Ch
ild H
ealt
h R
ecor
d (P
CH
R)
and
the
use
of
appr
opri
ate
met
hod
s fo
r re
por
tin
g u
nsc
hed
ule
d va
ccin
atio
ns
or w
her
e va
ccin
es a
re g
iven
ou
tsid
e of
GP
pre
mis
es.
3sA
dvis
es p
atie
nt/
pare
nt
on p
oten
tial
pos
t-va
ccin
atio
n r
eact
ion
s as
app
ropr
iate
(e
.g.,
rash
, pyr
exia
) an
d m
anag
emen
t of
th
ese.
Pro
vide
s pa
tien
t/pa
ren
t w
ith
a
copy
of
pos
t-im
mu
nis
atio
n a
dvic
e sh
eet
such
as
the
NH
S le
aflet
Wha
t to
expe
ct
afte
r va
ccin
atio
n or
th
e pr
odu
ct's
Pat
ien
t In
form
atio
n L
eafl
et (
PIL
), if
ap
prop
riat
e.
Sta
tem
ent
of c
ompe
tenc
e
Nam
e of
indi
vidu
al:
Sign
atu
re:
Has
sh
own
app
ropr
iate
kn
owle
dge,
ski
ll an
d co
mp
eten
ce t
o sa
fely
adm
inis
ter/
advi
se a
bou
t va
ccin
atio
ns.
Nam
e of
men
tor/
line
man
ager
:D
ate:
Si
gnat
ure
of
men
tor/
line
man
ager
:
Com
pete
nce
asse
ssm
ent t
ool:
regi
ster
ed s
taff
8
ImmunIsatIon knowledge and skIlls competence assessment toolCo
mpe
tenc
e as
sess
men
t to
ol: n
on-r
egis
tere
d st
aff.
Fo
r st
aff t
rain
ed t
o ad
min
iste
r or
sup
port
the
del
iver
y of
a
vacc
inat
ion
prog
ram
me
but
who
are
not
reg
iste
red
on a
pr
ofes
sion
al r
egis
ter
such
as
NM
C, G
MC
HCP
C or
GP
hC
Not
app
lica
ble
(NA
) to
curr
ent
area
of
pra
ctic
e
Sel
f-as
sess
men
t re
cord
: ne
ed t
o im
prov
e (N
I) o
r m
et
(M) (
init
ial a
nd d
ate)
Men
tor
revi
ew r
ecor
d:
need
s to
impr
ove
(NI)
or
met
(M
) (in
itia
l and
dat
e)
Rec
ord
acti
on p
lan
for
any
asse
ssed
as
need
s to
im
prov
e (a
s ag
reed
wit
h m
ento
r)
Par
t 1:
kno
wle
dge
S
elf-
asse
ssm
ent
Men
tor
revi
ew
1aC
an p
rovi
de e
vide
nce
of
atte
nda
nce
at
a sp
ecifi
c, c
ompr
ehen
sive
imm
un
isat
ion
tr
ain
ing
cou
rse
(th
e co
urs
e sh
ould
cov
er a
ll of
th
e to
pics
det
aile
d in
th
e C
ore
Cur
ricu
lum
for
Imm
unis
atio
n Tr
aini
ng a
nd/
or p
rovi
de e
vide
nce
of
com
plet
ing
an im
mu
nis
atio
n e
-lea
rnin
g pr
ogra
mm
e. (
Stat
e th
e n
ame
of c
ours
e/ty
pe
of
trai
nin
g at
ten
ded.
)
1bH
as s
ucc
essf
ully
com
plet
ed a
kn
owle
dge
asse
ssm
ent
e.g.
MC
Q o
r ot
her
as
sess
men
t at
en
d of
a t
augh
t co
urs
e.
1cA
ble
to a
cces
s th
e on
line
Gre
en B
ook
and
is a
war
e of
th
e el
ectr
onic
upd
ate
nat
ure
of
this
pu
blic
atio
n.
1eK
now
s w
ho
to r
efer
to
for
advi
ce if
un
sure
abo
ut
vacc
inat
ion
sch
edu
les,
vac
cin
e sp
acin
g an
d co
mpa
tibi
lity,
elig
ibili
ty fo
r va
ccin
es o
r if
a v
acci
ne
erro
r oc
curs
(e
.g. r
egis
tere
d h
ealt
h c
are
prof
essi
onal
.)
1fFa
mili
ar w
ith
th
e re
leva
nt
nat
ion
al a
nd
loca
l im
mu
nis
atio
n p
rogr
amm
es a
nd
the
dise
ases
for
wh
ich
vac
cin
es a
re c
urr
entl
y av
aila
ble.
1gU
nde
rsta
nds
th
e di
ffer
ent
typ
es o
f va
ccin
e, is
abl
e to
sta
te w
hic
h v
acci
nes
are
liv
e an
d w
hic
h a
re in
acti
vate
d an
d is
aw
are
of t
he
diff
eren
t ro
ute
s of
ad
min
istr
atio
n e
.g. i
nje
cted
, in
tran
asal
or
oral
.
1hA
ble
to e
xpla
in t
he
gen
eral
pri
nci
ples
of
imm
un
isat
ion
e.g
. why
mu
ltip
le a
nd/
or b
oost
er d
oses
are
req
uir
ed, w
hy in
terv
als
nee
d to
be
obse
rved
bet
wee
n d
oses
an
d w
hy t
he
infl
uen
za v
acci
ne
nee
ds t
o be
giv
en a
nn
ual
ly.
1iA
war
e of
loca
l an
d n
atio
nal
tar
gets
for
imm
un
isat
ion
up
take
an
d w
hy v
acci
ne
up
take
dat
a is
imp
orta
nt.
Par
t 2:
cor
e sk
ills
for
imm
unis
atio
n
Sel
f-as
sess
men
tM
ento
r re
view
2aIs
up-
to-d
ate
wit
h lo
cal r
equ
irem
ents
for
anap
hyla
xis
and
CP
R t
rain
ing
(nor
mal
ly r
ecom
men
ded
ann
ual
ly).
2bA
war
e of
th
e w
her
eabo
uts
of
anap
hyla
xis
and
emer
gen
cy c
are
equ
ipm
ent,
how
an
d w
hen
to
use
it a
nd
the
follo
w-u
p ca
re r
equ
ired
.
2cC
an e
xpla
in in
cide
nt
resp
onse
an
d re
por
tin
g pr
oces
s in
cas
e of
a p
roce
dura
l er
ror,
nee
dle
stic
k in
jury
as
per
loca
l pro
toco
l.
2dD
emon
stra
tes
good
pra
ctic
e in
han
d hy
gien
e an
d re
leva
nt
infe
ctio
n p
reve
nti
on
tech
niq
ues
.
2eD
isp
oses
of
shar
ps, v
acci
ne
vial
s an
d ot
her
vac
cin
e eq
uip
men
t sa
fely
in li
ne
wit
h lo
cal g
uid
ance
.
2fD
emon
stra
tes
know
ledg
e an
d u
nde
rsta
ndi
ng
of t
he
rati
onal
e fo
r m
ain
tain
ing
the
vacc
ine
cold
ch
ain
. Fam
iliar
wit
h lo
cal p
roto
cols
for
cold
ch
ain
m
anag
emen
t an
d th
e ac
tion
to
be t
aken
in c
ase
of c
old
chai
n fa
ilure
an
d w
ho
to
con
tact
.
2gW
orks
wit
hin
loca
l pro
toco
l or
stan
dard
op
erat
ing
proc
edu
re (
SOP
),
un
ders
tan
ds li
mit
atio
ns
of o
wn
rol
e an
d ab
le t
o re
fer
on fo
r ad
vice
ap
prop
riat
ely.
Com
pete
nce
asse
ssm
ent t
ool:
non
-reg
iste
red
staf
f
Royal colleGe of nuRsinG and public health enGland
9
Com
pete
nce
asse
ssm
ent
tool
: non
-reg
iste
red
staf
f.
For
staf
f tra
ined
to
adm
inis
ter
or s
uppo
rt t
he d
eliv
ery
of a
va
ccin
atio
n pr
ogra
mm
e bu
t w
ho a
re n
ot r
egis
tere
d on
a
prof
essi
onal
reg
iste
r su
ch a
s N
MC,
GM
C H
CPC
or G
PhC
Not
app
lica
ble
(NA
) to
curr
ent
area
of
pra
ctic
e
Sel
f-as
sess
men
t re
cord
: ne
ed t
o im
prov
e (N
I) o
r m
et
(M) (
init
ial a
nd d
ate)
Men
tor
revi
ew r
ecor
d:
need
s to
impr
ove
(NI)
or
met
(M
) (in
itia
l and
dat
e)
Rec
ord
acti
on p
lan
for
any
asse
ssed
as
need
s to
im
prov
e (a
s ag
reed
wit
h m
ento
r)
Par
t 3:
cli
nica
l pro
cess
and
pro
cedu
re
Sel
f-as
sess
men
tM
ento
r re
view
3aC
hec
ks p
atie
nt's
iden
tity
an
d pa
tien
t’s r
ecor
ds p
rior
to
vacc
inat
ion
to
asce
rtai
n
prev
iou
s im
mu
nis
atio
n h
isto
ry.
3bC
an e
xpla
in w
hic
h v
acci
nes
are
to
be g
iven
an
d is
abl
e to
an
swer
pat
ien
t's a
nd/
or p
aren
ts’ q
ues
tion
s, r
efer
rin
g to
leafl
ets
to a
id e
xpla
nat
ion
s/di
scu
ssio
n a
s ap
prop
riat
e an
d u
sin
g in
terp
rete
r if
nec
essa
ry t
o en
sure
pat
ien
t/pa
ren
ts
info
rmed
. Is
able
to
refe
r to
th
e re
leva
nt
regi
ster
ed p
ract
itio
ner
for
furt
her
de
tail
or a
dvic
e.
3cA
ble
to c
lear
ly a
nd
con
fide
ntl
y di
scu
ss t
he
risk
s an
d be
nefi
ts o
f va
ccin
atio
n a
nd
ab
le t
o ad
dres
s an
y co
nce
rns
pati
ents
an
d/or
par
ents
may
hav
e. R
efer
s to
th
e re
leva
nt
regi
ster
ed p
ract
itio
ner
for
furt
her
det
ail o
r ad
vice
.
3dA
war
e of
, an
d ab
le t
o di
scu
ss, a
ny c
urr
ent
issu
es, c
ontr
over
sies
or
mis
con
cep
tion
s su
rrou
ndi
ng
the
imm
un
isat
ion
s th
ey a
re g
ivin
g.
3eD
emon
stra
tes
know
ledg
e of
con
sen
t re
quir
emen
ts a
nd
the
part
icu
lar
issu
es
rele
van
t to
th
e ar
ea o
f pr
acti
ce, s
uch
as
the
capa
city
to
con
sen
t, M
enta
l C
apac
ity
Act
an
d th
e ag
e of
th
e in
divi
dual
. En
sure
s co
nse
nt
is o
btai
ned
pri
or t
o va
ccin
atio
n a
nd
is a
ppro
pria
tely
doc
um
ente
d.
3fD
emon
stra
tes
know
ledg
e an
d u
nde
rsta
ndi
ng
of c
ontr
ain
dica
tion
s an
d u
ses
asse
ssm
ent
form
/ch
eck
list
to c
hec
k fo
r co
ntr
ain
dica
tion
s an
d pr
ecau
tion
s pr
ior
to im
mu
nis
atio
n. R
efer
s to
rel
evan
t re
gist
ered
pro
fess
ion
al if
in d
oubt
.
3gD
emon
stra
tes
that
th
ey c
hec
k th
e va
ccin
e h
as b
een
app
ropr
iate
ly p
resc
ribe
d th
rou
gh a
Pat
ien
t Sp
ecifi
c D
irec
tion
(P
SD).
Th
e in
tran
asal
infl
uen
za v
acci
ne
can
be
supp
lied
by a
reg
iste
red
prac
titi
oner
via
a P
atie
nt
Gro
up
Dir
ecti
on P
GD
fo
r su
bseq
uen
t ad
min
istr
atio
n w
her
e ap
prop
riat
e to
th
e se
ttin
g.
3hD
emon
stra
tes
that
th
ey k
now
how
to
use
PSD
s, c
hec
kin
g th
at t
he
pati
ent
is
nam
ed t
o re
ceiv
e th
e sp
ecifi
c va
ccin
e, t
hat
it is
app
ropr
iate
ly d
ated
an
d si
gned
an
d th
at t
hey
kn
ow w
ho
to r
efer
to
if t
his
is n
ot t
he
case
.
3iC
hec
ks t
he
pres
enta
tion
of
vacc
ine
prod
uct
s, t
he
expi
ry d
ate,
how
th
ey h
ave
been
sto
red
prio
r to
use
an
d pr
epar
es t
hem
acc
ordi
ng
to t
he
sum
mar
y of
pr
odu
ct c
har
acte
rist
ics
(SP
C).
3jPo
siti
ons
pati
ent
appr
opri
atel
y an
d ch
oose
s ap
prop
riat
e va
ccin
atio
n s
ite(
s).
3kC
hoo
ses
the
corr
ect
adm
inis
trat
ion
rou
te fo
r th
e va
ccin
e(s)
to
be d
eliv
ered
.
3lD
emon
stra
tes
corr
ect
subc
uta
neo
us
inje
ctio
n t
ech
niq
ue
e.g.
for
adm
inis
trat
ion
of
sh
ingl
es v
acci
ne.
3mD
emon
stra
tes
corr
ect
intr
amu
scu
lar
tech
niq
ue
e.g.
for
adm
inis
trat
ion
of
adu
lt
flu
an
d pn
eum
ococ
cal v
acci
nes
.
3nD
emon
stra
tes
corr
ect
intr
anas
al t
ech
niq
ue
e.g.
for
adm
inis
trat
ion
of
live
infl
uen
za v
acci
ne
to c
hild
ren
.
Com
pete
nce
asse
ssm
ent t
ool:
non
-reg
iste
red
staf
f
10
ImmunIsatIon knowledge and skIlls competence assessment tool
Com
pete
nce
asse
ssm
ent
tool
: non
-reg
iste
red
staf
f.
For
staf
f tra
ined
to
adm
inis
ter
or s
uppo
rt t
he d
eliv
ery
of a
va
ccin
atio
n pr
ogra
mm
e bu
t w
ho a
re n
ot r
egis
tere
d on
a
prof
essi
onal
reg
iste
r su
ch a
s N
MC,
GM
C H
CPC
or G
PhC
Not
app
lica
ble
(NA
) to
curr
ent
area
of
pra
ctic
e
Sel
f-as
sess
men
t re
cord
: ne
ed t
o im
prov
e (N
I) o
r m
et
(M) (
init
ial a
nd d
ate)
Men
tor
revi
ew r
ecor
d:
need
s to
impr
ove
(NI)
or
met
(M
) (in
itia
l and
dat
e)
Rec
ord
acti
on p
lan
for
any
asse
ssed
as
need
s to
im
prov
e (a
s ag
reed
wit
h m
ento
r)
Par
t 3:
cli
nica
l pro
cess
and
pro
cedu
re c
onti
nued
S
elf-
asse
ssm
ent
Men
tor
revi
ew
3oD
emon
stra
tes
an u
nde
rsta
ndi
ng
of p
ract
ice/
clin
ic p
roce
dure
s fo
r th
e re
por
tin
g of
adv
erse
inci
den
ts, v
acci
ne
reac
tion
s an
d kn
ows
how
an
d w
hen
to
rep
ort
usi
ng
the
MH
RA’
s Ye
llow
Car
d Sc
hem
e.
3pC
ompl
etes
all
nec
essa
ry d
ocu
men
tati
on, r
ecor
din
g ty
pe
and
prod
uct
nam
e of
va
ccin
e, b
atch
nu
mbe
r, ex
piry
dat
e, d
ose
adm
inis
tere
d, s
ite(
s) u
sed,
dat
e gi
ven
an
d n
ame
and
sign
atu
re.
3qA
dvis
es p
atie
nt/
pare
nt
on p
oten
tial
pos
t-va
ccin
atio
n r
eact
ion
s as
app
ropr
iate
(e
.g.,
rash
, pyr
exia
) an
d m
anag
emen
t of
th
ese.
Pro
vide
s pa
tien
t/pa
ren
t w
ith
a
copy
of
pos
t-im
mu
nis
atio
n a
dvic
e sh
eet
if a
vaila
ble,
e.g
. th
e N
HS
leafl
et W
hat
to e
xpec
t aft
er v
acci
nati
on o
r th
e pr
odu
ct's
Pat
ien
t In
form
atio
n L
eafl
et (
PIL
), if
ap
prop
riat
e.
Sta
tem
ent
of c
ompe
tenc
e
Nam
e of
indi
vidu
al:
Sign
atu
re:
Has
sh
own
app
ropr
iate
kn
owle
dge,
ski
ll an
d co
mp
eten
ce t
o sa
fely
adm
inis
ter/
advi
se a
bou
t va
ccin
atio
ns.
Nam
e of
men
tor/
line
man
ager
:D
ate:
Sign
atu
re o
f m
ento
r/lin
e m
anag
er:
Com
pete
nce
asse
ssm
ent t
ool:
non
-reg
iste
red
staf
f
Royal colleGe of nuRsinG and public health enGland
11
Com
pete
nce
asse
ssm
ent
tool
: non
-reg
iste
red
staf
f.
For
staf
f tra
ined
to
adm
inis
ter
or s
uppo
rt t
he d
eliv
ery
of a
va
ccin
atio
n pr
ogra
mm
e bu
t w
ho a
re n
ot r
egis
tere
d on
a
prof
essi
onal
reg
iste
r su
ch a
s N
MC,
GM
C H
CPC
or G
PhC
Not
app
lica
ble
(NA
) to
curr
ent
area
of
pra
ctic
e
Sel
f-as
sess
men
t re
cord
: ne
ed t
o im
prov
e (N
I) o
r m
et
(M) (
init
ial a
nd d
ate)
Men
tor
revi
ew r
ecor
d:
need
s to
impr
ove
(NI)
or
met
(M
) (in
itia
l and
dat
e)
Rec
ord
acti
on p
lan
for
any
asse
ssed
as
need
s to
im
prov
e (a
s ag
reed
wit
h m
ento
r)
Par
t 3:
cli
nica
l pro
cess
and
pro
cedu
re c
onti
nued
S
elf-
asse
ssm
ent
Men
tor
revi
ew
3oD
emon
stra
tes
an u
nde
rsta
ndi
ng
of p
ract
ice/
clin
ic p
roce
dure
s fo
r th
e re
por
tin
g of
adv
erse
inci
den
ts, v
acci
ne
reac
tion
s an
d kn
ows
how
an
d w
hen
to
rep
ort
usi
ng
the
MH
RA’
s Ye
llow
Car
d Sc
hem
e.
3pC
ompl
etes
all
nec
essa
ry d
ocu
men
tati
on, r
ecor
din
g ty
pe
and
prod
uct
nam
e of
va
ccin
e, b
atch
nu
mbe
r, ex
piry
dat
e, d
ose
adm
inis
tere
d, s
ite(
s) u
sed,
dat
e gi
ven
an
d n
ame
and
sign
atu
re.
3qA
dvis
es p
atie
nt/
pare
nt
on p
oten
tial
pos
t-va
ccin
atio
n r
eact
ion
s as
app
ropr
iate
(e
.g.,
rash
, pyr
exia
) an
d m
anag
emen
t of
th
ese.
Pro
vide
s pa
tien
t/pa
ren
t w
ith
a
copy
of
pos
t-im
mu
nis
atio
n a
dvic
e sh
eet
if a
vaila
ble,
e.g
. th
e N
HS
leafl
et W
hat
to e
xpec
t aft
er v
acci
nati
on o
r th
e pr
odu
ct's
Pat
ien
t In
form
atio
n L
eafl
et (
PIL
), if
ap
prop
riat
e.
Sta
tem
ent
of c
ompe
tenc
e
Nam
e of
indi
vidu
al:
Sign
atu
re:
Has
sh
own
app
ropr
iate
kn
owle
dge,
ski
ll an
d co
mp
eten
ce t
o sa
fely
adm
inis
ter/
advi
se a
bou
t va
ccin
atio
ns.
Nam
e of
men
tor/
line
man
ager
:D
ate:
Sign
atu
re o
f m
ento
r/lin
e m
anag
er:
References
Health Protection Agency (2005) National Minimum Standards for Immunisation Training. London: Public Health England (previous HPA) Available at: www.gov.uk/government/publications/immunisation-training-national-minimum-standards [Accessed August 2015]
Public Health England (2015) National minimum standards and core curriculum of immunisation training of health care support workers. London: Public Health England (previous HPA). Available at: www.gov.uk/government/publications/immunisation-training-of-healthcare-support-workers-national-minimum-standards-and-core-curriculum [Accessed August 2015]
Roach M S (1992) The human act of caring. Ottowa: Canadian Hospital Association Press
Royal College of Nursing (2015) Supporting the delivery of immunisation education. London: RCN
The RCN represents nurses and nursing, promotes excellence in practice and shapes health policies
September 2015 Review date September 2018
RCN Online www.rcn.org.uk
RCN Direct www.rcn.org.uk/direct
0345 772 6100
Published by the Royal College of Nursing
20 Cavendish Square London W1G 0RN
020 7409 3333
www.facebook.com/royalcollegeofnursing
www.twitter.com/thercn
www.youtube.com/rcnonline
Publication code: 005 336
ISBN: 978-1-910672-32-7
