Question Nursing Immunization Provider Q Defined the cold chain and identified the most important aspects of cold chain management in the work place, including a breach Explained the nurses role in obtaining consent, documentation following immunisation, pre-vaccination screening, and professional responsibility Demonstrated a thorough knowledge of the correct procedure for administration of vaccines, following the National Health and Medical Research Council (NHMRC) guidelines Identified how they would have managed the child following their adverse reactions Prepared catch-up schedules for the four listed clients Discussed points in a logical sequence supported by a variety of credible reference material Question 1 – Management, handling, storage, and transporting vaccines (the cold chain) (400 words) Define the cold chain and identify the most important aspects of cold chain management in the work place, including the management and reporting of a cold chain breach. Analyse the rationale for the national guidelines for vaccine storage. Question 2 – Legal aspects of immunisation (500 words) Discuss the nurse's role in relation to: Professional responsibility when vaccinating under the Authority for Registered Nurses (NSW Ministry of Health PD 008_033). Nurses from interstate please refer to the current legislation in your state or territory. Pre-vaccination screening Valid consent Documentation of vaccination Question 3 - Administration of vaccines (600 words) Using the current immunisation schedule choose a routine immunisation encounter for a child and describe this encounter. Identify the steps you would follow, from beginning to end, according to best practice principles, determining the logic for this process. Using your clinical knowledge and the Handbook demonstrate that you are competent to conduct and implement the procedures for a vaccination encounter. Question 4 – Recognition and management of adverse events following immunisation (500 words) A child received a vaccination 15 minutes ago and is now restless, pale and has difficulty breathing. What may be happening to this child? Briefly describe the physiology, how would you differentiate from other AEFI, and how would you manage and document this situation?