KAIREN WESTON NURSE ADVISOR Role and Responsibilities Limitations - PowerPoint PPT Presentation

KAIREN WESTON NURSE ADVISOR

Role and Responsibilities  Limitations within General Practice  Appointment times/ availability  Private sector role  Protocol/guidelines  PDG or PSD?

Competencies  Attend annual training sessions on immunizations  Annual CPR updates  Attends annual travel health update  Demonstrate awareness and uses a variety of online resources  Demonstrates knowledge of common travel related illnesses: Travellers diarrhea, Hep A and B, Typhoid, Dengue and malaria. Consider all health risks RCN Competencies (2012); Travel Health Nursing: career and competence development

Information about the traveller  Age and sex  Medical history (past & present)  Medication  Pregnant or trying to conceive  Any allergies  Previous vaccinations  Previous travel experience  Special needs RCN Competencies (2012); Travel Health Nursing: career and competence development

What we need to know  Destination(s)  When they travel  Length of stay  Mode of transport  Purpose of their trip  Accommodation  Financial budget  Insurance/health care standards RCN Competencies (2012); Travel Health Nursing: career and competence development

Vaccinations versus risk  Recommended vaccinations  Sometimes recommended vaccinations  Cost implications  Surgery doesn’t provide more specialized vaccination  Practitioner unfamiliar with the more specialized vaccines

Vaccination Schedule

Resources available to help www.Nathnac.org www.Travax.nhs.uk www.fifortravel.nhs.uk

Malaria Maps

What is malaria  The disease P.ovale P.malariae P.vivax P.falciparum P.knowlesi http://www.nathnac.org/pro/factsheets/malaria.htm#Epi

Is malaria a problem?  1378 cases reported 2012  73% cases P. Falciparum  2 deaths  83% travellers not taken anti-malarial  88 countries globally affected by malaria Nathnac (April 2013) : https://www.nathnac.org/pro/clinicalupdates/malaria_imp_250413.htm

ABCD Rules  Awareness  Bite prevention  Compliance /Chemoprophylaxis  Diagnosis HPA: Guidelines for Malaria Prevention in Travellers from the UK

Awareness  Destination  Multiple destinations  Natural immunity  Cruises  Other mosquito transmitted diseases Dengue Japanese encephalitis Yellow fever

Bite Prevention  Deet  Lemon eucalyptus  Mosquito nets  Other preventative measures  Getting the message across HPA: Guidelines for Malaria Prevention in Travellers from the UK

Chemoprophylaxis  Patients understanding of malaria  Appropriate chemoprophylaxis for relevant area  Current health and past medical history  Be aware of contraindications and side effects  Consistency within family groups?  Education – importance of completing the course  Advice re incomplete courses (from illness or side effects)

Diagnosis  Education – primary care staff patient  Medical emergency  Blood test  Treatment  Notification of disease  NaTHNaC – Algorithm for initial assessment

How to make patients aware  Malaria facts  www.malariahotspots  Malaria travel tips .co.uk  Been there been bitten  Travel guide  Travel health  Kids  Press releases

The Unusual Traveller  Backpackers  Last minute travel  Female traveller  Expatriates, Aid workers  Chronic disease  Children  VFR’s

Advice to travellers  Make aware of endemic areas  Vaccination  Preventative measures – advice/leaflets  Medical packs  Last minute travellers / delayed schedules

Recourses to help HCP  Direct contacts;  On line web sites ; Nathnac 0845 6026712 www.travax.nhs.uk HPA - Malaria risk assessment www.nathnac.org template www.dh.gov.uk/greenbook London Tropical medicine www.hpa.org 020 7636 3924 Birmingham Heartlands Hospital (infectious diseases) 0121 4240359 Liverpool Tropical Diseases 0151 708 9393 Travax (2-4pm) weekdays 0141 3001130

Happy Bunny

It doesn’t end there! The returning traveller  Bites and stings  Sores, cuts and bruises  Travellers diarrhoea  Fever, generally unwell  STD’s

Resources  NaTHNac : www.nathnac.org 0845 602 6712  Malaria Reference Laboratory: www.malaria-reference.co.uk 020 7636 3924  Health Protection Agency: www.hpa.org.uk  Travax: www.travax.nhs.uk www.fitfortravel.nhs.uk  Malaria for general public: www.malariahotspots.co.uk  DOH : www.dh.gov.uk/home  Kairen: Kairen@kamacare.co.uk