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

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Sep 13, 2022 27 likes •261 views

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

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KAIREN WESTON NURSE ADVISOR

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Role and Responsibilities

 Limitations within General

Practice

 Appointment times/

availability

 Private sector role  Protocol/guidelines  PDG or PSD?

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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

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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

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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

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Vaccinations versus risk

 Recommended vaccinations  Sometimes recommended

vaccinations

 Cost implications  Surgery doesn’t provide more

specialized vaccination

 Practitioner unfamiliar with the

more specialized vaccines

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Vaccination Schedule

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Resources available to help

www.Nathnac.org www.Travax.nhs.uk www.fifortravel.nhs.uk

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Malaria Maps

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What is malaria

 The disease

P.ovale P.malariae P.vivax P.falciparum P.knowlesi

http://www.nathnac.org/pro/factsheets/malaria.htm#Epi

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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

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ABCD Rules

 Awareness  Bite prevention  Compliance /Chemoprophylaxis  Diagnosis

HPA: Guidelines for Malaria Prevention in Travellers from the UK

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Awareness

 Destination  Multiple destinations  Natural immunity  Cruises  Other mosquito transmitted diseases

Dengue Japanese encephalitis Yellow fever

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Bite Prevention

 Deet  Lemon eucalyptus  Mosquito nets  Other preventative measures  Getting the message across

HPA: Guidelines for Malaria Prevention in Travellers from the UK

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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)

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Diagnosis

 Education – primary care staff

patient

 Medical emergency  Blood test  Treatment  Notification of disease  NaTHNaC – Algorithm for initial assessment

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How to make patients aware

www.malariahotspots

.co.uk

 Malaria facts  Malaria travel tips  Been there been bitten  Travel guide  Travel health  Kids  Press releases

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The Unusual Traveller

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

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Advice to travellers

 Make aware of endemic

areas

 Vaccination  Preventative measures –

advice/leaflets

 Medical packs  Last minute travellers /

delayed schedules

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Recourses to help HCP

 Direct contacts;

Nathnac 0845 6026712 HPA- Malaria risk assessment template London Tropical medicine 020 7636 3924 Birmingham Heartlands Hospital (infectious diseases) 0121 4240359 Liverpool Tropical Diseases 0151 708 9393 Travax (2-4pm) weekdays 0141 3001130

 On line web sites ;

www.travax.nhs.uk

www.nathnac.org www.dh.gov.uk/greenbook www.hpa.org

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Happy Bunny

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It doesn’t end there! The returning traveller

 Bites and stings  Sores, cuts and bruises  Travellers diarrhoea  Fever, generally unwell  STD’s

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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