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Pandemic flu in Ireland: A rapid-response national training programme for anaphylaxis/adverse events following immunisation (AEFI)

2010; Elsevier BV; Volume: 81; Issue: 2 Linguagem: Inglês

10.1016/j.resuscitation.2010.09.332

1873-1570

Mairéad Egan, Gerard Bury, Brian Carlin, Mark Dixon,

Drug-Induced Adverse Reactions

Purpose of the Study: To report on the effectiveness of a training programme in the management of AEFI at mass vaccination clinics during the 2009 H1N1 Pandemic.Methods: The H1N1 pandemic led the Health Services Executive (HSE) in lreland to establish mass vaccination clinics nationally.1http://www.hse.ie/eng/services/swineflu/Google Scholar University College Dublin's Centre for Immediate Care Services (CICS) was the only agency in Ireland with a well-established and accredited training programme in ‘Anaphylaxis for Healthcare Providers’ (AHP).HSE invited CICS to deliver a training programme for all HSE public health nurses and doctors within an eight-week period in advance of the imminent arrival of the vaccines in Ireland. A cascade strategy was adopted and CICS collaborated with University of Limerick (UL) to devise a 2-day ‘Train the Trainers’ programme. Participants were Senior Nurse/Midwifery Tutors spanning all geographical areas. Forty-four AHP Instructors were trained and accredited in AEFI and Basic Life Support (BLS).Tabled 1TotalsExisting instructor-trainers20Clinical nurse tutors trained44Total instructors available for cascade training64Nurses trained by the 64 instructors1350Doctors trained by the 64 instructors360Vaccines delivered to 1 April 20101,100,000Average vaccinations administered per candidate631 Open table in a new tab Tabled 1Summary of AEFI Reports to Irish Medicines BoardTotalsReported adverse reactions1633Reported allergic reactions (anaphylaxis)103 (15)Vaccine associated deaths0 Open table in a new tab Conclusion: Collaboration between universities and the health service in a cascade system is an effective mechanism to deliver rapid response, intensive training of nurses and doctors in AEFI and BLS. Purpose of the Study: To report on the effectiveness of a training programme in the management of AEFI at mass vaccination clinics during the 2009 H1N1 Pandemic. Methods: The H1N1 pandemic led the Health Services Executive (HSE) in lreland to establish mass vaccination clinics nationally.1http://www.hse.ie/eng/services/swineflu/Google Scholar University College Dublin's Centre for Immediate Care Services (CICS) was the only agency in Ireland with a well-established and accredited training programme in ‘Anaphylaxis for Healthcare Providers’ (AHP). HSE invited CICS to deliver a training programme for all HSE public health nurses and doctors within an eight-week period in advance of the imminent arrival of the vaccines in Ireland. A cascade strategy was adopted and CICS collaborated with University of Limerick (UL) to devise a 2-day ‘Train the Trainers’ programme. Participants were Senior Nurse/Midwifery Tutors spanning all geographical areas. Forty-four AHP Instructors were trained and accredited in AEFI and Basic Life Support (BLS). Conclusion: Collaboration between universities and the health service in a cascade system is an effective mechanism to deliver rapid response, intensive training of nurses and doctors in AEFI and BLS.