travel vaccination update courses for nurses

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Travel Health Update – Online Learning 

I have created a whole new way of undertaking a travel health update which is a mixture of videos, e-Learning, case studies, dilemma scenarios, self assessment questions, links to useful resources, tools and handouts to download and much more. It is entirely online with a forum within the platform for discussion, a facility to ask me questions and answers given by e mail, but there is no ‘Zoom’ element for those feeling somewhat jaded by that style of learning!   We all learn differently so this new way won’t be for everyone, but please read the information about the course if you’re interested to sign up.  BUT only do so when you know you have time, access is provided for 4 weeks only from the time you purchase the course.  It provides a certificate of completion for 8 hours of learning.   See HERE to book.  Cost £80

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12 NEW COURSES ADDED TO THE PRIMARY CARE DEPARTMENT

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Below are all of our courses that we currently run. Use the course finder on the right to find the most relevent courses for you.

All courses and tailored packages can be run inhouse for groups of people. Please contact us for further details: [email protected] or telephone 017687 73030.

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• Foot X-ray Interpretation for Podiatrists
• Understanding Blood Results for Physiotherapists
• Acute Medical Emergencies
• Adult High Flow Nasal Oxygen Therapy for Nurses and AHPs
• Arrhythmia Interpretation and Management
• Cardiac Catheterisation
• Cardiac Pacing for Nurses
• Chest Pain Assessment and Management
• Exercise Tolerance Testing
• Intra-Aortic Balloon Pump
• Primary Angioplasty and Cardiac Emergencies
• The ECG Workshop
• Understanding Cardiology for Nurses and AHPs
• Assisting with Medical Procedures for HCAs
• Dermatology for HCAs
• Diabetes Essentials for HCAs
• Documentation and Record Keeping for HCAs
• Ear Care Workshop for HCAs
• ECG Training for HCAs
• Foundations in Palliative and End of Life Care
• Immunisation Update for HCAs
• Injection Technique and Immunisation Training for HCAs
• Ophthalmology for HCAs
• Recognising the unwell patient for GP Receptionists and HCAs
• Respiratory Essentials for HCAs
• Skills Training for HCAs Working in GP Surgeries
• Spirometry Skills for HCAs
• Telephone Signposting and Triage for Receptionists and HCAs
• Understanding Asthma for HCAs
• Understanding Preventable diseases for HCAs
• Wound Management for HCAs
• 3 Step Leadership & Management
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• Essential Skills for Practice Managers
• Essential Skills for Ward, Department and Team Managers
• Facilitating quality education using online live platforms
• Introduction to Coaching Conversations
• Project Management in Healthcare
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• Supervising and Assessing Pre-Registration Student Nurses, Midwives And AHPs
• Teaching & Training Skills
• Time Management for Healthcare Professionals
• Clinical Human Factors
• Deprivation of Liberty
• Documentation and Record Keeping for Nurses and AHPs
• Informed Consent in Clinical Practice
• Manual Handling in Healthcare
• Medicines Management
• Non Medical Prescribing Update
• Safeguarding for Health and Social Care Professionals
• Understanding Clinical Negligence
• Understanding the Mental Capacity Act
• Breaking Bad News
• Customer Service Essentials in Healthcare
• Grief, Loss and Bereavement
• Developing Practice in Ophthalmology
• Eye Emergencies
• Ophthalmic Operating Theatre Course
• Anaesthetics & Recovery Care
• Care of the Deteriorating and Critically Ill Patient for Ward Nurses and AHPs
• Abdominal Assessment Masterclass
• Advanced Practice for Nurses
• Chest X-ray Interpretation Workshop
• Clinical History Taking & Physical Examination
• Comprehensive Assessment of the Older Person
• Gynaecology Assessment & Examination
• Heart & Lung Assessment Masterclass
• IRMER Radiation Protection Training
• Recognising the Patient with Sepsis
• Verification of Expected Death for Nurses and AHPs
• Ambulatory Blood Pressure Monitoring
• Assessment of the Child in Primary Care
• Care of the Dying Patient with Dementia for Nurses and AHPs
• Childhood Immunisation
• Contraception for Practice Nurses
• Dermatology for Nurses and AHPs
• Developing Practice in Sexual Health
• Ear Care Workshop for Nurses and AHPs
• Immunisation Training for Nurses and AHPs
• Immunisation Update for Nurses and AHPs
• Infection Prevention and Control in General Practice
• Key Concepts in Palliative and End of Life Care
• Management of Venous Leg Ulcers
• Managing Central Venous Catheters in Primary Care
• Managing Heart Failure in Primary Care
• Menopause – Diagnosis and Management
• Minor Surgery Course
• Percutaneous Endoscopic Gastrostomy (PEG) and ongoing feeding
• Remote Consultation and Triage for Nurses and AHPs
• Self Harm and Suicide Awareness
• The Diagnosis and Management of Asthma
• The Diagnosis and Management of COPD in Primary Care
• The Lung Cancer Workshop for Nurses and AHPs
• Travel Health
• Travel Health Update
• Tuberculosis (TB), Mantoux & BCG Immunisation Training for Nurses
• Understanding Mental Health in Primary Care
• Understanding Spirometry for Nurses and AHPs
• Vaginal Prolapse and Fitting Ring Pessaries
• Women's Health for Primary Care Clinicians
• Wound Management for Nurses and AHPs
• Assessment and Management of Head Injury
• Assessment and Management of Lower Limb Injuries
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• Minor Illness
• Red Dot X-ray interpretation for Nurses and AHPs
• The Injured and the Sick Child
• Arterial Blood Gas Interpretation
• Arterial Puncture & Blood Gas Interpretation
• Essentials of Clinical Haematology for Nurses and AHP’s
• Intravenous Drug Administration and Therapy
• Phlebotomy (Venepuncture)
• Phlebotomy (Venepuncture) Theory
• Understanding Blood Results
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Health care providers are at the forefront in protecting the community’s health and well-being. Immunisation as a national public health strategy continues to be a cost-effective means in reducing the mortality and morbidity rates related to vaccine-preventable diseases in Australia.

After a recognised immunisation course such as our 347 National Immunisation Program for Healthcare Practitioners course or the 346 Immunisation for Registered Nurses unit has been completed annual updates are required. Each State and Territory governs the authority to practice as an immuniser and in what circumstances. Please check with your State/Territory health department if you are unsure if you currently meet the requirements for an immuniser.

These updates are also available for any healthcare professional who are not certified immunisers but where immunisation is relative to their scope of practice.

347 National Immunisation Program for Healthcare Practitioners

The Australian College of Nursing’s (ACN) 347 National Immunisation Program for Healthcare Practitioners course is based on the National Immunisation Education Framework for Health Professionals (2017) and has been accredited by the ANMAC subsidiary Health Education Services Australia (HESA) to deliver this course. HESA is the National body for health education accreditation and ACN is the first institution to have its Immunisation course accredited.

346 Immunisation for Registered Nurses

This unit of study can be taken by RNs as part of a relevant Graduate Certificate course or as a stand alone single unit of study. The unit examines the physiology of the immune system and how vaccines work to protect the community from vaccine-preventable diseases. Legal and ethical considerations are discussed in an Australian context with application to clinical practice. A Global and National immunisation perspective is reviewed with a focus on immunisation coverage and disease rates.

357 Tuberculosis management (TST/BCG)

The Tuberculosis Management course is designed for registered nurses who are required to perform Tuberculin Skin Tests (TST) and Bacille Calmette-Guérin (BCG) vaccinations as part of their roles. The purpose of the course is to provide you with a theoretical framework that you can use in your clinical practice when you administer, read, interpret and document TST and BCG vaccinations.

Become an ACN member now to receive a discount when enrolling into our courses

Immunisation CPD

ACN offers immunisation specific CPD in the form of updates addressing contemporary topics, updates and specialty topics of interest. New options are added throughout the year and may include live webinar sessions and/or self-paced interactive modules.

Become an ACN member now and enjoy the many benefits we offer

ELECTROSTAL HISTORY AND ART MUSEUM: All You Need to Know BEFORE You Go (with Photos)

Training and Continuing Education Online (TCEO)

Immunization: you call the shots-module eighteen- vaccine administration (e-learn) 2021 (web based).

Course Summary

Physicians, nurses, nurse practitioners, physician assistants, DoD paraprofessionals, pharmacists, health educators & their colleagues who either administer vaccines or set policy for their offices, clinics, communicable disease, or infection control programs. Both private & public healthcare providers, including pediatricians, family practice specialists, residents, medical assistants, and medical and nursing students.

Internet connection and computer

Participants should have a basic educational background in science including general knowledge in the subject areas of biology, immunization and vaccine-preventable diseases.

The Centers for Disease Control and Prevention designates this Enduring material   activity for a maximum of 1.25    AMA PRA Category 1 Credits™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Centers for Disease Control and Prevention designates this activity for   1.25 nursing contact hours.

The Centers for Disease Control and Prevention is authorized by IACET to offer 0.1 CEU's for this program.

The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 1 CPH recertification credits for this program.

Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to  1   total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 1. Continuing Competency credits available are  1.   CDC provider number 98614 .

The Centers for Disease Control and Prevention designated this Knowledge event for pharmacists to receive 0.125 CEUs in pharmacy education. The Universal Activity Number is JA-4008229-0000-23-006-H06-P .

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• Page last updated: 10/2/2023
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Free COVID-19 vaccines could be a thing of the past. Experts weigh in.

When COVID-19 vaccines entered the commercial market last fall, the federal government introduced a program to make shots accessible to people with limited coverage or no insurance. That program – which provided millions of free shots to low-income people – is now coming to a halt, U.S. health officials said.

The Bridge Access Program is set to end in August, months earlier than local health departments and health centers expected because when pandemic-era funding from Congress is expiring. Biden administration officials are seeking permanent funding so that routine vaccinations can remain free for adults, through a program akin to the long-standing Vaccines for Children program, a Centers for Disease Control and Prevention official said via email.

Health access: Imagine if the government offered dental care. New federal rule could make that a reality.

Leaders at health centers and departments said without the Bridge Access Program , they're worried about how they'll secure funding for vaccines in preparation for the winter respiratory viral season when hospitalizations and deaths tend to increase. Many low-income Americans may be unable to afford vaccines for the novel coronavirus and its myriad variants. Updated vaccines will be formulated to target these strains, but pandemic-era funding will be gone.

“Money is not limitless, but COVID is still with us,” said Frederica Williams, CEO of the Whittier Street Health Center, a Federally Qualified Health Center that predominantly serves lower-income communities of color in Boston. The program has tapped into Bridge Access funds to administer vaccines. 

About a fifth of the center’s patients are uninsured, including many new migrants from Haiti and Central and South America, Williams said. This doesn’t include others – like ride-share drivers or restaurant staff – who may have some health insurance but don't get insurance coverage for vaccines.

Last fall CDC Director Dr. Mandy Cohen visited the Whittier Street Health Center to promote the updated COVID-19 vaccine. The sudden halt in funding was startling to Williams. As of this week, she said, the health center hasn't received notice about the Bridge Access Program ending.

Leaders at the National Association for Community Health Centers, a nonprofit advocacy group, said they knew the program was temporary, but were surprised to hear it was ending this August. As looming respiratory illnesses such as flu, RSV and COVID-19 increase in the colder months this year, health centers will continue to immunize people daily, said Sarah Price, the association’s director of public health integration, in a statement. “Health centers will either stock these vaccines or refer to resources within their community – with an aim to addressing access barriers and closing the loop,” she said.

Since Bridge Access launched on Sept. 13, 2023, it has provided more than 1.4 million free COVID-19 vaccines through retail pharmacies, community health centers and public health departments across the U.S., David Daigle, a Centers for Disease Control and Prevention spokesperson, said in an email. The CDC did not respond to inquiries about whether the agency told health centers and departments the Bridge program would be ending in August.

“After August, there may be a small amount of free vaccine available through health department immunization programs, but supply would be very limited,” Daigle said, in an email first shared on social media by a CBS News reporter . “We don’t yet know if the manufacturers will have patient assistance programs.”

Vaccine manufacturers Novavax and Pfizer said via email they planned to assess their accessibility options for U.S. consumers in the wake of this change and help ensure the vaccines were accessible for uninsured and underinsured patients. Moderna did not respond to a request for comment.

When a federal panel broadly recommended the updated vaccine in September, many people ran into barriers trying to pay for vaccines . Major U.S. pharmacies were charging upward of $100 a dose. At that time, the Bridge Access Program became a beacon, cited by many on social media, offering shots for people having trouble affording them.

The loss of the program has made health officials worry about an uptick in cases.

“This is creating a barrier that could lead to much larger resurgences of COVID,” said Dr. Walter Orenstein, associate director at the Emory University Vaccine Center. Orenstein formerly worked as the U.S. National Immunization Program director with the Vaccines for Children program launch in the 1990s and foresees trouble if vaccines are not made more accessible.

“I hope I'm wrong. But I think that (it's) better to remove barriers to access when we have such safe and effective vaccines than to prevent people from wanting those vaccines to get vaccinated.”

Mental health: What can prevent suicide? A place to call home, a person to reach out to

The U.S. has reached a record low of uninsured people, the Department of Health and Human Services announced in August. However, about 7.7% of the population, or around 25 million people, still don't have health insurance. Among adults 18 and older, 11% are uninsured. Experts say many without insurance are people of color and immigrants. Uninsured people also tend to be younger, lower income and live in Southern states that have not expanded Medicaid access. This demographic group includes millions of undocumented people who don’t qualify for federal health coverage.

In addition, millions of adults have less-than-robust health coverage through their employer and many earn too much to qualify for Medicaid. People in this category likely would have had difficulty getting a COVID-19 vaccine without Bridge Access funding. 

The vaccine funding is ending as Medicaid is being rolled back across the U.S. Nearly 22 million people who had Medicaid during the pandemic have been disenrolled as of May 10, according to KFF , a nonpartisan health policy organization.

North Carolina is an exception, where the state legislature expanded Medicaid to adults in late 2023. The state has seen a smaller drop in Medicaid enrollment than elsewhere in the country. The state covered the cost of preventative vaccines, according to Raynard Washington, the director of the Public Health Department for Mecklenburg County, which includes Charlotte. 

About 13% of the county’s adult population is uninsured, Washington said. These patients are disproportionately Latino and foreign-born. Many of the county's underinsured, who also received the vaccines, are working in jobs without benefits or earned too much to get Medicaid.

Washington, who chairs the Big Cities Health Coalition, a consortium of top U.S. health officials, thinks Congress should work toward improving public health systems rather than chip away at initiatives that have been put in place since the pandemic. He said it’s important to invest in vaccines to protect yourself and

He said it’s important to invest in vaccines to protect yourself and others at risk of severe illness.

"In the case of COVID, of course, we know there are people who are still very vulnerable to severe illness," Washington said. " "So these vaccines are in many ways, lifesaving for some folks."

Washington’s coalition supports the Biden administration's Vaccine for Adults proposal, which has fallen short of passing.

It's not time to step away from preventing COVID-19, he said.

“We’ve got to invest in both times of crisis, and when we’re not in crisis,” he said.

The next round of COVID-19 vaccines – intended to target dominating strains – has not been released. When it is, Washington expects local and state jurisdictions would cover the cost with other resources. 

At the Whittier Street center in Boston, Williams said she recently got a call from two patients who tested positive for COVID-19. 

The Haitian man and woman Williams had met through a local church program and asked about antiviral medication available through the state's public health department. They were uninsured. She told them the program they were asking about ended in March, but the Whittier center would cover their treatment regardless of insurance.

The need for care remains, even if the pandemic has eased up, she said.

“We just have to figure out a way, as we've always done, to make sure that we continue to remain true to our mission,” she said.

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• When to Seek Medical Care for Rabies
• Suspected Human Rabies

Rabies Pre-exposure Vaccination

• Pre-exposure vaccination is recommended for persons who work directly with animals that could have rabies
• Also, those who travel to parts of the world where rabies is common and access to medical care is limited.

Pre-exposure vaccination (PrEV)

Most people in the United States have a low risk of encountering an animal with rabies. However, a small subset of people have a higher level of risk, like those who work directly with animals that could have rabies, or those who travel to parts of the world where rabies is common and access to medical care is limited. These people should receive rabies pre-exposure vaccination (PrEV), a series of rabies vaccine doses given before exposure to the rabies virus.

The Advisory Committee on Immunization Practices (ACIP) develops U.S. recommendations about how and when to use vaccines to prevent disease in the United States, including how to prevent rabies in people. ACIP updated rabies vaccine recommendations in May 2022, which are summarized below:

Updates to the ACIP recommendations to prevent human rabies, 2022

• A 2-dose PrEV schedule has replaced the 3-dose PrEV schedule to protect people from rabies for up to 3 years. Options for maintaining protection beyond 3 years are also described.
• Risk categories have been redefined into 5 risk groups.
• The minimum acceptable laboratory value (antibody titer) used to determine whether rabies vaccine booster doses are needed was revised and standardized.
• Many people for whom serial titers were recommended every 2 years now require only a one-time titer (and booster if below a certain level) OR a one-time booster.

Clinical guidance for administering PrEV to people with weakened immune systems has been outlined and includes recommendations to confirm that the vaccine was effective.

Risk category

Who this typically* affects

Recommendations

Risk category 1 Highest risk

People who work with live or concentrated rabies virus in laboratories

2 doses, days 0 and 7

• Check titer every 6 months

Risk category 2

People who frequently do at least one of the following: handle bats, have contact with bats, enter high-density bat environments like caves, or perform animal necropsies

• Check titer every 2 years

Risk category 3

People who interact with, or are at higher risk to interact, with mammals other than bats that could be rabid, for a period longer than three years after they receive PrEP.

This group includes:

• Most veterinarians, veterinary technicians, animal control officers, wildlife biologists, rehabilitators, trappers, and spelunkers (cave explorers)
• Certain travelers to regions outside of the United States where rabies in dogs is commonly found

2 doses, days 0 and 7, plus:

• Either a one-time titer check after 1 year and up to 3 years following the first 2-dose vaccination
• 1-dose booster between 3 weeks and 3 years following the first vaccine in the 2-dose vaccination

Risk category 4

Same population as risk category 3, but at a higher risk for ≤ three years after they receive PrEV

Risk category 5 Lowest risk

General U.S. population

* The typical characteristics described may not include the characteristics of all activities that fall within the described risk group.

For detailed information about these recommendations, please refer to the published MMWR .

Rabies is a preventable viral disease of mammals usually transmitted through the bite of an infected animal.

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