Using Registries to Promote Public Health

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Using Registries to Promote Public Health
Grow
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Immunization RegistriesA Tool for School Nurses

• Linda C. Wolfe, RN
• President
• National Association of School Nurses

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Todays Objectives

• Role of the School Nurse in Immunization
  Compliance
• Benefits to Children
• Benefits to Schools
• Benefits to the Nation

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Role of the School Nurse in Immunization
Compliance

• Historical
• Present
• Future

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School Nurse RoleHistorical

• Communicable Disease
• Direct intervention
• Work with families
• GOAL
• Children would enter the classroom healthy and
  ready to learn

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School Nurse RolePresent

• Work directly with children, youth families
• Health expert in the school
• Trusted individual in communities
• Strategically placed in the community to effect
  change
• Immunizations through the lifespan

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School Nurse RoleFuture

• Assuring that children enter the classroom (with
  virtual or brick walls) healthy and ready to
  learn.

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NASNs Position

• The NASN supports the development of a national
  immunization registry.
• November 2001
• www.nasn.org

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Benefits to ChildrenChildren Suffer Needlessly

• Put at risk for vaccine-preventable disease
• Denied school entry
• Increased stress with shot as age increases
• Lengthy process for school entry as immunization
  history is sought
• Repeated vaccination

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Benefits to ChildrenChildren Suffer Needlessly

• Untimely vaccination
• Decreased access to School Nurse
• Undocumented reactions to vaccines

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Benefits to SchoolsFocus on Learning

• Ease of school entry
• Easily obtainable, accurate records
• Reduced conflict/stress
• Tracking immunization needs
• Generation of appointment reminders
• Resources can be focused on education

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Benefits to schools Focus on Learning

• We . . . Recognize the value of this program
  immunization registry for children and schools.
  The automatic printout of a students
  immunization status will promote greater accuracy
  of records and avoid duplication of
  immunizations.
• Richard W.
  Riley
• former Secretary, Department of
  Education

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Benefits to schools

• This national registry will enable school
  officials to focus on other important
  health-related activities.
• 
  Richard W. Riley
• former Secretary, Department of
  Education
  March 2000

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Benefits to the Nation

• Healthy children
• Our Future
• Economic savings
• Support of families

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A story worth telling

• State example Delaware

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Dreaming of the day . . .

• Child guardian come to register for school -
• School Nurse pulls up immunization record from
  national registry -
• School Nurse identifies immunization status -
• School Nurse quickly gives shot or refers -
• School Nurse enters data ONE TIME -
• Child carries personal palm pilot!

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8 years to go!

• population-based immunization rates will be a
  cornerstone of the Nations immunization system
  by 2010
• Healthy People 2010

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Worth 5 a day?