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Stinkapore and the PAP fucked up Covid Vaccine program

pvtpublic

Alfrescian
Loyal
The PAP education produces obedient workers, dissent and rebels are frowned upon.

beyond education, the entire system is built upon conformity. outliers and innovation are rejected in an attempt to maintain the status quo and keep their jobs.

we all hear stories from civil servant friends and shake our heads in disbelief.
 

Hypocrite-The

Alfrescian
Loyal
Its a honest mistake. Lets move on. Even ang mor lands make mistakes.


Two vaccine errors are in the spotlight, so what are the safeguards? Nurses explain
A gloved hand holds up a small vial of Pfizer's COVID-19 vaccine
The Pfizer vaccine comes in vials with multiple doses, which could lead to errors.( AP: Mike Morones )
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When two aged care residents in Queensland were given a higher than recommended dose of the Pfizer vaccine, it was a nurse who sensed something wasn't quite right.

"The safeguards that were put in place immediately kicked into action," Health Minister Greg Hunt told the waiting media, after it was revealed the employee who administered the vaccine had not completed the required vaccination training.

While teething issues with the national rollout were to be expected, the incident has seen Healthcare Australia — the company responsible for the training — put on notice for potential termination, and its CEO, Jason Cartwright, stood aside.

This has put the spotlight on the wider vaccination process, and those involved in administering the vials.

"People can be reassured that nurses see their role as being an advocate for patient safety," says Belinda Clough, a registered nurse who has worked in emergency departments and clinical settings.

"So, not only are we very familiar and careful with administering and checking medications, but if we do see something unsafe, which doesn't happen very often, nurses feel empowered and ... equipped to speak up about it."

Play Video. Duration: 1 minute 41 seconds
Deputy CMO says Healthcare Australia is 'clearly at fault' over vaccine error.
It starts with storage
For those on the receiving end, the process of getting a vaccination is pretty straightforward: you go in, sit down, and get the jab.

But for nurses, it's an exhaustive process that begins with storage.

From the moment they arrive, vaccines must be monitored to make sure "they've been kept at the correct temperature", says Clough, who administered childhood immunisations and booster shots while working at a clinic in Darwin.

On Friday, more than 120 doses of Pfizer's COVID-19 vaccine were thrown out after a possible storage error at a nursing home in Melbourne. The 25 vials were stored in a fridge, but the company was not able to confirm the precise temperature at which the vials were stored.

Dosing is more complicated with COVID vaccines
Then there's the issue of dosing, which is slightly more complicated with the Pfizer vaccine, where a single vial contains multiple doses.

"The vials come in what you call a dry form or powdered form, so you need to add liquid to them so they become injectable," Anne-Marie Scully, a registered nurse who has undertaken the COVID-vaccine training, told ABC News Channel.

"And there's more than one dose per vial, so you need to label it when you add it. You need to really check that you've got the right vial and the right dilutant mixed in the appropriate level."

Giving too much vaccine from multi-dose vials is a well-documented risk.

"It's been a long-time since I used a multi-dose vial, and both of [the coronavirus vaccines] are that," says Scully. She believes a training video could assist younger clinicians "who may never have used a multi-dose vial".

A nurse prepares for surgery wearing blue scrubs and a surgical mask and pulling on a pair of gloves in an operating theatre.
Nurses play an important role in the vaccination process.( Rawpixel: Chanikarn Thongsupa )
Though Clough is not involved in the COVID vaccine rollout, she points to prevailing checks and balances designed to prevent dosing mistakes.

As a general policy, she says, vaccine doses must be checked by two registered nurses.

"Always the dose is checked against the medication order, and so that process of checking is like bread and butter for nurses."

Nurses are also trained to do "multiple checks themselves" as they are preparing medications, Clough adds.

Play Video. Duration: 2 minutes 4 seconds
Two elderly patients given wrong vaccine dose in Queensland
Anyone giving an injection has been trained
Under guidelines issued by the Australian Technical Advisory Group on Immunisation (ATAGI), those administering COVID vaccines must have "appropriate training and/or qualifications in line with jurisdictional requirements, and have received adequate specific training in COVID-19 vaccination".

There must also be an adequate number of appropriately trained staff to ensure clinical safety, and documented procedures for managing and recording training of staff handling vaccine doses.

More broadly, any healthcare professional giving any vaccination needs to undertake training first.

"I had to do an online course that took me a few months, and I was then accredited to give vaccines," Clough says.

"It's very, very comprehensive — you learn about all the diseases, as well as the vaccines themselves and the administration of them, and then preparing the correct dose."

The doctor who administered the incorrect dose has now been reported to the Australian Health Practitioner Regulation Agency.

While praising the decision to be open and transparent with the public, Julie Leask — a professor at the University of Sydney's School of Nursing and Midwifery — says going after individual health workers who make mistakes could deter others from reporting problems.

"They're scared that the person they report will get the sack, or they're scared they might get punished," says Leask, who specialises in the uptake of vaccines.

"All health professionals are trained in patient safety, and the best approach to patient safety is to adopt a culture of not blame, but openness, and asking 'What went wrong? And how can we fix it for the future?'"

Noting that the national rollout is in its early days, and the "systems are still cranking up", Leask says "there are going to be bugs in the system".

To that end, she adds, "all entities need to take some level of responsibility, and look constructively at how they can address the pressures that this rapid rollout is putting on different parts of the system."

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