flu vaccination consent form 2020

Children may develop a runny or blocked nose, headache, general tiredness and some loss of appetite. I have had the chance to ask questions, and answers were given to … Powered by RIVIAM. For most children, it is given as a nasal spray. Posters and other resources are available on the influenza resources page. You will receive a confirmation email when you complete your consent which will allow you to download a copy of the consent form for your records. Please contact the team directly for further information. Here are some of our most frequently asked questions. The influenza vaccination provider toolkit has been developed to assist providers with managing roll-out and implementation of their flu vaccination program in 2020. This flu season, it is more important than ever to get a flu vaccine. This email contains a link which allows you to download the consent form for your records. It is offered because it is more effective in the programme than an injected vaccine. Last year, most children offered the vaccine in schools had the immunisation. Please complete the form even if you do not wish your child to receive the vaccination or if they have received it elsewhere. development of a small lump at the injection site. Flu can be a very unpleasant illness in children. Most children with egg allergy can be safely immunised with nasal flu vaccine. (see below). We also advise that you contact the school if the vaccination session is planned within the next 72 hours . The flu vaccine changes every winter to match the different type of flu circulating each year. Influenza Vaccination Consent form 2020 History Please tick Yes or No for the following Yes No ... the designated area as instructed by the nurse for 20 minutes following my vaccination. However, if your child is at high risk from flu due to one or more medical conditions or treatments and can’t have the nasal flu vaccine they should have the flu vaccine by injection. For this reason, we recommend that your child is vaccinated against flu again this year, even if vaccinated last year. We were the first NHS trust on the English mainland to provide community, mental health and acute hospital services. The nasal flu vaccine contains a highly processed form of gelatine derived from pigs (porcine gelatine). You have been sent to this consent website as your child is due to receive their annual nasal flu vaccination. To keep a minimal amount of human contact with pens and paper we are using this online consent form this year. The team will be happy to see your child in one of our community clinics. The flu vaccine will not protect against COVID-19, but it will reduce the risk of flu illness, hospitalization and death, thereby helping conserve potentially scarce healthcare resources. The digital consent forms are quick to fill in and can be processed more efficiently than paper forms. You have been sent to this consent website as your child is due to receive their annual nasal flu vaccination. However, if your child is recovering from a chronic illness or recent infection, the nurse may decide to defer the vaccination until they are fully recovered. Please contact the team to discuss your requirements. The GP’s can vaccinate in certain circumstances, but usually only if the child has missed their vaccinations after the school year it was due. Having the vaccine will help protect your child from catching flu. The vaccination is free and recommended for young children, and will be given by a quick and simple spray up the nose. Serious complications of flu include a painful ear infection, acute bronchitis, and pneumonia. There are very few children that cannot receive their vaccinations. Please contact the immunisation team who will be able to assist. Generally if they are well enough to be in school, they are usually well enough to be vaccinated. Our trust was formed on 1 April 2020 when Somerset Partnership NHS Foundation Trust and Taunton and Somerset NHS Foundation Trust merged. It is important that you contact the Immunisation Team immediately and speak to a member of staff. No paper means no risk of lost forms with personal data on them. The vaccination is free and recommended for young children, and will be given by a quick and simple spray up the nose. However, if your child has a medical condition, it is possible that we will ask you or your child’s GP or consultant for further information to ensure it is safe for them to receive the vaccination at the current time. Call 111 for non-urgent medical advice and 999 in an emergency. Section 3: Consent Given By Patient/Agent I, the undersigned patient, parent or guardian, have read or have had explained to me information about the seasonal influenza vaccine (“Vaccine”) as outlined on the Flu Vaccine Fact Sheet. Generally all school aged vaccinations are provided by the school immunisation team. Some people may experience: If you are worried about your child you can telephone 111 for non-urgent medical advice or contact your GP practice. It should be signed by the patient, or, in the case of a minor, by a parent or legal guardian. Whenever possible the team will provide a second vaccination opportunity, either in school or a community clinic. However, these are much less serious than developing flu or complications associated with flu. Have you had a serious reaction to flu vaccine requiring medical help? who are currently wheezy or have been wheezy in the past three days (vaccination should be delayed until at least three days after the wheezing has stopped). You can find further information on the NHS choices website. In an emergency please telephone 999. However, children with a history of severe egg allergy with anaphylaxis requiring hospitalisation should seek specialist advice. Our trust also provides child and adolescent mental health services for patients needing help with anxiety or depression, eating disorders, personality disorders and other mental health problems. Flu Vaccination Consent Form 2020 - 2021. Please note that we do not have access to your child’s GP records, so we may not be aware of their previous vaccination date unless you advise us. If you still have questions about our service or immunisations, please get in touch with us using the information below. All vaccines can cause side effects but studies suggest they are generally mild and soon settle. When your child comes into contact with flu viruses they will be better able to fight off the infection. Please read the brochure or consent form and talk to your doctor, nurse or pharmacist about the benefits and any possible side effects and check the Consumer Medicine Information [CMI] or data sheet of these vaccines at www.medsafe.govt.nz. Occasionally, the team may request that vaccinations are given by the GP if it is thought to be more suitable. The injected vaccine is not being offered to healthy children as part of this programme. have severe egg allergy. Information about the 2020 influenza vaccine presentations is available on the influenza vaccine information sheet. Regional, specialist and hospital services from Musgrove Park Hospital in Taunton including medical and surgical care, maternity services and cancer treatment services. Digital consents are processed efficiently and confidentially. Last year, most children offered the vaccine in schools had the immunisation. Vaccinations can safely be given as long as the child is not systemically unwell. Some faith groups accept the use of porcine gelatine in medical products. Have you experienced any significant problems after previous flu vaccinations? Flu print materials includes posters, flyers, matte articles and Vaccine Information Statements targeting multiple populations including pregnant women, families, seniors, people with chronic conditions - CDC YES ☐ NO ☐ 3. This is to ensure that any subsequent changes in their health are not wrongly attributed to the vaccination. Please email us on [email protected]. For further information about porcine gelatine and the nasal flu vaccine, see www.nhs.uk/child-flu-FAQ. 09162020 Health Operations/Forms Flu Vaccine Consent Form – 2020/2021 Date of Birth (Month/Date/Year): Age: Sex: ___M ___F Last Name: First Name: YES ☐ NO ☐ 2. We work with teachers, school staff and parents to improve the mental health and emotional well-being of our young people in secondary schools in Somerset. 09162020 Health Operations/Forms Flu Vaccine Consent Form – 2020/2021 Date of Birth (Month/Date/Year): Age: Sex: ___M ___F Last Name: First Name: Working together we provide services including: As well as our school immunisation service, we run the integrated therapies service for children and young people needing speech and language therapy, physiotherapy or occupational therapy. It will also reduce the chance of others in your family, who could be at greater risk from flu, such as grandparents, those with long term health conditions, or siblings that are too young to be vaccinated, getting flu from your child. The gelatine helps to keep the vaccine viruses stable so that the vaccine provides the best protection against flu. No, the vaccine cannot cause flu because the viruses in it have been weakened to prevent this from happening. A range of services from 13 community hospital including outpatient and diagnostic services, 190 inpatient beds and seven Minor Injuries Units. Once you have submitted the consent you will receive an email to let you know we have received it. I consent to this information being given to my doctor in the event of an adverse reaction. I consent to this information being given to my doctor in the event of an adverse reaction. have a condition, or are on treatment, that severely weakens their immune system or have someone in their household who needs isolation because they are severely immunosuppressed. Further advice can be found at: www.nhs.uk. are severely asthmatic, i.e. © 2020 Somerset Partnership NHS Foundation Trust. Influenza Vaccination Consent form 2020 History Please tick Yes or No for the following Yes No ... the designated area as instructed by the nurse for 20 minutes following my vaccination. Please don't put any personal details in as this email is not for clinical issues. Alternatively, you can speak to your GP, practice nurse or a member of the immunisation team. Step 1: Pre vaccination and consent form (below)- This must be completed prior to making your appointment as this will also determine if will need to pay for your flu shot or are eligible for agovernement funded vaccine. Children who should not have the nasal vaccine include those: As children with pre-existing medical conditions may be more vulnerable to complications of flu it is especially important that they are vaccinated. Information about flu vaccine delivery for the 2020/2021 season ... Centers for Disease Control and Prevention-Seasonal Influenza (flu) Vaccination. On the day of vaccination, please let the immunisation team know if your child has been wheezy or had a bad asthma attack in the past three days. 1. Our team report any post vaccination side effects that we are aware of, so please contact the Immunisation Team if you feel that we need to report any reactions experienced by your child. Please check your spam/junk folder if you don't receive it. Services delivered in your own home such as Somerset’s Rapid Response service that cares for patients to support them during a period of crisis and avoided over 1,000 patient going to hospital in its first year. Yes. The nasal spray contains viruses that have been weakened to prevent them from causing flu but will help your child to build up immunity. Consent Form 2020 Quadrivalent Influenza Vaccine Medical History Please answer the medical history questions below. Email us using [email protected] or call us on 0300 323 0032. We provide community and mental health services across the whole of Somerset and acute hospital services in the north, west and centre of the county and beyond. If your child is not well enough to attend school, then our team will make arrangements to see them next time we visit. The nasal vaccine contains a highly processed form of gelatine (porcine gelatine), which is used in a range of many essential medicines.

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