Approved client groups for vaccination by nurse immunisers are listed by vaccine-preventable disease (see Table 1).

Standard vaccination procedures must be followed according to the current edition of The Australian Immunisation Handbook.

Table 1: Approved client groups for nurse immunisers
Vaccine-preventable disease Approval for nurses to vaccinate with vaccine(s) against this disease includes Approval for nurses to vaccinate with vaccine(s) against this disease excludes
Diphtheria
  • vaccination of children and adults as per the National Immunisation Program (NIP) or as approved by the Victorian Chief Health Officer (CHO)
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination of contacts in the event of a case of diphtheria, unless directed by the department2
  • vaccination with diphtheria antitoxin3
Haemophilus influenzae type b
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
Hepatitis A
  • vaccination of children and adults as per the recommendations in The Australian Immunisation Handbook current at the time of administration or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination of contacts in the event of a case of hepatitis A, unless directed by the department2
  • immunisation with normal human immunoglobulin for the prophylaxis of hepatitis A when in contact with a case3
Hepatitis B
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination following acute exposure to potentially infected blood or body fluids6
  • immunisation with hepatitis B immunoglobulin following acute exposure to potentially infected blood or body fluids3,6
Human papillomavirus
  • vaccination of children and adults as per the recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
Influenza
  • vaccination of children and adults as per the recommendations in The Australian Immunisation Handbook current at the time of administration, or as approved by the Victorian CHO
  • vaccination for travel purposes1
Measles
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination of contacts in the event of a case of measles, unless directed by the department2
  • immunisation with normal human immunoglobulin for the prophylaxis of measles when in contact with a case3
Meningococcal infections
  • vaccination of children and adults as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination of contacts in the event of a case of meningococcal disease, unless directed by the department2
Mumps
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination of contacts in the event of a case of mumps, unless directed by the department2
  • immunisation with normal human immunoglobulin for the prophylaxis of mumps when in contact with a case3
Pertussis
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian immunisation handbook current at the time of administration, or as approved by the Victorian CHO
  • vaccination for travel purposes1
  • vaccination of contacts in the event of a case of pertussis, unless directed by the department2
Pneumococcal infections
  • vaccination of children and adults as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
Poliomyelitis
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
Rotavirus
  • vaccination of infants as per the recommendations in The Australian Immunisation Handbook current at the time of administration
Rubella
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of non-pregnant seronegative women of childbearing age5
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination of contacts in the event of a case of rubella, unless directed by the department2
  • immunisation with normal human immunoglobulin for the prophylaxis of rubella when in contact with a case3
Tetanus
  • vaccination of children and adults as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian immunisation handbook current at the time of administration
  • vaccination for travel purposes1
  • vaccination for tetanus prophylaxis related to wound management4
  • immunisation with tetanus immunoglobulin3
Varicella
  • vaccination of children as per the NIP or as approved by the Victorian CHO
  • vaccination of children and adults as per the catch-up vaccination and other variations to the schedule recommendations in The Australian Immunisation Handbook current at the time of administration
  • vaccination for travel purposes1
  • immunisation with zoster immunoglobulin for prophylaxis when in contact with a case3

Notes:

  1. Travel medicine is a specialist area that should include a medical consultation.
  2. A case of this vaccine-preventable disease is notifiable to the department under the Health and Wellbeing Act 2008. The department will advise on management of the case and contacts.
  3. Approval to immunise does not include the administration of immunoglobulin preparations.
  4. Tetanus-prone wounds should be reviewed in a medical consultation.
  5. Rubella-seronegative women of childbearing age who are being vaccinated with rubella-containing vaccine should be advised to have rubella serology 6 to 8 weeks after immunisation to check immune status.
  6. Acute exposure to blood or body fluids that potentially contain hepatitis B should require consultation with an infection control specialist.

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