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Travel Advice

Our practice nurses will be pleased to give advice to those going abroad. We are a registered Yellow Fever Centre. Many vaccines are not free under the NHS and a charge will be made. 

BRACKLEY MEDICAL CENTRE -  TRAVEL VACCINE PROTOCOL

 

The surgery would like at least 8 weeks’ notice of travel plans to allow enough time to book appointments. If the surgery is unable to offer you an appointment within this time then you will be asked to contact a travel clinic. The surgery cannot guarantee you will be seen for vaccines or travel advice if travelling in less than 3 weeks.

 

All patients requesting a travel immunisation MUST complete a travel questionnaire prior to their appointment. On completing the form, the patient will be booked a consultation with a suitable nurse.

There must be a separate sheet and separate appointment for each traveller.

 

Travel appointments will be made with an appointment length of 30 minutes per patient.

 

The travel nurse will access up to date vaccine information from websites such as Fit For Travel and NaTHNaC – travel health pro. Complicated travel schedules or any queries will be discussed with the NaTHNaC advice line by the nurse involved with the patient’s care. The nurse will then decide which vaccines may be advisable to the patient. The nurse will discuss with the patient the cost of the vaccine, and schedule of the vaccine administration.

 

NHS vaccines can be administered at the first appointment. All chargeable vaccines will be put on an order form which the patient takes to Lowick and pays the fee in full, Lowick will sign the form and give to the patient who can then go to reception to book a 10 min appointment, reception add a quick note to the patients record confirming they have paid. The appointment date is added to the form, a photocopy is passed to the Finance Manager and the original form is passed to the Nursing Team. This process also applies to patients from other surgeries attending for Yellow Fever vaccinations.

 

The nurse will fill in the PSD on the travel form following discussion with the patient and then the GP will sign the PSD form.

 

FP34s will be printed as normal, or private scripts as necessary.

 

Non-stock items will be ordered in advance of a patient’s second appointment if contact has already been made with the patient to ensure these are required.

 

Following the patient’s appointment and the end of their travel clinic care, the signed PSD must be scanned to the patient’s record.

 

Vaccine issues:

 

  • Vaccines will be administered according to the manufacturer’s guidance.
  • Anaphylaxis kits are available in every nurse’s room.
  • All batch numbers, expiry dates and site of administration will be documented on System1. If any vaccines are declined then this should also be documented in System1.
  • Patient will be made aware of any possible side effects of the medication. Travel certificates will be given if necessary.
  • A travel advice sheet will be given to ALL patients.

 

Vaccines currently free to traveller:

 

DTP, Hep A, Typhoid.

 

Vaccines with a fee:

 

Japanese Encephalitis, Men ACWY, Rabies, Yellow Fever, Hep B, Tick-borne Encephalitis.

 

 

Anti-malarials need to be done on a private prescription. If anti-malarials are required then a task can be sent to the GP with appropriate details and asking for the script to be issued for the patient to collect.

 

If Yellow Fever is required a vaccination certificate MUST be provided. Equally if the patient is unable to have the vaccine due to contra-indications then a certificate must be filled out to say that the patient is exempt from it.

 

Note: Yellow Fever centres must ensure they attend the update that is required of them and disseminate information to the rest of their colleagues accordingly.

 

A Yellow Fever book is also kept that includes the patient’s name, DOB, address and vaccine details. This is for audit purposes and also to allow for re-certification if a previous certificate is lost.

 

Note: In times where vaccines may be unavailable due to stock problems, or if the patient attends too close to the date of travel and there is insufficient time to vaccinate, etc, then the patient will be advised to contact one of the MASTA travel clinics and seek advice from them.

Click here to download our Travel Risk Assessment Form

Before You Go

Well before travelling abroad, check with your travel agent or the tourist authority/embassy of the country your intend to visit on any special precautions you may need to take. At least 8 weeks before departure discuss any vaccination requirements with the practice nurse. Pack a small first aid kit containing adhesive dressings, insect repellant, antiseptic cream and water purification tablets. The Pharmacy will also be able to advise on what to include in a first aid pack.

When Abroad

Depending on the country being visited check on the quality of the drinking water. If in doubt about its cleanliness either drink only bottled water or use water purification tablets. Avoid ice in drinks as this may well have been made from suspect water. Raw vegetables, salads and fresh fruits should be carefully washed in clean water. If in doubt stick to freshly cooked food.

In hot climates beware of the sun! Use a high factor sunscreen particularly in the first few days of exposure. Children especially should be closely monitored in this respect.

In hot climates also drink plenty of non-alcoholic drinks. If you are not passing water regularly you are not drinking enough.

On Your Return

If you fall ill, don’t forget to tell your doctor that you have travelled abroad. If you have received treatment abroad, tell your own doctor on return. When donating blood, tell the transfusion staff which countries you have visited.

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