National Immunisation Program Childhood Vaccines Nursing Appointment

**Appointment Details:** 1 November 2024, 10:00 AM, Patient age: 6 months Nurse: Sarah Jones, Community Nurse **Patient Demographics:** Patient Name: Emily Carter Date of Birth: 01/05/2024 Gender: Female Medical Record Number: 1234567 **Reason for Visit:** Scheduled National Immunisation Program vaccine appointment for 6-month milestone. **Developmental History:** Achieved milestones: Smiling, cooing, reaching for objects, rolling over. No developmental concerns reported. **Social History:** Living situation: Lives with both parents. Primary caregivers: Both parents. No significant social factors affecting health. Parents report Emily is thriving and happy. **Immunisation Schedule Review:** Up-to-date with previous vaccinations. Upcoming vaccines: 6-month vaccines as per the National Immunisation Program schedule. **Parental Concerns:** Parents expressed concern about potential side effects of the vaccines. **Vaccine-Related Counselling:** Provided information on the benefits and potential side effects of the vaccines being administered. Discussed vaccine safety and efficacy. Addressed parental concerns about side effects. Informed consent obtained. **Vaccine Administration:** Vaccines administered: * Infanrix hexa (Diphtheria, Tetanus, Pertussis, Hepatitis B, Polio, Haemophilus influenzae type b) - 0.5 mL, IM, Left thigh, Lot: ABC123, Exp: 01/2026 * Pneumococcal conjugate vaccine (PCV13) - 0.5 mL, IM, Right thigh, Lot: DEF456, Exp: 02/2026 No immediate reactions observed. **Plan:** Next scheduled immunisation appointment: 12 months. Instructions provided to parents: Monitor for fever, soreness at injection site, and irritability. Advised to seek medical attention if any severe reactions occur. Provided information on how to manage fever and pain using paracetamol or ibuprofen (as appropriate for age).