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Immunology Nursing in Australia Geraldine Dunne BSc (Hons) RN, Clinical Nurse Consultant Department of Immunology & Infectious Disease , Sydney Children’s Hospital, Randwick, Sydney, Australia [email protected] Sydney Children's Hospital Network Sydney Children’s Hospital network consists of • The Children’s Hospital at Westmead • Sydney Children’s Hospital Randwick Both are: • Tertiary referral centres with an A& E department Both hospitals have: • Allergy & Immunology departments • I am employed as a Clinical Nurse Consultant (CNC) at the Randwick campus within the department of Immunology and Infectious Disease Skills and Experience • RN (UK) • RSCN (UK) • BSc(hons) Child Health • Adv Dip Child Development • + Other short courses • Immunisation for RN’s • Certificate IV in Teaching and Assessing Experience in • General Paediatrics both community and hospital based • Previously, heavily involved in the world of allergy • Managed NSW Anaphylaxis Training program • Currently working in immunology and ID • Involved with various projects through ASCIA 3 Role of Immunology Nurse Specialist in Australia • Disparate group • Non standardized • No specific course or qualification required Role will vary according to • State • Size of department • Funding • Resources available Immunology across Australia NSW Remaining 6 states in Australia • 3 main paediatric Immunology ‘centres’ within NSW • Approximately 0-10 Immunology ‘centres’ across each state • 6 main adult immunology ‘centres’ within NSW • E.G. Tasmania does not have a major centre Recent changes in Australia:- SCIg NBA (National Blood Authority) Approval of SCIg products 2013 • Formally approved access to SCIg for a number of specific indications across Australia • Introduced 2 products to the market • Gammanorm 16.5% Imported Octapharma • Evogam 16% domestic CSL • Kiovig also available:- 10% for SC or IVI Prior to new approval • Availability of Normal Human Immunoglobulin (NHIg) only • Indicated for IM use but was used ‘off license’ (CSL) ASCIA Australasian Society of Clinical Immunology and Allergy ASCIA Membership for Registered Nurses across Australia • 79 nurses who are members of ASCIA • 16 nurses who are members of the ASCIA Nurses SCIg special interest group ASCIA ASCIA Projects to date In progress for In 2015 2014 ASCIA developed SCIg Position Statement SCIg support resources - patient booklet PID e-training for GPs. SCIg e-training for nurses to upskill nurses starting to work in SCIg programs Guidelines documents relating to pre-transplant care and transportation of patients for transplant Consumer Group Immune Deficiency Foundation Australia (IDFA) 9 My Contact details Geraldine Dunne BSc (Hons) RN Clinical Nurse Consultant Department of Immunology Sydney Children’s Hospital Randwick, Sydney, Australia [email protected] 10