Immunization in Canadian NP Practice

National Advisory Committee on Immunization (NACI): The federal advisory body that makes vaccine recommendations in Canada. Provincial/territorial public health programs then decide which vaccines are publicly funded. The NP must know both what NACI recommends and what is provincially funded. NP role in immunization: - Administer vaccines within NP scope (IM, SC, intranasal) - Order and prescribe vaccines - Counsel on risks, benefits, and contraindications - Document in provincial immunization registry - Report adverse events following immunization (AEFI) to public health True contraindications vs. Precautions: - True contraindication: prior anaphylaxis to vaccine component → DO NOT give; refer to allergy/immunology - Precautions: conditions warranting extra caution but not absolute preclusion (moderate/severe illness — defer; concurrent anticoagulant — fine-gauge needle with pressure) - NOT contraindications: mild illness, low-grade fever, current antibiotics, penicillin allergy, breastfeeding, family history of adverse reactions On the exam, writers often pair stable-sounding options with unstable data—notice the mismatch before you commit. If the stem names a license or role, reread that line; scope errors are classic trap answers even when the clinical topic is familiar. Run a...