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Travel Health:Core Competencies
and Resources for Training
Charlotte Katzin, R.N., B.S.N.Nurse Manager, Allergy/Immunization Clinic
Certificate in Travel Health™
Objectives
• Describe five core competencies for pre-travel health providers
• List resources for training, orientation, and continuing education for the travel health provider
Who Provides Pre-Travel Consults?
• Professions & Practice Settings
• Qualities
• Training/Education
Competency
TNA definition•Knowledge of standards•Interpersonal and Communication Skills•Ethical Reasoning•Problem Solving & Decision Making•Listening ability, honesty, self-knowledge of strengths & weaknesses, positive self-regard, emotional intelligence, and openness to feedback.
ANA Position Statement
• Public’s right to expect competence• Competence is the shared responsibility
of the – profession– individual– professional organizations– credentialing entities – regulatory agencies – employers
Setting Standards
Royal College of Nursing•Defines standards for:
– competent nurse,– experienced/proficient nurse, and – a senior practitioner/expert nurse
•Strong focus on the RN, but much of the information is equally applicable to other health care professionals, including MDs & pharmacists who provide travel health services.•Evidence of competency
Setting Standards
Public Health Agency of Canada14 Immunization Competencies Including:•How vaccines work•Storage & handling•Administration & preparation•Adverse events•Documentation•Special populations•Informed consent, informed refusal•Required, recommended, routine vaccine
Setting StandardsAmerican Travel Health Nurses Association (ATHNA)17 Standards. Competencies are developed from the standards.
•Assessment•Planning•Health Teaching and Health Promotion•Education•Evidence-Based Practice and Research•Evaluation
Resources• CDC Yellow Book• CDC Travelers’ Health online • CDC Pink Book• WHO International Travel & Health• Shoreland – Travel Clinic Operations Guide• Healthmap.org• International Society for Infectious Diseases: ProMED-mail• International Assoc. for Medical Assistance to Travellers
(IAMAT) • Immunization Action Coalition
– IAC Express – Email News– Ask The Experts– Storage and Handling– Summary of Recommendations
Resources• ISTM
– Listserv– Journal of Travel Medicine– Global Travel Clinic Directory– Conferences and Courses
• ATHNA– Courses & Conferences list– What’s News– Member Directory– Standing Orders– Newsletter
Travel Medicine for Dummies
Thanks to Dr. David Smith and Dr. Jay Keystone, University of Toronto
•Don’t get hit [traffic accidents and assaults]•Don’t get bit [insects, animals, marine envenomation]•Don’t get lit [ alcohol and other drugs] •Don’t do “it” [sexual risk] •Don’t eat shit [gastro precautions]
Charlotte Katzin, RN, BSNNurse Manager, Allergy/Immunization ClinicUniversity Health ServicesThe University of Texas at Austin(512) [email protected]