A nurse in a clinic receives a call from a guardian whose child has varicella

In this instance, the child should be notified as given HEXA Dose 3 as we are following the Diphtheria order.

FAQ - CertificateQ1 .Can I print the certificate of vaccination using the child's Temporary Reference Number?No. As the certificate is an offical document therefore it requires a Birth Certificate Number/FIN/Passport Number of the child.Q2 .My patient lost the certificate of vaccination. Can the NIR re-issue another certificate?No, NIR will not issue any certificate. Please re-issue another certificate to your patient.FAQ - GeneralQ1 .When was BCG vaccination introduced in Singapore?BCG vaccination was started in mid 1950s as part of the childhood immunisation programme.Q2 .When did BCG revaccination by School Health Service discontinued?As of 1st July 2001, BCG revaccination by School Health Service was discontinued.Q3 .I am a doctor, I tried to give access to my clinic staff, but was informed that “Staff with NRIC XXX already exists.” What should I do ?This means that this clinic staff has been registered by another doctor already. This clinic staff may log in to our website to confirm his/her accessibility. Please provide the screenshot ( email to [email protected] ) if this clinic staff is unable to access our website. You may register another clinic staff to grant the access. The processing time for access approval by NIR will takes 7 working days. Meanwhile, you can log in using your Singpass for notification to NIR.Q4 .What is Corppass ?Corppass ( Singapore Corporate Access ) is a one-stop authorisation service for corporate users to transact with Government agencies online on behalf of their organisations. Corppass will be required for all local entities with a Unique Entity Number ( UEN ) and for foreign entities who wish to access Government to Business ( G2B ) digital services in Singapore. Individuals and local entities without a UEN will continue using their Singpass to transact with the government.Q5 .I am a doctor, do I need register for Corppass to notify immunization records in National Immunisation Registry ( NIR ) website ?Yes, your entity's Corppass Administrator will need to create a Corppass User account for you. Kindly approach your Corppass Administrator to create a Corppass User account for you. Thereafter, you can log in to NIR website using Singpass. From 11 April 2021, the login process for Corppass will be changed to verify the user?s identity via Singpass first, before the user can proceed to access and transact with government digital services.Q6 .Can I give access to my clinic staff ( non doctor ) access to notify immunization records in National Immunisation Registry ( NIR ) ?Your clinic Corppass administrator will need to register for Corppass and authorize Corppass access right. After that, doctor need to access NIR website to give access to the clinic staff under ?Clinic User Admin? ( This function will be available with effect from end Feb 2017)Q7 .What should I do if I receive an error page ?If you are receiving an error page on Corppass, please clear your browser's history and data before trying again. Alternatively, you may contact Corppass Helpdesk at 6643 0577Q8 .How do I register for Corppass ?You may refer to Step-by-Step Guides at www.corppass.gov.sg\corppass\common\userguidesQ9 .When can I start to register for Corppass and when do I need to complete the registration ?Companies may start to register for Corppass now at www.Corpass.gov.sg and are strongly encourage to complete registration before 28 April 2017. Companies may refer to the Step-by-Step Guides at www.corppass.gov.sg\corppass\common\userguidesQ10 .Where can I find more information on Corppass FAQ ?You can find more information on Corppass FAQ at this link : http://www.ifaq.gov.sg/Corppass

For Corppass related information not found in Corppass FAQ or website, you may email to Corppass Support email at [email protected] or call Corppass Helpdesk at 6643 0577

Q11 .What is the purpose of the National Adult Immunisation Schedule (NAIS)?The Ministry of Health (MOH) has introduced NAIS to increase awareness and uptake of vaccinations recommended for adults aged 18 years old and above residing in Singapore.Q12 .What are the recommended adult vaccinations?Vaccination recommended under NAIS:
(a) Influenza
(b) Pneumococcal
(c) Human papillomavirus
(d) Hepatitis B
(e) Tetanus, diphtheria and pertussis
(f) Measles, mumps and rubella
(g) VaricellaQ13 .How do we go about notifying the adult vaccination to NIR?Medical practitioners are required to notify all adult vaccinations to the NIR Doctors’ Portal (https://www.nir.hpb.gov.sg/nird/ens/enslogin)

A new registration webpage to capture adult vaccination is available as of 1st November 2017 via NIR doctor’s portal. This webpage is different from the registration webpage used to capture child vaccination details. Doctors are require to log in through the portal to submit vaccination notifications for adults. Hard copy submission of adult vaccinations to NIR will not be available.

Q14 .If a patient under 18 years of age receive the HPV vaccine in the clinic, what should we do?National Childhood Immunisation Programme covers immunisation for children up to 18 years of age (at date of birth). The vaccination records for children up to 18 years of age should be entered under the childhood immunisation page under the NIR doctors’ portal.Q15 .For new cases where the adult data does not exist in NIR, do we need to create a “New Registration” record in the system?Yes, the doctor will need to create a new registration for the adult under the adult immunisation system under the NIR doctors’ portal.FAQ - Username and PasswordQ1 .What is my username and password?For doctors, your username is your MCR number, and your password is your Singapore Medical Council (SMC) password. SMC website: http://www.smc.gov.sgQ2 .What should I do if I have forgotten my log-in password?For doctors, you will need to request a new password from SMC (Singapore Medical Council). You can submit the password request form from: http://www.smc.gov.sg/PRSCPDS/scripts/login/User_Forgotpassword.jsp

For passwords issued by the National Immunisation Registry, please click on the Reset Password and an email will sent. If you don't have have an email account, please ask your Nurse Manager.

FAQ - Submission of RecordsQ1 .How will I know whether my vaccination record submission is successful?Once you submit your record, you will see an acknowledgement number on-screen. This number would indicate that your submission has been successful.Q2 .I have submitted many notifications in one day, it is difficult for me to remember all that was done. Is there a easier way to remember all my acknowledgement numbers?Yes. When you exit the National Immunisation Registry System, you will see a list of notifications that you have submitted for that day. You can print the page for your own reference.Q3 .I have submitted HEXA (6in1) records but it always prompt that there is a duplicate record. What should I do?The duplicate records are usually caused by the Hepatitis B component in the HEXA (6in1). You need to ensure that the HepB component is changed accordingly.

You need to click on the button "Change Dose Order" next to the drop-down "Dose Sequence" in order to make the change.

FAQ - All about Laws & Regulations in ImmunisationQ1 .When was the two-dose MMR vaccination schedule introduced?In January 1998, the two-dose MMR vaccination schedule was introduced with the second dose given to primary school leavers (11+ years old). In 2011, the second dose was brought forward to be given at 15- 18 months.Q2 .When was the law changed for Small pox vaccination?Small pox was compulsory by law for all children before the age of 1 year until 1981.Q3 .When was Diphtheria and Measles became compulsory in Singapore?Diphtheria was made compulsory in 1977. Measles vaccination was introduced from Oct 1976 and made compulsory in August 1985 for children ages 1-2years.Q4 .When was measles, mumps, rubella (MMR) vaccine introduced?The monovalent measles vaccine was replaced by the trivalent measles, mumps, rubella (MMR) vaccine in January 1990.Q5 .Is the Hepatitis B booster given at 12 months required for babies born to HBsAg positive-mothers?The Ministry's Advisory and Scientific Committee on Hepatitis B and Related Disorders has reviewed and recommended that babies born to HBsAg-positive mothers, regardless of their HBeAg status, no longer need to receive the booster dose of Hepatitis B vaccine at 12 months as three doses of the Hepatitis B vaccine have shown to induce adequate seroprotection in most babies and giving an additional booster does not confer any significant benefit.

Thes dosages of the hepatitis B vaccine should be given in accordance to the manufacturers' recommendations.

However, the Committee has recommended that these babies should be tested for seroconversion following the Hepatitis B vaccination, preferably 3 months after completion of course.

MOH Circular 6/2006 dated 28 Feb 2006

Q6 .What did the Regulation say about the Certificate of Vaccination and Notification?Under CHAPTER 137, SECTION 64 (g) of the Infectious Diseases Regulation, it states that:

"Every medical practitioner who has vaccinated any child against diphtheria or measles shall issue to the parent or guardian of the child a certificate in the form set out in the Third Schedule and shall within 7 days of such vaccination notify the Chief Executive of the Health Promotion Board in such form as the Director may approve."

Third Schedule is refering to the Certificate of Vaccination.

Q7 .When was Rubella introduced to Primary 6 students?Rubella immunisation was introduced in Nov 1976 for female primary school leavers 11+ years of age.

However as rubella outbreaks continued to occur in susceptible populations especially national servicemen (NS men), the vaccination was extended to cover male primary school leavers in 1982.

FAQ - RecommendationsQ1 .My patient's Diphtheria vaccinations was delayed. What should I do?When the recommended time schedule is not followed. then the time interval between the different doses should be adhered to.

Interrupting the recommended schedule or delaying subsequent doses does not reduce the ultimate immunity. There is no need to restart a series regardless of the time elapsed between doses.

However, to help ensure seroconversion, completion of the primary series of three doses is recommended.

Which of the following methods should the nurse manager use to evaluate the nurse's time management skills?

Which of the following methods should the nurse manager use to evaluate the nurse's time management skills? Maintain regular notes about the nurse's time management skills. Maintaining notes over a period of time provides a comprehensive view of the nurse's abilities.

Which of the following findings should the nurse recognize as a physiological change associated with aging?

A nurse is caring for an older adult client. Which of the following findings should the nurse recognize as a physiological change associated with aging? Rationale: Older adult clients are more likely to have decreased lung expansion due to decreased mobility of the ribs.