BACKGROUND:
Public Health Nurses (PHNs) in British Columbia deliver most of the publicly-funded immunization programs. In 2001, nursing consultants developed a written examination to prepare PHNs as vaccine providers, educators, and advocates for immunization. The program was updated in 2004 to include initial Immunization Competency and Renewal of Competency examinations, and a skills check list for observed immunization practice.

OBJECTIVE:
The Competency Assessment Program prepares PHNs to:
• describe the immune response to biological products
• maintain the vaccine cold chain
• obtain informed consent for immunization
• provide recommended vaccines according to provincial guidelines
• provide information about vaccine safety and efficacy
• promote immunization

METHOD:
A provincial Working Group developed questions to assess knowledge of biological products, immunology, vaccine-preventable diseases, vaccine contraindications, scheduling, adverse events, and benefit-risk communication. A study guide included pertinent reference materials. The initial "Immunization Competency" program was updated to incorporate changes to the provincial immunization program; the "Renewal: examination was developed for experienced practitioners. Questions were adapted for a web-based format, and the program was placed on the University of British Columbia distance-education website.

RESULT:
PHNs study independently, then access the examination on-line; supervisors have access to examination results and can quickly identify areas where more training is required. All questions must be answered correctly. PHNs are permitted to immunize only after successful examination completion and supervised observation of immunizing skills.
Secondary to this initiative, there has been an increased demand for access to the program from nursing and medical students, and other immunization providers.

CONCLUSION:
The Immunization Competency Assessment Program prepares health care providers to provide immunization services.

LEARNING OBJECTIVES:
1. Participants will obtain information regarding the development of a web-based Immunization Competency Assessment Program.
2. Participants will obtain information regarding components to include in an Immunization Competency Assessment Program.