The pediatric hematology/oncology nurse is responsible for supporting and fostering the
autonomy of the young adult hematology/oncology patient to make decisions about HPV
immunization, when appropriate.
The pediatric hematology/oncology nurse should educate the patient and family that
receiving the HPV immunization series does not negate the need for cancer screening
practices.
Nursing Interventions
APHON recognizes the need to decrease missed opportunities for administration of the
HPV vaccine to age-eligible cancer survivors and patients with hematologic disorders.
o The pediatric hematology/oncology nurse should assess the HPV vaccine status of
age-eligible patients during healthcare encounters. For patients who have not
initiated or completed the HPV vaccine series, the pediatric hematology/oncology
nurse should provide a strong recommendation for the vaccine and facilitate
vaccination at the soonest available opportunity (including at the current
healthcare encounter, whenever possible). Pediatric hematology/oncology nurses
should be aware that receiving a recommendation for the HPV vaccine from a
healthcare provider is the strongest predictor for initiation of the HPV vaccine in
both the general population (Gilkey et al., 2016) and among cancer survivors
(Klosky et al., 2017).
o The pediatric hematology/oncology nurse should use available technology, such
as electronic medical record alert systems, to prompt time-sensitive reminders to
help decrease the number of missed opportunities for vaccination.
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