6.20 Manage Immunizations Program

Question 1

Medical Services Immunizations and Chemoprophylaxis

Answer 1

BUMEDINST 6230.15 Series

Question 2

Imms storage for refrigerators

Answer 2

36F-46F (2C-8C)

Question 3

Yellow Fever

Answer 3

reconstitution - discard after 1 hour

Question 4

Imms storage for freezer

Answer 4

-58F-5F (-50C to -15C)

Question 5

Varicella

Answer 5

reconstitute must be used within 30 mins

Question 6

Immunization availability

Answer 6

minimize disruption of deployment

review imms status of personnel at every healthcare visit

Question 7

Vaccine storage and handling

Answer 7

ensure cold chain principles are adhered to

implement temperature monitoring process to include twice daily checks

Question 8

Indications and contraindications

Answer 8

screen each pt prior to vaccines

ensure contraindications are documented in health record

Question 9

all persons administering vaccines will have training on the following

Answer 9

vaccine storage and handling 
vaccine characteristics 
recommended vaccine schedules 
patient screening 
contraindications 
vaccine administration techniques 
treatment and reporting of adverse events
vaccine benefit and risk communication 
documentation and management

Question 10

Adverse events

Answer 10

epinephrine must be properly stored and readily available

report all adverse events to Vaccine Adverse Event Reporting System (VAERS)

Question 11

Short notice deployment

Answer 11

administer the first dose
make arrangements to receive additional doses to complete series
yellow fever imms - within 10 days of notification where yellow fever is endemic

Question 12

Vaccine information sheet

Answer 12

VIS
all personnel must be provided with one
prepared by US department of Health and Human services, CDC

Question 13

Documenting allergies and hypersensitivities

Answer 13

screen all pts for allergies, health status, previous adverse reactions
refer to appropriate medical specialist for eval

Question 14

Routine pregnancy tests for vaccines

Answer 14

NOT REQUIRED

** live vaccines are not to be routinely administered to any pregnant female

Question 15

Who dictates the types of healthcare personnel and their level of certification in CPR and life support

Answer 15

Type commanders

Question 16

IDC must be qualified in

Answer 16

BLS, preferably ALS

Question 17

During all imms, what shall be present

Answer 17

oxygen 
administration apparatus 
airways 
IV fluid apparatus 
appropriate meds for ALS
defibrillator/ cardiac monitor

Question 18

Advisory Committee on Immunization Practices (ACIP)

Answer 18

experts that provide advice and guidance to Director, CDC regarding use of vaccines

Question 19

Imms that are not to be given underway are covered under which instruction

Answer 19

COMNAVSURFORINST 6000.1

Question 20

When can yellow fever be administered?

Answer 20

only while in port on ships that only have an IDC

Question 21

Medical exemptions

Answer 21

temporary - 365 days

permanent

Question 22

Administrative exemptions

Answer 22

separation or retirement

religious

Question 23

religious exemptions are made by who

Answer 23

medical, judge advocate and chaplain

waivers granted on a case basis by Chief, Bureau of Medicine and Surgery

Question 24

Adult Health Record Immunization Record

Answer 24

NAVMED 6230/4

Question 25

International Certificate of Vaccination

Answer 25

CDC 731

Question 26

Adult Preventive and Chronic Care Flowsheet

Answer 26

DD Form 2766

Question 27

Where do you record if a recruit did not receive an immunization

Answer 27

NAVMED 6230/4
CDC 731
Electronic database