Assessment + Prep Flashcards
What are some important pieces of info to gather during patient assessment before injection
demographics: age, weight
medical history: conditions, med use, pregnancy
history of neurological or GBS: some vaccines (DTap, Tdap) are CI if history of encephalopathy within 7 days of getting vaccines with pertussis
Current health state: if flu symptoms
Previous Rxns to vaccines
Allergies
Vaccines received in last 4 weeks
T or F: more than 1 live vaccine can be given on the same day
T
If need to give 2 live vaccines on different days, how long should they be spread out?
28 days
T or F: live vaccines can be given orally or via intranasal route
F
T or F: all inactive vaccines can be given at any time relative to other vaccines
F: generally inactivated vaccines can be given at any time relative to any other type of vaccine EXCEPT oral cholera inactivated vaccines F + oral live typhoid vaccine
- these should be at least 8 hours apart
Why do we need to know pt weight
to determine needle length (IM) or dose of E is anaphylactic rxn occurs
T or F: live vaccines can always be given to pregnant people
F_ generally only given if B> R
What should a patient do if they report that they have had a fever after past injections?
pre-treat with acetaminophen before vaccine
Why do we need all this info from the patient
to ensure they have the correct indication for the vaccine + its appropriate based on their current status
T or F: if a patient has mild illness +/ - fever before a vaccine, the vaccine should be delayed
F: don’t need to delay it unless the illness increases risk of AEs or interfere with vaccine response
T or F: nasal congestion delays the delivery of influenza nasal spray
T: in this case —- give non-live vaccine
T or F: egg allergies are more common in kids
T
What vaccines contain egg protein ?
Influenza vaccines
yellow fever
rabies
MMR vaccines may contain small amounts (safe for most)
—— always check monograph
T or F: you can immunize someone with a mild egg allergy with a vaccine containing egg protein
T - but must observe for 30 mins
mild rxn: can eat small amounts + only gets skin rxn OR GI upset
T or F: you can vaccine someone with an anaphylactic rxn to eggs with the influenza vaccine (egg protein)
T - only one that this allowed (no longer CI)
- must watch for 30 mins
What vaccines have neomycin
MMR, DTap
others: Tdap, flu, polio, hep A, hep A+B combo, varicella, rabies
- check monograph
Where can latex be found during immunization process
in gloves + in rubber stopper of injection vial
What types of food allergies indicate propensity to latex allergy
some fruits: apple, apricot, avocado, banana, cherry, grape, kiwi, melons, papaya, pineapple
What are the 7 rights to check before any injection
right drug: expiry + appearance
right dose
right pt
right route + site
right reason
right time
right documentation
T or F: Using hand sanitizer is not a valid alternative to washing hands before vaccines
F: it is an alternative
— need to happen before vaccine prep, bw recipients, and whenever hands soiled
T or F: gloves are mandatory during injection
F
What vaccines are you required to where gloves for
BCG and smallpox
T or F: if giving patient multiple injections, you can reuse supplies/ needles
F: use separate needle + syringe for every injection
T or F: most needles are Luer lock tips
T- tips where the needle twists on and off
(if non-luer lock: needle pushes onto tip + clicks in place)
