BUMEDINST 6230.15 - Immunizations and Chemoprophylaxis Flashcards
Who does the DoD Policy follow the recommendations of?
-The CDC and Advisory Committee on Immunization Procedures (ACIP)
All drugs must be licensed by who?
-FDA or DHHS
Who can authorize Expiration Date Extensions?
-Surgeon General, CG-11 USCG
How to use a Multidose Vial?
- Use within 28 days
- Record the last date and user initials
What are the Immunization Intervals?
- DO NOT compress unless otherwise approved by the CDC
- DO NOT restart intervals, once it is started it must be finished
- Must wait 1 week between inactive vaccines and 4 weeks for live vaccines
How must Vaccines be stored, shipped and handled
-By pharmaceutical Manufacturers Instructions
How must Vaccines be documented?
- On SF 601, DOD Electronic Immunization Tracking System, PHS 731
- Ensure no allergies (eggs, gelatin, preservatives, latex, shellfish)
What are the Exceptions to Vaccines?
- May be temporary (max 365 days) or permanent
- Medical exemption (may cause adverse affect, immunity, or complex clinical case)
- Administrative exemption
When must Separated or Retiring members be Vaccinated?
-Must be within 180 days of separation or 30 days or less remaining of service
What are the Religious Exemptions regarding Vaccines?
- Exemptions must have name, SSN, rank, occupational specialty code or brand, description of belief
- Made with medical and chaplain advice
How to Record Vaccines?
- Electronic Immunization Tracking System is preferred (must comply with National Vaccine Injury Compensation, NVIC)
- PHS, SF 601, DD 2766
- Use abbreviations and Arabic Numerals: (13JUN12)
- Include type, manufacturer, lot number, expiration date, site vaccine was given, vaccination information sheet given, initials
- If documentation is lost, assume member is up to date
What do entries based on prior official records include?
-Includes: “Transcribed From Official Records” (name source) with initials of transcriber
Is jet injection immunization approved?
-Not as of 1997
What are the Emergency Response Requirements?
-Written Plan, At least one person that is BLS certified, OPA, knowledge about use of epinephrine
What are Post Vaccination procedures?
- Observe patient for 15-20 minutes
- Fly Status (All air-crew are no flight status for 12 hours, adverse reactors are grounded for 72 hours)
- Fly Status for Japanese Encephalitis: 1st does (grounded 3 days, 2nd dose (grounded 5 days, 3rd dose (grounded 3 days)
