BUMEDINST 6230.15B Flashcards
What will prescribe specific immunization and chemoprophylactic requirements for their units per established requirements?
Command Medical Authority
What is the executive agent for the military vaccination program?
Army
What provides medical services for the USMC?
US Navy
MIlitary service policy concerning immunizations follows what recommendations in addition to the ACIP and the prescribing information on the manufacturers package inserts unless there is a military relevant reason to do otherwise?
CDC
Vaccine doses in an initial series administered how many or more days earlier than the minimum interval should not be counted as valid doses?
5
What is usually recommended or required to increase immunity back to protective levels for vaccines that do not provide lifetime immunity?
Booster Dose
How far should injections be separated by when simultaneous injections are necessary and different anatomical sites are not possible?
1 inch
What typically represent the most imminent threat in military training centers and are given immunization priority?
Contagious Diseases
Two or more live virus vaccines must be administered simultaneously or separated by at least how many days?
28
TB testing, if not done simultaneously with live virus vaccines, should be done how many weeks after administration of live virus vaccines?
4-6
Vaccina Immune Globulin is only available by ordering through what office?
MILVAX
Discard needles and syringes if vaccines are not administered before the end of the clinic day or vaccination session in accordance with the manufacturers package insert. If no timeline is provided, discard after how many hours?
8
At what temperatures should refrigerated vaccines be stored at?
35-46 degrees F
At what temperature or lower should frozen vaccines be stored?
5 degrees F
What style of refrigerators are not authorized for vaccine storage?
Dormitory
How long should vaccination storage unit documented temperature logs be kept?
3 years
At least how often should vaccine storage unit alarms be tested?
Monthly
Vaccine storage alarm test records should be maintained for at least how many years?
3 years
When using a styrofoam cooler for transporting vaccines, the container walls must be at least how many inches thick?
2 inches
With regards to the smallpox vaccine, a specific pre-immunization screening form that assesses the date of the LMP is required. A pregnancy test is recommended for women when it’s been more than how many days since their LMP?
28
What are the two types of exemptions from immunization?
Medical and Administrative
Medical exemptions from immunization are considered temporary if they are up to how many days?
365
What publication contains the Army’s religious accommodation policy for immunizations?
AR 600-20
Permanent immunizations based on religion are not granted in the Airforce. Who is the designated approval and revocation authority for temporary immunization exemptions?
MAJCOM Commander
Individuals preparing paper-based immunizations and chemoprophylaxis records will ensure that paper records match the electronic ITS. If paper-based immunizations or chemoprophylaxis records are used, electronic ITS will be updated within what timeframe?
24 hours
What form is required for yellow fever documentation and/or prepared upon request for each member of the Armed Forces and for nonmilitary personnel receiving immunizations, including date immunization given, dose and the initials of the person administering the vaccine?
CDC Form 731
A minimum of how many adult doses of Epinephrine must be immediately accessible on scene for the medical management of a anaphylaxis event whenever vaccines are administered?
3
ACIP general recommendations suggest that persons be observed for how many minutes after being immunized?
15-20
At least how often should MTF facilities and commands storing service treatment records review immunizations and chemoprophylaxis practices to ensure compliance with current standards of care and documentation and as a measure of medical readiness and health promotion?
Annually
What include service personnel in enlisted initial training, ROTC, OCS, Academy Prep School, Service Academy, Officer Indoctrination School and Officers who are directly commissioned?
Military Accessions
Except in an outbreak setting or for individual clinical purposes immunization records will not be screened after completion of initial training with regard to MMR, Polio Virus, or what other vaccines?
Varicella
Live virus vaccines must be given on the same day or at least how many days apart if NOT given on the same day?
28 days
Aviation personnel are typically grounded for how many hours after immunization or as specified by their flight surgeon?
12
What will employees at occupational risk of exposure to waste water or sewage receive per ACIP recommendations?
Tetanus Diptheria Toxoids
Family members of military personnel receive immunizations according to what current recommendations?
ACIP
What instruction addresses the immunization of other than US Forces for Biological Warfare Defense?
DoDI 6205.4
Serologic testing of healthcare workers who have direct contact with patients and those who have potential occupational risk for exposure to blood borne pathogens must be conducted how many months after completion of the HEP B vaccination series to determine serologic response according to CDC and ACIP recommendations?
1-2 months
How often must Influenza vaccinations be administered to all AD, Reserve, and National Guard personnel?
Annually
Unless Sero-immune to both Measles and Rubella, the MMR vaccine must be administered to susceptible basic trainees and accessions within the first how many weeks of training?
2 weeks
Ensure personnel born after what year have received two lifetime doses of MMR vaccine or have positive serologic results?
1957
The Meningecoccyl vaccine must be administered to basic trainees, cadets, and midshipmen at service academies within the first two weeks of training if there is no evidence of vaccination within the last how many years?
5
The Meningecoccyl vaccine must be administered to personnel who are designated to deploy within how many days of notification?
10
A second dose of the Pneumococcal vaccine must be administered to persons without spleens or severely immunocompromised how many years after the initial dose?
5
A preexposure prophylactic immunization series may be indicated for people with potential occupational risk to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds how many hours?
24
In what year did the WHO declare the global eradication of naturally occurring smallpox?
1980
Booster doses of Tetanus Diphtheria must be administered to all personnel after how many years following the completion of the primary three-dose series?
10
Within the first how many weeks of initial training must the Varicella vaccine be administered to susceptible trainees and other accessions?
2
Adults and adolescents require two doses of Varicella vaccine that are given how many weeks apart?
4-8
In what way is yellow fever infection transmitted?
Mosquito Bite
What is defined as the administration of medication before, during, or after possible exposure to an infectious agent to prevent either infection or disease?
Chemoprophylaxis
What publication should be consulted for Chemical Warfare related chemoprophylaxis?
Medical Management of Chemical Casualties
Chemoprophylaxis agents dispensed to individuals must be in unit of use packaging or in child-resistant containers consistent with what act?
Poison Prevention Packaging Act
What has been shown to increase survival when used after exposure to Anthrax and before any onset of symptoms?
Antibiotics and Immunoglobulin
What is the primary drug used for Group A Streptococcus?
Penicillin
What is effective in preventing Leptospirosis in exposed military personnel during periods of high risk of exposure?
Doxycycline
What licensed vaccine is effective against the pneumonic plague?
None
How often at a minimum do combatent commanders provide the Chairmen of the Joint Chiefs of staff their assessment of the Biological Warfare threats to their theatres?
Annually
How often at a minimum does the president of the defense health board in consultation with the secretaries of the military departments identify to the ASD, the vaccines available to protect against validated biological warfare threat agents and recommend the appropriate immunization protocols and/or chemoprophylaxis?
Annually
The DOD Immunization Program for Biological Warfare Defense is conducted within how many days after receiving the validated and prioritized biological warfare threat list?
30
For infectious disease threats for which the only available vaccine or chemoprophylaxis product is in an IND status, the IND product must be administered in full accordance with FDA regulations at 21CFR parts 50 and 312 as well as 10 USC1107 executive order 13139 and what else?
DoDD 6200.2
Using the appropriate chain, who must commanders request approval from to use INDs for force health protection?
SECDEF (Secretary of Defense)
A vaccine antibiotic or other product in IND status may be mandatory for military members if who has approved a waiver for the required for informed consent?
President of the United States
What is the executive agent for the immunization program for Biological Warfare defense?
Army
Under what act some drugs, vaccines or devices that have not been approved or licensed by the FDA through the regular drug-approval process may be used as medical countermeasures CBRN agents or threats if the FDA grants an EUA?
21USC564
In general, the FDA may grant an EUA for up to how many months?
12
The FDA may decide the potential recipients of a drug under an EUA should have the option to refuse it. Who may waive this option for military personnel?
President of the United States
Requests for possible EUA for military purposes must be submitted to what for consideration?
ASD
BUMEDINST 6230.15B
Immunizations and chemoprophylaxis for the prevention of infectious diseases
