BUMEDNOTE 6230 - Immunization Requirements & Recommendations

Question 1

How to record Immunizations?

Answer 1

• Write date, manufacturer, lot number, dose given, site given, route of administration, vaccine information sheet given, name and addressed title of person administered, name of MTF
• Done on PHS 731, NAVMED 6230/4, NAVMED 6230/5
• Shipboard Non-Tactical Active Duty Program (SNAP)
• Automated medical system
• Preferred is Navy electronic system for capturing immunizations

Question 2

Live Virus Vaccines

Answer 2

• Advise against pregnancy for at least 30 days

- At least 4 weeks between live virus vaccinations

Question 3

Smallpox, Varicella, MMR

Answer 3

-VAQTA: 50 units/ml IM repeat in 6 to 12 months

Question 4

HARVIX

Answer 4

-1440 ELU/1ml IM repeat in 6 to 12 months

Question 5

HBV

Answer 5

• 3 1ml IM dosages at 0, 1, 6 months

- If over the age of 11 give 2 doses of 1ml 4 to 6 months apart

Question 6

IPV (Inactivated Polio Virus)

Answer 6

-0.5ml SQ

Question 7

JEV (Japanese Encephalitis Vaccine)

Answer 7

-3 1ml doses SQ on days 0,7 and 30
-Observe for 30 days
Air Force: Grounded for 24 hours per dose, 72 is adverse reaction in the past
-Navy: Grounded 3 days on 1st dose, 5 days on 2nd dose and 3 days on 3rd dose

Question 8

MMR (Measles, Mumps and Rubella)

Answer 8

• All medical workers must be given 0.5ml regardless of past vaccines
• Don’t give with TB test
• Wait 4-6 weeks for TB test
• Must be reconstituted, use immediately or within 8 hours

Question 9

Meningicoccal Vaccine (quadrivalent)

Answer 9

• Areas: sub Sahara, Saudi Arabia
• 0.5ml SQ and 5 year booster
• Use vials within 24 hours of reconstitution or refridgerate within 10 days

Question 10

Pmeumococcal Vaccine Polyvalent (PPV23)

Answer 10

• For everyone 65 and older or immunocompromised

- 0.5ml IM or SQ with booster in 5 years

Question 11

Pneumococcal Conjugate Vaccine (PCV7)

Answer 11

• 23 months od or younger

- 0.5ml IM

Question 12

Tetanus-Diptheria

Answer 12

-0.5ml IM every 10 years

Question 13

Typhoid

Answer 13

• Live oral virus

- 1 capsul by mouth on days 1, 3, 5 and 7

Question 14

Yellow Fever

Answer 14

• 0.5ml SQ every 10 years

- Check temperatures twice a day (NO MERCURY THERMOMETERS)