EPI Flashcards
ADS
Auto Disable Syringe
BCG
Bacillus Calmette-Guerin
CCM
Cold Chain Monitor
CCD
Center for Child Development
CHO
City Health Officer
DOH
Department of Health
DPT
Diphtheria, Pertussis, Tetanus
FIC
Fully Immunized Child
HEP B
Hepatitis B
MDVP
Multi-Dose Vial policy
MV
Measles Vaccine
OPV
Oral Polio Vaccine
SCB
Safety Collector Box
SIA
Supplemental Immunization Activites
TT
Tetanus Toxoid
VVM
Vaccine Vial Monitor
WHO
World Health Organization
The biological state of being able to resist disease or a toxin
Immunity
Primary objective of immunization
Induce immunological memory against specific diseases to neutralize infective toxins once exposed.
Diseases targeted by the program (6)
Diphtheria Pertussis Tetanus Poliomyelitis Measles Tuberculosis
Routine schedule for immunization in the Philippines
Every Wednesday
Immunization in barangay health stations
Monthly
Immunization in barangay health stations in remote areas
Quarterly
Purpose of holes in the VVM
Keep the vaccine cold and viable
True or False. A child can be immunized if they have a low grade fever.
True
What to ask the parents if child to be immunized has cough, colds, fever, infection?
“How many days?”
True or False. A child can receive vaccine if they are undergoing chemotherapy. Explain.
False; children undergoing chemotherapy are immunocompromised
True or False. A child with cancer can receive vaccine. Explain.
False; cancer patients are immunocompromised because chemotherapy is an immunosuppressive drug.
Minmin just underwent transplant surgery. He is taking medications to prevent his body from rejecting the organ. Can he receive immunization?
No.
Hyungsik experienced a severe allergic reaction after his first dose of BCG vaccine. Should he still receive a second dose?
No.
Tatlong tusok sa bagong-anak
BCG
DPT
Newborn Screening
Puncture site for newborn screening
Sole of the foot
Schedule for first dose of BCG Vaccine
Anytime after birth
Storage temperature for BCG Vaccine
+2 to +8 degrees C
When to give first dose of OPV
6 weeks old
When to administer second dose of OPV
10 weeks old
When to administer 3rd dose of OPV
14 weeks old
How many doses of OPV is given?
3
Storage temperature for OPV
-15 to -25 degrees C
True or False. Freezing temperature damages BCG vaccine.
False. It does not damage the vaccine but it can break the ampules.
An early start of this vaccine prevents pertussis.
DPT
When to administer DPT
6 weeks
10 weeks
14 weeks
DPT storage temperature
+2 to + 8 degrees C
Component of DPT that is damaged by freezing
DT
Component of DPT that is damaged by heat
P
Frequency of Hep B Vaccine (1st to 3rd Dose)
After 24 hours of birth (given at the same time with BCG)
6 weeks
14 weeks
Storage temperature of Hep B Vaccine
+2 to +8 degrees C. Both freezing and heat damages the vaccine.
A vaccine that prevents 85% of measles
Measles Vaccine
When is measles vaccine given?
At 9 months
Storage temperature of Measles
-15 to -25 degrees C
What to take note when storing measles vaccine diluent
Keep everything cold
True or False. Tetanus Toxoid protects both the mother and the child.
True. But the first dose only protects the mother.
TT storage temperature
+2 to + 8 degrees C
The nurse stored the TT vaccine in the freezer. The contents froze. Should it still be administered?
No.
A mother asks when her child should be given the first dose of rotavirus vaccine. As a nursing student, you know that the first dose is given before the child turns __ weeks.
15
Frequency for rotavirus vaccine
2-4-6 months
Until when should a child receive rotavirus vaccine?
Before they turn 8 months.
Vaccines that are most sensitive to sunlight and fluorescent light.
BCG and Measles
Color of BCG and Measles vaccine vials and the reason behind this
Brown to protect from light.
The last day by which a vaccine can be used if it is not indicated.
Last day of the month.
Are diluents interchangeable?
Diluents are not interchangeable; they contain chemicals and additives to stabilize a specific vaccine after reconstitution
OPV, DPT, TT, and HEP B vaccines are stored in what type of vials?
Multi-Dose
Criteria for multi-dose vials (5)
- The expiry date has not passed.
- Vaccines are stored under appropriate cold chain conditions
- Vaccine vial septum has not been submerged in water
- The aseptic technique has been used to withdraw the doses
- The VVM (vaccine vial monitor), if attached, has not reached its discard point
Why does MDVP not apply to BCG and Measles?
once reconstituted it must be discarded at the end of six hours
Large constructed room or self-contained equipment are located at the national and regional level for storage of large quantities of vaccines. It has a 24 hour, 7 days a week temperature monitoring system with alarm and back up refrigerator that automatically turns on when power is interrupted
Cold Rooms
designed for large quantities of vaccines that requires a temperature between -15 t0 -25 degrees C particularly OPV
Walk-in freezer
Used at regional, provincial, city, and municipal level. Should be able to store a month’s supply of vaccines and diluents, 25% reserve stocks, frozen ice packs,
bottles of water or unfrozen ice packs ( to act as buffer if there is power failure
Refridgerator/Freezer
a front opening freezer for use at the national,
regional, and provincial/city level that can quickly freeze up to 145 ice packs
Ice pack freezer
Insulated carriers lined with frozen ice packs to keep vaccines and diluents cold during transport or short storage (2 to 7 days)
Cold box/Transport box
Smaller insulated carriers but can stay cold for only 24 to 72 hours
Vaccine carriers
Rectangular plastic bottles that can be filled with water, frozen, and used to keep vaccines cold
Ice packs
It enables the health worker to verify at the time of use, whether the vaccine is in usable condition and has not lost its potency and efficacy due to high temperature exposure
Vaccine Vial Monitor
VVM stage when inner square is lighter than the outer circle. It can be used if the expiry date has not passed.
Stage 1
VVM stage where inner square matches the outer circle.
Discard point; stage 2
VVM stage where inner circle is darker than the outer circle.
Stage 4.
When is TT1 given to mothers?
20 Weeks AOG
Purpose of TT1
Protection for the mother
When is TT2 given to mothers?
4 weeks after TT1
Benefits of TT2
Protects the infant from neonatal tetanus and gives 3 years of protection for the mother.
TT3 for mothers is given __ months after TT2.
At least 6.
Benefits of TT3
Infants will be protected from the neonatal tetanus; 5 years protection for the mother.
TT4 is given __ months after TT3?
12 months. At least one year later. Infants born to the mother will have protection against neonatal tetanus and gives 10 years of protection for the mother/
TT5 is given __ months after TT4.
At least one year and gives lifetime protection for the mother and all infants born to her