Immuniaztions and Chemoprophylaxis BUMEDINST 6230.15 Flashcards
How many days before separation or retirement may service personnel are exempt from deployment immunizations?
180
ACIP general recommendations suggest that persons be observe how many minutes after being immunized?
15-20 minutes
How many hours is aviation personnel typically grounded for after immunization?
12 hours
How many days after administration of the first Japanese-encephalitis vaccine (JEV) dose is aviation personnel grounded?
3 days
How many days after administration of the second Japanese-encephalitis vaccine (JEV) dose is aviation personnel grounded?
5 days
How many days after administration of the third Japanese-encephalitis vaccine (JEV) dose are aviation personnel grounded?
3 days
What form is a health care provider required to use to report adverse events involving vaccines?
Form VAERS-1 (Vaccine Adverse Event Reporting System); submitted within 7 days of adverse event
The DOD policy concerning immunizations follows the recommendations of________
The CDC and the Advisory Committee on Immunization Practices (ACIP)
Immunizing agents will not be used beyond the manufacturer’s potency expiration date unless….
the appropriate surgeon general or CG–11, USCG authorizes extension in exceptional circumstances
Not more than ___ vaccine injections will be given on the same day.
- The 5–injection threshold should only be exceeded in cases where the vaccine recipient is deploying beyond the reach of deployable medical resources
Individuals with reported hypersensitivity are deferred from immunization or chemoprophylaxis. True or False
True
A pregnancy screening test for women of childbearing potential is not routinely required before administering vaccines, including live–virus vaccines. True or False
True
For women whose last menstrual period was more than 28 days ago, a pregnancy test is recommended for what type of vaccination?
Small Pox
Breastfeeding women may be immunized in accordance with the current ACIP guidelines. True or Flase
True
What are the 2 types of exemptions from immunization?
Medical - validated by a health care professional
Administrative - Controlled by the individual’s unit commander
Cases warranting permanent medical exemption due to a vaccine–related adverse event will be reported to?
Vaccine Adverse Events Reporting System (VAERS).
For Non–electronic immunization and chemoprophylaxis records, transfer information regarding immunizations and chemoprophylaxis including date, product given, dose, and initials of person administering to what deployable health record
DD 2766
What form contains valid certificates of immunization for international travel and quarantine purposes in accordance with WHO international health regulations
PHS Form 731
A new generation of needle–free disposable–cartridge jet injectors (DCJIs) is better than the multi–use nozzle jet injectors (MUNJIs) because
It avoid the safety concerns for MUNJIs by their use of a new, disposable, sterile fluid pathway for each patient
The ACIP general recommendations suggest that persons be observed for ___to ___ minutes after being immunized
15 to 20
Aviation personnel typically will be grounded for __ hours after immunization, or as specified by their flight surgeon
12 hours
The NVIC program requires health care providers to report adverse events involving vaccines to VAERS. True or False
True
The DOD and USCG require health care providers to report adverse events involving other medications (for example, immune globulins, chemoprophylaxis agents) to ________
Medwatch
Attach pertinent information from the recipient’s health record to the VAERS or MedWatch report. Submit copies of the report within ___ days of adverse event recognition
7 days
Military treatment facilities and commands storing health records will review immunization and chemoprophylaxis practices at least ______ to ensure compliance with current standards of care and documentation and as a measure of medical readiness and health promotion
Annually
What licensed by the Food and Drug administration (FDA) or the department of Health and Human Services (DHHS) may be used, as well as immunizing agents compliant with applicable DOD investigational new drug (IND) or emergency use authorization (EUA) process?
Any immunizing agent
What will not be used beyond the manufacturer’s potency expiration date, unless the appropriate surgeon general or CG-11, USCG authorizes extension in exceptional circumstances?
Immunizing agents
Recommended immunization schedules will not be what?
Compressed
Immunizations given at an interval shorter than the recommended interval may not provide adequate immune response and should not be counted as part of a primary series, unless part of what schedules accepted by the CDC?
“CATCHUP”
In general, to minimize injection-site discomfort, not more than how many vaccine injections will be given on the same day?
5
Live-virus immunizations typically are give simultaneously or at an interval of how many weeks?
4
What agents are requisitioned in accordance with medical supply procedures?
Immunizing and chemoprophylaxis
Breastfeeding women may be immunized in accordance with what guidelines?
ACIP guidelines
Cases warranting what type of medical exemption due to a vaccine-related adverse event will be reported to vaccine adverse events reporting system as what?
Permanet
Exemptions apply to civilian employees and contractor personnel who will leave a position subject to immunization with how many days or less?
30
For military personnel, civillian employees, and other health care beneficiaries, the DOD-approved what is the perferred record for immunization data, including date, immunization given, dose, and identification of the person adminstering?
Electronic Immunization tracking system
Entries based on prior offical records will include what following statement?
“Transcribed from offical record”
Yellow Fever immunization is required for all Marine Corps personnel and for all Navy personnel assigned to Marine Operating Forces. Yellow Fever is also required for Navy personnel assigned to Navy units subject to deployments within how many days?
10
What FDA licensed vaccine is available and administered to to military basic trainees as they arrive to prevent febrile respiratory disease outbreaks resulting from person to person transmission and lost training time?
Adenovirus
What is almost uniformly fatal once symptoms develop?
Inhalational Anthrax
Japanese encephalitis is a viral disease caused by what?
Mosquitoborne
Administer JEV to military personnel who are stationed at least how many days in rural areas of Asia where there is substantial risk of exposure to the virus during prolong field operations at night?
30 days
What causative agent of plague has been identified as a biological warfare agent?
Yersinia pestis
What is acquired person to person transmission through the fecal-oral route?
Poliomyelitis
What is an acute illness caused by an exotoxin of Clostridium tetani, a bacteria grows at the site of wounds contaminated with its spores?
Tenanus
What has been shown to increase survival when used after exposure to anthrax and before onset of symptoms?
Antibiotics
What is spread by the bite of infective larval mites and may be a source of morbidity in populations encountering primitive field conditions?
Scrub Typhus
