IMMZ

Question 1

what is the instruction number for the Immunization program?

Answer 1

BUMEDINST 6230.15

Question 2

Adenovirus

Answer 2

• military enlisted

- Dosage: 2 tabs (1 white/1peach color)

Question 3

anthrax vaccine

Answer 3

• 5 shots over 18 months (.5ml)
• day 0
• 1 month
• 6 month
• 12 month
• 18 month
• annual booster

Question 4

Haemophilus Influenzar type B (HIB)

Answer 4

• for those immunocompromised/sickle cell

- .5ml

Question 5

Hep A

Answer 5

Havrix/Vaqta

• .5ml (6months to 18 years)
• 1ml (18+)
• 2 total doses

Question 6

Hep B

Answer 6

• for occupational exposure to blood products
• contact with STD
• .5ml (0-19yo)
• 1ml (20yo)
• 3 doses
• check for immunity 1-2 months after completion of vaccination

Question 7

Twinrix (HepA/B)

Answer 7

• 3 total doses

- day 0 / 4 weeks/ 5 months

Question 8

Japanese Encephalitis (JEV)

Answer 8

• required for people entering endemic areas
• 2 doses (0, 7-28 days)
• last dose 7 days before travel to that country
• booster at 11 months after completion of primary imm

Question 9

Measles, Mumps, Rubella (MMR)

Answer 9

• Avoid pregnancy for28 days after vaccine
• 2 doses (0, 4 weeks)
• live vaccine

Question 10

Meningococcal

Answer 10

• 2 doses (2 months apart)
• .5 ml
• re vaccinate after 5 years if going to an endemic area.

Question 11

Pneumococcal Conjugate (PCV 13)

Answer 11

• 1 dose

- booster to immunocompromised 5 years later

Question 12

Poliomyelitis (Inactivated Poliovirus Vaccine – IPV)

Answer 12

• 1 dose

- .5ml

Question 13

Rabies

Answer 13

• pre/post exposure
• wild or tame animal
• provoked or unprovoked

Question 14

Post exposure rabies

Answer 14

• 4 doses
• 0, 3, 7, 14 days)
• if immunocompromised then 5th dose on day 28
• first dose goes into the wound

Question 15

Smallpox

Answer 15

• PT must have education prior to receiving the vaccination
• 15 jabs using a bifurcated needle
• assess 6-8 days later for “Major reaction” or “no take”
• booster every 10 years

Question 16

Tetanus, Diphtheria and Pertussis (Tdap)

Answer 16

• all AD members
• .5ml
• booster every 10 years

Question 17

Typhoid

Answer 17

• .5ml

- booster every 2 years

Question 18

Varicella

Answer 18

• 2 doses (0, 4-8weeks)

Question 19

yellow fever

Answer 19

• for traveling to endemic areas
• .5ml
• booster every 10 years
• stored at 36-46F (2-8C)

Question 20

Storage of MMR

Answer 20

-58 to 5F (-50 to -15C)

Question 21

Varicella storage

Answer 21

• 36 to 46F (2 to 8C)
• frozen- -58 +/-5F
• use within 30 minutes of reconstitution

Question 22

what needs to be given along with vaccination?

Answer 22

Information on the vaccine

Question 23

how often are vaccine temp checks?

Answer 23

2 times a day

Question 24

who needs training for vaccinations?

Answer 24

Everyone giving the shots

Question 25

what must vaccination training include?

Answer 25

- patient screening - contraindications - administration techniques - treatment/reporting of adverse events - vaccine benefit and risk communication - documentation and management

Question 26

what do you report all adverse reactions on?

Answer 26

Vaccine Adverse Event Reporting System (VAERS)

Question 27

who can you get vaccine information sheets from?

Answer 27

U.S. Department of Health and Human Services, Centers for Disease Control Prevention

Question 28

what is the appropriate transport distance from a shotex to medical?

Answer 28

10 minutes

Question 29

who provides advice to the CDC and other government entities on vaccinations?

Answer 29

Advisory committee on immunization practices (ACIP)

Question 30

what does the ACIP specificly advise on?

Answer 30

- Age of vaccination - Number of doses and interval - precautions and contraindications

Question 31

what immz can you not give while underway?

Answer 31

Yellow fever

Question 32

Reasons for vaccine exemption

Answer 32

- Medical exemption (Temp or permanent) - evidence of immunity - underlying health condition - administrative exemption (Separation/retirement/religion)

Question 33

what forms are used to document immz?

Answer 33

- NAVMED 6230/4 - CDC 731 - DD 2766

Question 34

information that is required for documentation

Answer 34

- Date - manufacturer - lot number - Dose given - site and route - name of person giving vaccine - MTF or facility