IMMZ Flashcards
what is the instruction number for the Immunization program?
BUMEDINST 6230.15
Adenovirus
- military enlisted
- Dosage: 2 tabs (1 white/1peach color)
anthrax vaccine
- 5 shots over 18 months (.5ml)
- day 0
- 1 month
- 6 month
- 12 month
- 18 month
- annual booster
Haemophilus Influenzar type B (HIB)
- for those immunocompromised/sickle cell
- .5ml
Hep A
Havrix/Vaqta
- .5ml (6months to 18 years)
- 1ml (18+)
- 2 total doses
Hep B
- 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
Twinrix (HepA/B)
- 3 total doses
- day 0 / 4 weeks/ 5 months
Japanese Encephalitis (JEV)
- 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
Measles, Mumps, Rubella (MMR)
- Avoid pregnancy for28 days after vaccine
- 2 doses (0, 4 weeks)
- live vaccine
Meningococcal
- 2 doses (2 months apart)
- .5 ml
- re vaccinate after 5 years if going to an endemic area.
Pneumococcal Conjugate (PCV 13)
- 1 dose
- booster to immunocompromised 5 years later
Poliomyelitis (Inactivated Poliovirus Vaccine – IPV)
- 1 dose
- .5ml
Rabies
- pre/post exposure
- wild or tame animal
- provoked or unprovoked
Post exposure rabies
- 4 doses
- 0, 3, 7, 14 days)
- if immunocompromised then 5th dose on day 28
- first dose goes into the wound
Smallpox
- 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
Tetanus, Diphtheria and Pertussis (Tdap)
- all AD members
- .5ml
- booster every 10 years
Typhoid
- .5ml
- booster every 2 years
Varicella
- 2 doses (0, 4-8weeks)
yellow fever
- for traveling to endemic areas
- .5ml
- booster every 10 years
- stored at 36-46F (2-8C)
Storage of MMR
-58 to 5F (-50 to -15C)
Varicella storage
- 36 to 46F (2 to 8C)
- frozen- -58 +/-5F
- use within 30 minutes of reconstitution
what needs to be given along with vaccination?
Information on the vaccine
how often are vaccine temp checks?
2 times a day
who needs training for vaccinations?
Everyone giving the shots
what must vaccination training include?
- patient screening
- contraindications
- administration techniques
- treatment/reporting of adverse events
- vaccine benefit and risk communication
- documentation and management
what do you report all adverse reactions on?
Vaccine Adverse Event Reporting System (VAERS)
who can you get vaccine information sheets from?
U.S. Department of Health and Human Services, Centers for Disease Control Prevention
what is the appropriate transport distance from a shotex to medical?
10 minutes
who provides advice to the CDC and other government entities on vaccinations?
Advisory committee on immunization practices (ACIP)
what does the ACIP specificly advise on?
- Age of vaccination
- Number of doses and interval
- precautions and contraindications
what immz can you not give while underway?
Yellow fever
Reasons for vaccine exemption
- Medical exemption (Temp or permanent)
- evidence of immunity
- underlying health condition
- administrative exemption (Separation/retirement/religion)
what forms are used to document immz?
- NAVMED 6230/4
- CDC 731
- DD 2766
information that is required for documentation
- Date
- manufacturer
- lot number
- Dose given
- site and route
- name of person giving vaccine
- MTF or facility
