IMMZ Flashcards

1
Q

what is the instruction number for the Immunization program?

A

BUMEDINST 6230.15

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2
Q

Adenovirus

A
  • military enlisted

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

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3
Q

anthrax vaccine

A
  • 5 shots over 18 months (.5ml)
  • day 0
  • 1 month
  • 6 month
  • 12 month
  • 18 month
  • annual booster
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4
Q

Haemophilus Influenzar type B (HIB)

A
  • for those immunocompromised/sickle cell

- .5ml

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5
Q

Hep A

A

Havrix/Vaqta

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

Hep B

A
  • 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
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7
Q

Twinrix (HepA/B)

A
  • 3 total doses

- day 0 / 4 weeks/ 5 months

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8
Q

Japanese Encephalitis (JEV)

A
  • 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
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9
Q

Measles, Mumps, Rubella (MMR)

A
  • Avoid pregnancy for28 days after vaccine
  • 2 doses (0, 4 weeks)
  • live vaccine
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10
Q

Meningococcal

A
  • 2 doses (2 months apart)
  • .5 ml
  • re vaccinate after 5 years if going to an endemic area.
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11
Q

Pneumococcal Conjugate (PCV 13)

A
  • 1 dose

- booster to immunocompromised 5 years later

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12
Q

Poliomyelitis (Inactivated Poliovirus Vaccine – IPV)

A
  • 1 dose

- .5ml

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13
Q

Rabies

A
  • pre/post exposure
  • wild or tame animal
  • provoked or unprovoked
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14
Q

Post exposure rabies

A
  • 4 doses
  • 0, 3, 7, 14 days)
  • if immunocompromised then 5th dose on day 28
  • first dose goes into the wound
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15
Q

Smallpox

A
  • 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
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16
Q

Tetanus, Diphtheria and Pertussis (Tdap)

A
  • all AD members
  • .5ml
  • booster every 10 years
17
Q

Typhoid

A
  • .5ml

- booster every 2 years

18
Q

Varicella

A
  • 2 doses (0, 4-8weeks)
19
Q

yellow fever

A
  • for traveling to endemic areas
  • .5ml
  • booster every 10 years
  • stored at 36-46F (2-8C)
20
Q

Storage of MMR

A

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

21
Q

Varicella storage

A
  • 36 to 46F (2 to 8C)
  • frozen- -58 +/-5F
  • use within 30 minutes of reconstitution
22
Q

what needs to be given along with vaccination?

A

Information on the vaccine

23
Q

how often are vaccine temp checks?

A

2 times a day

24
Q

who needs training for vaccinations?

A

Everyone giving the shots

25
Q

what must vaccination training include?

A
  • patient screening
  • contraindications
  • administration techniques
  • treatment/reporting of adverse events
  • vaccine benefit and risk communication
  • documentation and management
26
Q

what do you report all adverse reactions on?

A

Vaccine Adverse Event Reporting System (VAERS)

27
Q

who can you get vaccine information sheets from?

A

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

28
Q

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

A

10 minutes

29
Q

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

A

Advisory committee on immunization practices (ACIP)

30
Q

what does the ACIP specificly advise on?

A
  • Age of vaccination
  • Number of doses and interval
  • precautions and contraindications
31
Q

what immz can you not give while underway?

A

Yellow fever

32
Q

Reasons for vaccine exemption

A
  • Medical exemption (Temp or permanent)
  • evidence of immunity
  • underlying health condition
  • administrative exemption (Separation/retirement/religion)
33
Q

what forms are used to document immz?

A
  • NAVMED 6230/4
  • CDC 731
  • DD 2766
34
Q

information that is required for documentation

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