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Prev Med Dos > MANAGE IMMUNIZATION PROGRAM > Flashcards

MANAGE IMMUNIZATION PROGRAM Flashcards

1
Q

BUMEDINST 6230.15 Series

A

Immunization Program

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2
Q

Adenovirus Types 4 and 7

A
  • Administer to military enlisted basic trainees
  • Dosage: 2 tablets, 2 separate oral tablets (1 white/1 peach in color)
  • Route: Oral
  • Booster: None
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3
Q

Anthrax vaccine

A

-Administer based on the policy set by the Anthrax Vaccine Immunization Program.
-DOD or US Coast Guard sets the policy for implementation plans
Dosage: 5 shots over 18 months
0.5 mL given at:
1) 0
2) 4 weeks (1 month)
3) 6 months
4) 12 months
5) 18 months
6) Annual booster

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4
Q

Haemophilus Influenzae Type B (HIB)

A
  • Administer HIB vaccine to those who are immunocompromised, have sickle cell disease, or do not have a spleen or a functional spleen.
  • Dosage - 1 dose of 0.5 mL given
  • Booster - Healthcare provider will determine if second dose is needed.
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5
Q

Hepatitis A

A

Unless seroimmune administer to trainees and accessions during initial entry training

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6
Q

HEP A

-Havrix (SmithKline Beecham). Dosage

A

Dosage for: 6 months to 18 years old = 0.5mL
Dosage for 19 years and older = 1.0mL
Give at 0, 6 month interval

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7
Q

HEP A

Vaqta Dosage

A 
6 months -18 years old
a) Two doses of 0.5mL.
b) Give at 0, 6 month interval 
Dosage for 19 years and older
a) Two doses of 1.0mL.
b) Give at 0, 6 month interval
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8
Q

Hepatitis B administer

A

Unless seroimmune administer to trainees and accessions during initial entry training

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9
Q

Hep B high risk personnel

A

1) Occupational exposure to blood products, or other body fluids.
2) All healthcare workers.
3) All students in hospital corps and dental technicians school.
4) Any person who contact a sexually transmitted disease.
5) Anyone entering a high-risk area where Hepatitis B is endemic for a significant period of time.

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10
Q

HEP B

Engerix – B (three doses)

A

Dosage for 0-19 years old
a) 0.5mL
b) Give at 0, 1 month, 8 weeks minimum and at least 16 weeks after dose #1
Dosage for 20 years and older
a) 1.0 mL
b) Give a 0,1 month, 8 weeks minimum and at least 16 weeks after dose #1

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11
Q 
HEP B
Recombivax HB (3 doses)
A

Dosage for 0-19 years old 0.5mL
-Give at 0, 1 month, 8 weeks minimum and at least 16 weeks after dose #1
Dosage for 20 years and older 1.0 mL
Give at 0, 1 month, 8 weeks minimum and at least 16 weeks after dose #1

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12
Q

Recombivax HB Immunity should be checked at

A

1 - 2 months after the completion of the vaccine series.

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13
Q

Hepatitis A/B (Twinrix)

A

Dosage: 3 doses 1.0mL

0, 4 weeks, 5 months

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14
Q

Influenza

A

(1) Administer annually
(2) Dosage: 0.5mL
(3) Route: Intramuscular (IM) given over the deltoid

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15
Q

Influenza Contraindications:

A

-Do not give if they have experienced a serious systemic or anaphylactic reaction to a prior dose
-Those with egg allergy may receive vaccine
depending on medical evaluation

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16
Q

Japanese Encephalitis (JE) administer

A

Required for personnel going to endemic areas
(a) Personnel should complete the series prior to departure.
(b) If not completed prior to departure, must be started prior to departure and then
completed upon arrival.

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17
Q

Japanese Encephalitis (JE). Dosage

A

2 Doses
0.5 mL each on day 0 and
between 7-28 days

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18
Q

Measles, Mumps and Rubella (MMR) (live virus)

Administer

A
  • all active duty personnel, unless seroimmune

- ensure healthcare workers have received two documented doses

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19
Q

Measles, Mumps and Rubella (MMR) (live virus)

exceptions

A

(a) Two documented age appropriate MMR vaccinations

b) Pregnancy (or planned pregnancy within next month

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20
Q

Measles, Mumps and Rubella (MMR) (live virus).

A
  • Dosage: 0.5mL
    (a) Given at 0, 4 weeks
  • Route – Subcutaneous
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21
Q

Meningococcal A/C/W/Y-Inactivated, bacterial polysaccharide conjugate
Administer

A

Required for all active duty (new accessions) if no evidence of vaccination within the
last 5 years

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22
Q

Meningococcal Dosage, Booster

A
  • single dose of 0.5mL
  • Two doses, 2 months apart for adults at high risk

-Booster: People with persistent risk need a booster every 5 years for as long as risk is present

23
Q 
Pneumococcal Conjugate (PCV 13)
Administer
A

Administer to military personnel who are in a high risk category per ACIP recommendations.

24
Q

Pneumococcal Conjugate (PCV 13) Dosage, Booster

A

Dosage: (1 dose) 0.5mL
Booster: Administer a second dose to persons without spleens or severely immunocompromised 5 years after initial dose.

25
Q

Poliomyelitis (Inactivated Poliovirus Vaccine – IPV)

administer, dosage, route

A

Administer 1 time booster to all active duty personnel during basic training if primary
series was completed.
Dosage - 0.5 mL
Route – Subcutaneous (SQ) or Intramuscular (IM).

26
Q

Rabies

Dosage

A

Dosage: (4 doses)

1) Four 1.0 mL of human diploid cell vaccine (HDCV):
a) Doses given on days 0, 3, 7, 14 days
b) If immunocompromised give 5th dose on day 28.
2) Human Rabies Immune Globulin (HRIG):
a) Give with first dose of HDCV

27
Q

Rabies HRIG dosage

A
  • 20 international units of RIG per kg body weight. If anatomically feasible, infiltrate the full dose around the wound.
  • Additional amount IM at site distant from vaccine
28
Q

Smallpox (live virus) Administer

A

Vaccinate designated military and civilian personnel based on geographical areas at higher risk for release of small pox as a weapon or in occupational roles

29
Q

Small pox Training and Education

A

expected response at the vaccination site, vaccination-site care, risks of spreading vaccinia to close contacts, adverse events following immunizations

30
Q

Smallpox (live virus) dose

A

Dose: 15 jabs using bifurcated needle

(a) Assess 6-8 days later for “Major Reaction vs. No Take”.
(b) If “No Take” repeat vaccination procedure in primary vaccinee only once with 15 jabs.
(3) Route- Percutaneous (scarification)
(4) Booster: Every 10 years if repeated or continued exposure

31
Q

Tetanus, diphtheria, and pertussis – (Tdap)

A

Dosage: 0.5 mL

Booster - Every 2 years (if repeated or continued exposure to the typhi organism)

32
Q

Storage Yellow fever

A
  • Store between 36 to 46 ºF (2 to 8 ºC).

- Multi-dose vial of reconstituted vaccine must be discarded after 1 hour of reconstitution.

33
Q

storage Measles, Mumps and Rubella vaccine

A

(a) Store in dark place between -58 ºF to 5º F

(b) Discard vaccines if not used within 8 hours following reconstitution.

34
Q

Storage Varicella

A

(a) Refrigerator should be between 36° to 46º F
(b) Freezer should be between -58 to 5° F
(c) Must be used within 30 minutes of reconstitution.

35
Q

Storage All other biologicals

A

(a) Store between 36 to 46ºF (2 to 8°C)
(b) Store as recommended by manufacturer.
(c) Dispose of if frozen during storage or shipment.

36
Q

All persons administering vaccines shall be properly trained to include

A

a) Vaccine Storage and Handing
b) Vaccine Characteristics
c) Recommended Vaccine Schedules
d) Patient Screening
e) Contraindications
f) Vaccine Administration Techniques
g) Treatment and Reporting of Adverse events
h) Vaccine benefit and risk communication
i) Documentation and management

37
Q

Report all adverse events to ___

A

Vaccine Adverse Event Reporting System

VAERS

38
Q

_____must be properly stored and readily available at all vaccination locations along with easy access to telephones/radios to summon emergency medical personnel.

A

Epinephrine

39
Q

Yellow fever immunization is required for Navy personnel assigned to Navy units subject
to deployment within 10 days of notification to areas where?

A

where yellow fever is endemic

40
Q

During all immunization procedures, an emergency medical treatment cart or
appropriately stocked kit will be immediately available, containing

A

(a) Oxygen.
(b) Administration apparatus.
(c) Airways.
(d) IV fluid apparatus.
(e) Appropriate medications required for adequate ALS.
(f) Defibrillator/cardiac monitor.

41
Q

Vaccine administration policies of the Navy Immunization Program must follow the
recommendations of the CDC and the current ACIP recommendations unless

A

there is a

military relevant reason to do otherwise

42
Q

Immunizations not given underway

A

yellow fever

43
Q

Yellow fever immunizations on IDC ships shall only be conducted

A

in port during normal working hours after prior notification and concurrence of local Regional Medical Representative (RMR)
unless a Medical Officer is present

44
Q

Medical Exemptions

A
  • Includes any medical contraindication relevant to specific vaccine. May be temporary (up to 365 days) or Permanent.
  • Primary care provider may grant temporary or permanent medical exemptions
45
Q

Administrative Exemptions

A
  • Separation or retirement 180 days
    1) Not currently assigned or deployed in area where the immunization is indicated
    2) Not mission essential
  • Religious
46
Q

Forms utilized in the record keeping of immunizations

A
  • NAVMED 6230/4 – Adult Health Record Immunization Record
  • CDC 731 - International Certificate of Vaccination
  • DD Form 2766- Adult Preventive and Chronic Care Flowsheet
47
Q

Required immunization information

A

(1) Date
(2) Manufacturer/Name of Immunization
(3) Lot Number
(4) Dose given
(5) Site and route of administration
(6) VIS edition given (if required)
(7) Name, address and title of the person administering the vaccine
(8) MTF or other facility

48
Q

Typhoid

A

Administered as a precautionary method for food and water contaminated with salmonella
Dosage: 0.5 mL
Route – Intramuscular (IM).
Booster - Every 2 years (if repeated or continued exposure to the typhi organism)

49
Q

For short notice travel or deployments

A

-administer the first dose in a required basic
series.
-Make arrangements to receive additional doses to complete the series as close to the proper schedule as possible.

50
Q

Providers will only use vaccine information sheets prepared by the ________ and ________

A
  • U.S. Department of Health and Human Services

- Centers for Disease Control and Prevention

51
Q

Are Routine pregnancy tests required prior to vaccines

A

no

52
Q

when can a vaccine be administered to a pregnant female.

A

Polio and yellow fever vaccine may be administered if risks of contracting illness outweigh potential complications.

53
Q

What instruction states the immunizations that are not to be given while underway. IDC ship

A

COMNAVSURFORINST 6000.1

Prev Med Dos (10 decks)

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