Giving Immunization

8/3/2019 Giving Immunization

1/23

Giving the right vaccinesafely


2/23

DURING A SESSION

Registering the clients Assessing the client

Preparing vaccines

Giving immunizations- practise positioning a client (A doll )

- administering each vaccine

AFTER A SESSION


3/23

1. Reconstituing vaccine

Vaccine that require reconstitutionVaccine Powder Diluent

BCG Freeze- dried vial Liquid provided with vaccine

Measles Freeze- dried vial Liquid provided with vaccine

MMR Freeze- dried vial Liquid provided with vaccine

YF Freeze- dried vial Liquid provided with vaccine

JE Freeze- dried vial Liquid provided with vaccine

Hib Freeze- dried vial Liquid provided with vaccine

DTP-HepB+Hib Freeze- driedHib

vial Liquid DTP-HepB vaccine


4/23

2. Reconstituting BCG, measles,MMR, MR, YF, JE, and Hib vaccines

1. Wash your hands

2. Inspect the vaccine vial or ampoule(VVM, Exp date)

3. Flick the vial or ampoule

4. Open the vaccine vial or ampoule

5. Inspect the diluents ampoule or vial

6. Read the label on the diluentsampoule or vial

Flicking a vaccine ampoule

Lift the center of the metal cap


5/23

Ampoules and metal file

Scratching the neck

of the ampouleBreaking off the neck of

an ampoule

7. Open the glass ampoule


6/23

8. Draw diluents into a mixing syringe

9. Reconstitute the vaccine

10. Handling reconstituted vaccines


7/23

Injection equipment

Parts of a syringe and needle


8/23

Handling syringes and needlessafely

Do not touch: the shaft of the needle the bevel of the needle the adaptor of the needle

the adaptor of the syringe the plunger seal of the

syringe the plunger shaft of the

syringe

You may touch: the barrel; the plunger top.


9/23

4. Administering vaccine for infantsNameofvaccine

BCG DTP or DTP-HepB, HepB

Measles/yellow fever

OPV

Wheregiven

Outer upper leftarm or shoulder

Outer mid-thighin infants/ outerupper arm ifolder

Outer mid-thigh/upper armdepending on theage

Oral

Howgiven

Intradermalinjection

Intramuscularinjection

Subcutaneousinjection

Oraldropper

Dose 0,05 ml 0.5 ml 0.5 ml 2 drops

Needlesize

10mm, 26gauge

25mm, 23 gauge 25mm, 23 gauge

Type Powder +diluents

Ready to use Powder +diluents

Vialwith

oraldropper


10/23


11/23

Different needle positions

INTRADERMAL

INTRAMUSCULAR

SUBCUTANEOUS


12/23

Expanded Program Immunization

Indonesia

Schedule: birth at HospitalAge Visit Vaccine

0 7 day 0 HepB, BCG, Polio1

2 month 1 Polio2, DTP/HepB



9 month 4 Measles


13/23

Expanded Program Immunization

Indonesia

Schedule: birth at HomeAge Visit Vaccine

0 7 day 0 HepB

1 month 1 BCG, Polio1

2 month 2 Polio2, DPT/HepB



9 month 5 Measles


14/23

Immunization schedule for infants recommendedby the Expanded Program on immunization

Vaccine AgeBirth 6 wks 10 wks 14 wks 9 mo

BCG x

OPV x* x x x

DTP x x x

Hep B: (A) x x x

Hep B: (B) x x x

Hib x x x

Yellow Fever x**

Measles x

X* : in polio-endemic countriesx**: in countries where yellow fever poses a risk

(A): in countries where perinatal transmission of virus hepatitis B is frequent(B): in countries where perinatal transmission of virus hepatitis B is less frequent


15/23

BCG vaccine


16/23


17/23

OPV


18/23

DTP or DTP-HepB or HepB, Hibvaccine


19/23


20/23

HepB vaccine


21/23

Measles vaccine, yellow fever,JE


22/23


23/23

Giving Immunization

Documents