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Week 3: Immunization Case Study

Assignment
Purpose
The purpose of this assignment is to familiarize the student with the most recent
guidelines and recommendations for vaccine-preventable illnesses in the United
States.

Activity Learning Outcomes


Through this assignment, the student will demonstrate the ability to:

1. Identify vaccines available in the US market for vaccine-preventable disease


and describe their features.
2. Identify contraindications and precautions for the use of vaccines available.
3. Use recommendations from the Advisory Committee on Immunization Practice
(ACIP) to identify target groups for receipt of each vaccine.

Due Date: Sunday of week 3 by 11:59pm MT


Assignment should be submitted to the assignment drop-box by Sunday 11:59 p.m.
MST at the end of Week 3.

This assignment will follow the late assignment policy specified in the course
syllabus. Students are expected to submit assignments by the time they are due.
Assignments submitted after the due date and time will receive a deduction of 10% of
the total points possible for that assignment for each day the assignment is late.
Assignments will be accepted, with penalty as described, up to a maximum of three
days late, after which point a zero will be recorded for the assignment.

In the event of a situation that prevents timely submission of an assignment, students


may petition their instructor for a waiver of the late submission grade reduction. The
instructor will review the student's rationale for the request and make a determination
based on the merits of the student's appeal. Consideration of the student's total course
performance to date will be a contributing factor in the determination. Students should
continue to attend class, actively participate, and complete other assignments while
the appeal is pending.

Total Points Possible: 100


Requirements
1. The Immunization assignment is worth 100 points and will be graded on the
quality of the content, use of citations, use of Standard English grammar,
sentence structure, and overall organization based on the required components
as summarized in the directions and grading criteria/rubric.
2. Submit the paper as a Microsoft Word Document, which is the required format
at Chamberlain University. You are encouraged to use the APA Academic
Writer when creating your assignment.
3. Follow the directions below and the grading criteria located in the rubric
closely. Any questions about this paper may be posted under the Q & A Forum
or emailed to your faculty.
4. The length of the paper should be 2-3 pages, excluding title page and reference
page(s). The title and reference pages should be in APA format.
5. Vaccination schedules should be obtained directly from the Centers for Disease
Control and Prevention: Resources for Healthcare Providers website and reflect
the most current recommendations from the Advisory Committee on
Immunization Practices (ACIP). Additional scholarly resources may be used
and all sources must be cited appropriately.

Following the directions above, answer each of the following case scenario questions:

Case # 1

You are rotating in the newborn nursery. Your next admission is a term newborn born
at 3.5 kg, and all maternal labs are negative. The infant's exam is normal.

1. What vaccine(s) should she receive and why?


2. What would you do if the mother tested positive for Hepatitis B?
3. What would you do if the mother's Hepatitis B status was unknown?

Case # 2

Your first patient in primary care clinic is a healthy 2-month-old. She received Hep B
#1 in the nursery. She is a term infant and parents have no concerns. Her exam is
normal and there are no contraindications to giving her vaccines.

1. Which vaccines should the child receive at this visit?


2. When should she return and which ones would you administer at the next visit?
3. Which vaccination combinations can be used to minimize the number of needle
injections, if available?
Case # 3

A healthy 5-year-old comes in with her mother for a well-child check in November.
Her routine vaccines are up to date through 2 years old, but she has never received a
vaccine for influenza. Her exam is normal.

1. Which vaccines do you recommend at this visit?


2. What anticipatory guidance should be given for a child receiving a flu vaccine
at this age?
3. Are there any contraindications for the vaccines that you recommended today?

Case # 4

An 11-year-old girl presents for a routine well-child check. Her immunizations are up
to date. Her exam is normal and there are no contraindications to giving her vaccines.

1. Which vaccine(s) do you recommend at this visit?


2. The mother is states that she only wants her daughter to have "the one required
for school this year but not the others". How should the Nurse Practitioner
counsel the mother and the patient?
3. The mother is agreeable to proceed with vaccine administration today. Are
additional doses needed? If yes, state which ones and when.

Immunizations Case Study Assignment

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