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    CHECKLIST PROCEDURES (Immunization)

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    Elaine Frances Illo
    This document contains a procedure checklist for immunization. It lists the steps involved in assessing the patient, preparing equipment, administering different types of vaccines via intramuscular, intradermal, or oral methods, post-vaccination care, and documentation requirements. The checklist rates performance on a scale of 1 to 5 and includes spaces for remarks and sign-off by an instructor.

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    CHECKLIST PROCEDURES (Immunization)

    Uploaded by

    Elaine Frances Illo
    67 views2 pages
    This document contains a procedure checklist for immunization. It lists the steps involved in assessing the patient, preparing equipment, administering different types of vaccines via intramuscular, intradermal, or oral methods, post-vaccination care, and documentation requirements. The checklist rates performance on a scale of 1 to 5 and includes spaces for remarks and sign-off by an instructor.

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    This document contains a procedure checklist for immunization. It lists the steps involved in assessing the patient, preparing equipment, administering different types of vaccines via intramuscular, intradermal, or oral methods, post-vaccination care, and documentation requirements. The checklist rates performance on a scale of 1 to 5 and includes spaces for remarks and sign-off by an instructor.

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    67 views2 pages

    CHECKLIST PROCEDURES (Immunization)

    Uploaded by

    Elaine Frances Illo
    This document contains a procedure checklist for immunization. It lists the steps involved in assessing the patient, preparing equipment, administering different types of vaccines via intramuscular, intradermal, or oral methods, post-vaccination care, and documentation requirements. The checklist rates performance on a scale of 1 to 5 and includes spaces for remarks and sign-off by an instructor.

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    of 2

    Republic of the Philippines

    CAMARINES SUR POLYTECHNIC COLLEGES


    Nabua, Camarines Sur

    COLLEGE OF HEALTH SCIENCES

    Name: ___________________________________________ Grade: _________


    Year & Section: ____________________________________ Date: __________
    Group No: ________________________________________

    PROCEDURE CHECKLIST
    IMMUNIZATION
    Instruction: Below is the grading scale which will be used in rating your performance.

    5 EXCELLENT 95 - 100
    4 VERY SATISFACTORY 88 - 94
    3 SATISFACTORY 82 – 87
    2 FAIR 76 – 81
    1 NEEDS PRACTICE 70 – 75

    A. ASSESSMENT
     Age and weight (if preterm infant)
     Current immunization record.
     Type of vaccine to be administered (inactivated or live, attenuated) and route of
    administration.
     Contraindications or precautions
     Informed consent, including discussion of risks of disease, benefits of the vaccine, the
    expected vaccine side effects and possible adverse events following immunization

    B. EQUIPMENT:
    The equipment chosen will vary depending on whether the vaccine is a reconstituted
    vaccine or a vaccine in a pre-filled syringe. Equipment may include;
     Sharps container
     Vaccine, plus diluent if reconstitution is required
     3mL syringe (unless vaccine is in pre-filled syringe)
     19 gauge drawing up needle (to draw up through rubber bung once vaccine reconstituted)
     23-gauge injecting needle (intramuscular)
     25-gauge injecting needle (subcutaneous)
     27-gauge injecting needle (intradermal)
     Clean cotton wool and micro pore tape to apply to injection site after vaccination

    C. PROCEDURES 5 4 3 2 1
    PRE-VACCINATION
    1. Ensure that the correct vaccine is taken from the refrigerator and that it is within
    the expiry date and cold chain has been maintained
    2. Prepare the appropriate injection equipment for the vaccine to be administered
    ADMINISTERING THE VACCINE
    3. Prior to performing the procedure, introduce self and verify the client’s identity
    using agency protocol. Explain to the client what you are going to do, why it is
    necessary, and how he or she can participate. Discuss how the results will be
    used in planning further care or treatments.
    4. Perform hand hygiene and observe other appropriate infection prevention
    procedures.
    5. Provide for client privacy.
    Intramuscular injection technique
    a. For intramuscular (IM) injection, use a 23 gauge 25 mm needle
    b. Depending on the injection site, position the limb so as to relax the muscle
    into which the vaccine is to be injected
    c. Pierce the skin at an angle of 90° to the skin, so the needle can be safely
    inserted to the hub.
    d. It is not necessary to draw back on the syringe plunger before injecting the
    vaccine
    Intradermal injection technique

    Page 1 of 2
    Republic of the Philippines
    CAMARINES SUR POLYTECHNIC COLLEGES
    Nabua, Camarines Sur

    COLLEGE OF HEALTH SCIENCES

    a. For intradermal (ID) injection, administer the injection at a 10 - 15° angle to


    the skin.
    b. The standard needle for administering vaccines by ID injection is a 26 or 27
    gauge needle.
    Oral vaccine technique
    a. The liquid formulation is presented as a clear liquid contained in a
    squeezable plastic, latex-free dosing tube with a twist-off cap. Keep the cap
    – you need this to pierce the tube (see product information)
    b. The current 2 drops of vaccine should be administered orally from the oral
    applicator onto the inside of the infant’s cheek in small aliquots.
    c. If most of an oral rotavirus vaccine dose has been spat out or vomited within
    minutes of administration, a single repeat dose can be administered during
    the same visit.
    d. If an infant regurgitates or vomits only a small part of a vaccine dose, it is
    not necessary to repeat the dose
    POST - VACCINATION
    6. Dispose of clinical and sharps waste, including vaccine vials
    7. The live oral vaccine squeezable plastic container should also be discarded in
    clinical waste or sharps container
    8. Cover the injection site quickly with cotton wool and tape as needed
    9. Gently apply pressure for 1-2 minutes (do not rub the injection site, as may lead
    to local irritation)
    10 Inform patient to remain on the ward for a minimum of 15 minutes after the
    vaccination (to observe for any immediate adverse event, such as anaphylaxis)

    D. DOCUMENTATION
    1. All vaccines administered to infants and children should be documented in the MAR on
    EPIC as well as in the parent held Child Health record book
    2. Details which should be recorded include;
    Vaccine given, including brand name, batch number, dose number
    Date and time of vaccination
    Site of administration
    Name of the person providing the vaccination

    REMARKS:__________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________

    Date & Time: ______________________


    Clinical Instructor: ______________________

    Page 2 of 2

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