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The epi vaccines and its characteristics
 

The epi vaccines and its characteristics

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from philippine health nursing book

from philippine health nursing book

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    The epi vaccines and its characteristics The epi vaccines and its characteristics Presentation Transcript

    • Vaccines are very sensitive totemperature. Recommended storage temperature of EPI vaccines. type Storage temp. Most sensitive to Oral polio(live -15 to -25 (at the heat attenuated) freezer) Measles (freeze 15 to -15 (at the dried) freezer) Least sensitive to Dpt/Hep B +2 to +8 (in the heat body of the BCG (freeze dried) refrigerator) Tetanus Toxoid
    • When handling and transportingvaccines special care must be given FEFO- “first expiry and first out” Temperature monitoring of vaccines is done twice a day early in the morning and in the afternoon before going home. Each level of facilities have cold chain equipment for use in the storage of vaccines.
    • Administration of vaccinesvaccine dose Route of Site of administration administrationBCG Infants 0.05 ml ID Right deltoid region of upper armDPT 0.5 ml IM Upper outer portion of the thighOPV 2 drops (may vary) Oral MouthMEASLES 0.5 ml SC Outer part of upper armHep B 0.5 ml IM Upper outer portion of the thighTetanus toxoid 0.5ml IM Deltoid region of
    • Procedures in the giving ofvaccines Reconstituting the freeze dried BCG vaccine: Keep cold Aspirate 2ml of saline solution Inject saline in dried BCG Mix thoroughly by drawing mixture back into the syringe and expel it into the ampule several times
    •  Giving BCG: Clean skin Hold child’s arm Hold syringe on dominant hand and point it up towards you Lay syringe on child’s arm, Insert tip of needle into skin Put your left thumb over needle end of syringe to hold it into place If vaccine is injected correctly a flat wheal will appear Withdraw needle gently
    •  Giving OPV Read instructions Let mother hold child Open childs mouth Put drop’s of vaccine on the child’s tounge but don’t let dropper touch the tounge Make sure child swallows vaccine
    •  Hep B and DPT Ask mother to hold child. Clean skin Grasp muscles slightly Quickly push needle into the space between your fingers going deep into the muscles Aspirate first Inject vaccine.
    •  Measles Most likely the same with BCG but you don’t need to touch the needle because you are injecting subcutaneously. Aspirate inject
    •  Tetnus Toxoid: Shake vial Clean skin Place thumb and index finger on the injection site and slightly grasp. Aspirate Inject (shake the vial before every injection)
    • The role of a nurse in improvingthe delivery of immunizationservices in the community Master list infants eligible in the community Immunize following the correct schedule Observe aseptic technique Dispose used syringe and needles properly Inform and communicate with parents Conduct health visits int the community Identify cases of EPI target diseases per standing case definition Manage vaccines properly Record children given with vaccination in the Target Client list and GECD/ GMC card or any standard recording utilized Submit report and record children vaccinated, cases and deaths on EPI diseases, vaccines received and utilized. Identify and actively search cases and deaths of EPI target diseases following standard case definition.