oH Cerne ADMINISTRATION OF VACCINES |. PREPARING FOR A SESSION Prior to the Immunization se: \d be removed from the If the diluents are not igerator prior to the id in Chapter 5 (Cold ALL vaccine and diluent which you will need during the session shoul refrigerator at the same time and loaded into the vaccine carrier. kept in the refrigerator they should be placed in the body of the refri vaccination session. Appropriate loading of the vaccine carrier is dis Chain) Il. REGISTERING, ASSESSING AND PREPARING THE CLIENT A. Register the Client ‘The immunization register, patient chart and immunization card provide a record of health services delivered at the clinic. They also help to identify missed opportunities for vaccination. 1) When a client arrives at a health centre or outreach site the first thing you should do is register him or her. Ensure that you have all the information necessary to fill out the immunization register, and to locate the client in the future if necessary: © Child's name © Child’s date and place of birth * Mother's name, locating address, and telephone number What is a locating address? Ifa mother fails to bring in her child for the next scheduled immunization, the CHA will need a specific address or phone number where the mother can be contacted. A locating address is an address which specifically identifies where a person lives together with the use of local landmarks local landmarks. The name of the town is insufficient ‘Sample pages from the immunization register are shown in Figure S-1. Figure 5-1 SAMPLE IMMUNIZATION REGISTER (Page 1) Month of Binh ___Iuly YearofBinh —__2003 Medical | Crit's Date | Place Mother's | Locating Address Record | Name [Sex fot [ot Na and/or Number Birth | Birth me _| cellphone nuraber 2100 Yiowp | [Juy27 | Momego Bay | Caine [220 Sing Suet, Apc 207 Williams 2003 Willians | (Blue house behind Baptist Church) cell: 876-555-1331 —— EPI fede Gk Cee eea SAMPLE IMMUNIZATION REGISTER (Page 2) BY] DPrDr Polio HepB Hib M Boosters © — G R et | pv | ver} op | som or} wv | or | pw afm] wis [os] w|i a] || [olulw Tay | Sep Sp Fe Ox [rt [aay [rar [re Dane | ae |S 5 oft fan| aan | 20 ami 203 2003 | 20m | oe x04 | 20 | 207 2) Request to see the patient's immunization card. If a client does not have an immunizatic card you should provide one and enter on it the person’s name, address and birth date. Na information is added when the client is screened. Do not write down the date of an immunizath until it has been given. The child and adult immunization cards are shown in Figures 5-2 and 5-3 Figure 5. INFANT AND CHILD IMMU ‘CHILDHOOD SCHEDULE Dae7 vaccines | "D000 | 2*Dose | "Dose | Soccer oPv = ees = == = vevoT = = Pato Voce = = ee eee Hepaitis B @epB) Sp ee = = = 7 Dipper Peruest perry = a oe ‘ears (OPTVOTE) fia SG) [==] DeTrepar Variceta (Chicken Pa |] a} te (Pemavatert) —_ on — = = _ Influenzs —= —= = Hepa 8 (9668) | ast as} a == = = = Peumocoocel SS — = baweeese) |=} = —— == SS + = rsstoae [= Sete enrages Se — — — “°—ROEGUATELY MUNISED FoR ENTRY To BcHOOL = ADOITONAL. BOOSTERS MAY BE NEEDED OR NEW = VAGEWES MAY BE REQUIREDa" — . putt DMMIUNEAATION CARD to | Bepatin ™ |= | a B. Assess the Client ach client's health status and immunization status should be assessed prior to immunization, “Assessment of health status is discussed in the Family Health Manual, and usually consists of @ routine history and physical examination at well-baby, family planning, or curative visits (refer to Family Health Manual) The following questions should be part of the assessment of immunization status. They help determine the need for immunization and the presence of any contraindications, Is this the right time for an immunization? Look atthe client's immunization card, and compare itto the routine immunization schedule, Has the correct number of doses ofeach vaccine been given? he or she does not have an immunization car, find out the client's age, what immunizations sshad, and wh where the vaccine was given he orshe' ‘were given. Verify this information with the health centre Has sufficient time passed since the last dase? Doses ofthe sume vaccine must be given atleast four wee Saar. Hepatitis B is an exception: at least 4 months must pass between the Ist and 3rd d etween the Ist and 3rd doses of Hepatitis B. This rule applies whether Hepatitis B vaccine is given as part ofthe Pentavalent vvaceine oF on its own. ___—_» EE Sake