4 Introduction to Operation Immunization: Vaccine Clinics Shoo the Flu at CUCommunity EngagementsDoses from the Dean
5 Introduction to Operation Immunization: Screening, Promotion & Education Goal:Spread awareness of certain disease states preventable through immunizations in children, adolescent, adult, and elderly populations
6 Introduction to Operation Immunization: Screening, Promotion & Education Binational Health Week EventsYouth Emergency Services (YES) ClinicHoly Family Church ClinicJoy of Life MinistriesMexican Consulate
15 Special Circumstances Addressing Patient AnxietyEmergency ResponseFaintingNeedlestickAnaphylaxis
16 Special Circumstances: ABCs of Addressing Patient Anxiety A = Assess your patient – Look for signs of anxiety (patient admits to fear or history of fainting; joking but appears nervous; pale, trembling; resisting vaccination)B = Be prepared and empathetic – Practice what to say & do to help nervous patients; No razzing!C = Comfort – Offer privacy and support; Ask supervisor/another vaccinator/ patient’s companion to assist you in supporting patient through process (hand on shoulder or hold patient’s hand); Care for behind screenD = Distraction – Ask patient about school, work……… Chat about trivia / Tell a joke; Ask patient to try whistling – Afterwards: Compliment patient on bravery in going through with vaccination even when nervous; Review benefits of vaccination
17 Special Circumstances: Emergency Response - Fainting Fainting: - Patient becomes pale or dizzy, especially upon rising from chair; may indicate that they are feeling “funny”Action: - Help person to sit back securely, and support to prevent falling OR help person to lay on the floor and elevate feetNotify supervisor immediatelyThe patient will typically recover within a few minutes, but should not be released to leave until checked by the clinic faculty or staff supervisor.
18 Special Circumstances: Emergency Response – Needle Stick Needle Stick – injection of a used needle onto or below the skin of a person other than the individual just injected with the needle - Exposure to bloodborne pathogens is possible with any such exposure regardless of knowing the vaccinee, or the extent of exposure (volume or how deep under the skin)Seek assistance of supervisor immediately with any such exposureNext step will be to clean the area thoroughly with soap and water. Supervisor will direct further action.
19 Special Circumstances: Emergency Response - Anaphylaxis Symptoms of concern may present as rapid onset itching, skin redness, swelling/hives; sneezing, hoarseness, wheezing, increasing breathing difficulty; passing outSeek assistance of supervisor immediatelyEpi Pen: An auto-injector used for the emergency injection of epinephrine, medicine used for life-threatening allergic reactions - Must always be available during clinic. Supervisor will direct on use, and on triggering of 911.
23 Influenza Vaccines Two types of influenza vaccine: 1. Inactivated vaccine- Does not contain live virus components- Administered by injectionLive, attenuated vaccine- Contains weakened virus (quadrivalent)- Administered in a Nasal Spray. Available in Student Health—$20/dose
24 INACTIVATED INFLUENZA VACCINATION CONSENT FORM Circle one1. Is this the 1st flu vaccine you have received? YES NO2. Are you under 19 years of age? YES NO3. Do you have a fever or active infection today? YES NODo you have a history of Guillain-Barre Syndrome YES NO(severe paralytic illness)?5. Do you have a severe (life threatening) allergy to the following?A. Eggs or chicken? YES NOB. Thimerosal (mercury derivative)? YES NO6. Have you had a severe allergic reaction to any vaccine? YES NOIf yes, explain: ______________________________________________________“I have had a chance to ask questions that were answered to my satisfaction. I believe that I understand the benefits and risks of the Fluvirin® vaccine and ask that the vaccine be given to me or to the person named below for whom I am authorized to make this request.”NET ID: ____________________________________ DATE OF BIRTH: ______/______/______NAME:LAST FIRST MISignature of person to receive vaccine or person authorized to make request (parent or guardian)X______________________________________ DATE: ______________Lot: ________________Exp:VIS:Injection site: L / R deltoidAdministered By:_________________________________________________________________DATE:____________________Student/StaffStudent Health Services
25 Thank you!Questions? Please contact: Michelle Hancock Melissa Sanders Dr. Ohri Sue Weston