1. IMMUNIZATIONS HEALTHROOM ASSISTANT TRAINING 2014-2015 Cheri Dotson, RN, BSN, MA cheridotson26@hotmail.com 505.501.4349

2. Immunization Protection is for Everyone Infants & Children Teens Adults & Older Adults 1 shot protects you and others

3. Immunizations are Important Because…  They prevent common infections  They prevent infections from returning  They prevent infections a plane ride away  Some diseases have no cure

4. Immunizations Prevent Disease  They target diseases that are contagious  But they are not for all diseases

5. Vaccines are Safe  1 st define “Safe” Harmless versus preserving from danger

6. Vaccines are Safe – Safety Standards  Who decides what vaccines are needed?  What kind of safety standards are there?  Examples of safety monitoring: –Rotavirus vaccine –Thimerosol –Pneumococcal vaccine –Others

7. Safety and Side Effects  Vaccine reaction  Vaccine potentiated  Programmatic error  Coincidental  Serious side effects  Benefits outweigh risks

8. PHOTOGRAPHS OF PEOPLE WITH VACCINE PREVENTABLE DISEASES

18. Vaccine Myths (& Facts) Misconceptions The media Lack of knowledge Myths about vaccines Examples of the roots of myths…

19. Vaccine Myth & Fact: Vaccines Weaken the Immune System  Vaccines are weak  Vaccines actually strengthen the immune system

20. Vaccine Myth & Fact: Vaccines Overload the Immune System  Vaccines are a drop in the ocean

21. Vaccine Myth & Fact: Natural Infection Is Better  There are significant risks with natural infections such as death, hearing loss, mental retardation, sterility, and arthritis.  Secondary infections also occur.

22. Vaccine Myth & Fact: Vaccines Cause Autism  Vaccine of concern: MMR  1998 Wakefield study has been refuted

23. Vaccine Myth & Fact: Vaccines Cause Diabetes  Vaccine of concern: Haemophilus Influenzae type B (Hib) & others  Evidence does not support this

24. Vaccine Myth & Fact: Vaccines Cause SIDS & MS  Vaccine of concern: Hepatitis B  SIDS rates have actually decreased  MS rates remain the same

25. Vaccine Myth & Fact: You Can Get the Flu from the Vaccine  Vaccine of concern: Influenza  Vaccine is a killed virus – can’t cause flu (shots vs. Flu Mist)  Vaccine is not 100% effective, so possible to still catch the flu

26. Summary of Vaccine Safety Issues  Risk of diseases versus risk of vaccines  Vaccines prevent disease  Vaccines are “Safe”  Understand what is behind a myth or concern

27. NM LAW REQUIRES THAT ALL STUDENTS MUST BE IMMUNIZED AGAINST CERTAIN COMMUNICABLE DISEASES. Requirements determined by NM DOH Shot record on enrollment Dates: month, day, year In-process Exemptions (www.health.state.nm.us, families/kids, immunization schedules- recommendations, exemptions, NM form)www.health.state.nm.us

28. IN PROCESS A child whose immunizations are not up- to-date but who has received all immunizations permissible at the current date. Scheduled appointment. If out of school longer than five consecutive days for noncompliance, call the local RHO.

29. EXEMPTIONS Medical: Statement or certificate signed by a licensed physician or certified nurse practitioner (length of time depends on MD note). Notarized Certification of Religious Exemption (1 school year)

30. NMSIIS

31. NMSIIS continued

32. Immunizations Required Diphtheria Pertussis Tetanus Polio Measles Mumps Rubella Hepatitis B Varicella

33. Non-Required Immunizations Hib Hepatitis A Pneumococcal Meningococcal HPV - Human papillomavirus

34. READING IMMUNIZATION SCHEDULE Have CURRENT schedule. Must know child’s birth date and today’s date. Four day grace period allowed. Confer with nurse on questionable immunizations.

36. DOB 10/22/2008 DTP 12/22/082/24/085/15/09 12/22/0911/1/12 Polio 12/22/082/24/0911/1/12 HIB 12/22/082/24/0911/1/12 MMR 5/6/1011/1/12 HepB 10/23/0812/22/082/24/09 Varicella 5/6/1011/1/12

37. DOB 5/4/2009 DTP7/22/0912/11/092/25/10 Polio7/22/0912/11/092/25/10 HIB7/22/0912/11/092/25/10 MMR11/9/10 HepB5/5/097/22/092/25/10 Varicella11/9/10

38. DOB 6/13/04 DTP 12/5/043/15/052/12/06 Polio 12/5/043/15/052/12/06 HIB MMR 3/15/05 HepB Varicella Hx of disease

39. DOB 8/9/2007 DPT 10/3/0712/3/072/10/08 11/10/087/26/12 Polio 10/3/0711/10/087/26/12 HIB 10/3/0712/3/0702/10/08 11/10/08 MMR 11/10/087/26/12 HepB8/9/0710/3/072/10/08 Varicella 11/10/087/26/12

40. DOB 10/10/2008 DTP12/7/2008 2/1/2009 4/12/2009 Polio12/7/2008 2/1/2009 4/12/2009 10/12/2009 HIB12/7/2008 2/1/2009 MMR10/12/2009 HepB10/11/2008 12/7/2008 2/10/2009 Varicella 10/12/2009

41. DOB 7/27/2001 DTP10/12/01 12/2/01 2/1/02 7/28/05 Polio10/12/901 12/2/01 2/1/02 7/28/05 HIB10/12/01 12/2/01 2/1/02 7/28/05 MMR7/28/05 7/14/08 HepB7/27/01 2/1/02 10/12/02 Varicella7/28/05

42. DOB 5/18/99 DTP 2/7/004/22/008/6/00 10/18/0011/29/03 Polio 2/7/004/22/008/6/00 11/29/03 MMR 8/6/0011/29/03 HepB 2/7/004/22/008/6/00 HepA 2/11/063/9/07 HPV 6/01/098/12/09 Varicella 5/31/03

43. DOB 03/09/2004 DPT 08/10/05 08/25/0610/03/07 08/16/08 Polio 08/10/0508/25/0610/03/07 Hib 08/10/05 MMR 03/12/0508/16/08 HepB 03/11/0408/25/0610/03/07 Varicella 03/12/05

45. Questions?? Adverse Events Reporting System (VAERS)- 1-888- 275-4772 –phone number & website listed on all Vaccine Information Sheets [VIS] For accurate immunization information, current VISs, etc. visit: CDC.gov/immunizations For great information sheets, videos, etc.: vaccine.chop.edu (Children’s Hospital of Philadelphia