Smallpox Vaccine AdministrationSmallpox Vaccine Administration

Learning ObjectivesLearning Objectives Demonstrate appropriate vaccine Demonstrate appropriate vaccine

administration techniquesadministration techniques

Job Description of Vaccinator Job Description of Vaccinator (Vaccination Area) (Vaccination Area)

*Assure Clinic Room Supplies are *Assure Clinic Room Supplies are Available in his/her Designated AreaAvailable in his/her Designated Area

*Assure Forms are Completed & Signed*Assure Forms are Completed & Signed*Provide Vaccinations*Provide Vaccinations*Proper Gloving & Bandaging*Proper Gloving & Bandaging*Assure Vaccination Card is Completed*Assure Vaccination Card is Completed*Understand Emergency Procedure & *Understand Emergency Procedure &

How to Contact EMS Personnel How to Contact EMS Personnel *Know How to Contact the Float Nurse*Know How to Contact the Float Nurse

Job Description of Job Description of RN RN VaccinatorVaccinator

Has Knowledge of :Has Knowledge of : Clinic FlowClinic Flow FormsForms Vaccine Reconstitution (if necessary)Vaccine Reconstitution (if necessary) Vaccine AdministrationVaccine Administration Bandaging --- “to” or “not to”Bandaging --- “to” or “not to” Site CareSite Care Emergency Procedure ---EMSEmergency Procedure ---EMS Vaccine side effects, take & adverse Vaccine side effects, take & adverse

eventsevents(using CDC pamphlet)(using CDC pamphlet)

Smallpox Vaccine AdministrationSmallpox Vaccine Administration

Use of gloves is recommendedUse of gloves is recommended

Persons administering smallpox vaccine Persons administering smallpox vaccine should be vaccinatedshould be vaccinated

Re-ConfirmRe-Confirm

Patient Has Signed All Paper WorkPatient Has Signed All Paper Work Patient Has No Contraindications to Patient Has No Contraindications to

VaccineVaccine

Prior to AdministrationPrior to Administration

Prepare gauze and tapePrepare gauze and tape

Wash HandsWash Hands

GLOVE BOTH HANDSGLOVE BOTH HANDS

Vaccination Site PreparationVaccination Site Preparation

Alcohol, soap and water, or chemical agents Alcohol, soap and water, or chemical agents are not needed for preparation of the skin for are not needed for preparation of the skin for vaccination unless grossly contaminatedvaccination unless grossly contaminated

If needed, soap and water are the preferred If needed, soap and water are the preferred cleaning agentscleaning agents

Skin must be thoroughly dry in order to Skin must be thoroughly dry in order to prevent inactivation of the vaccine. prevent inactivation of the vaccine.

Remove needle from sterile packaging

Remove stopper from vialPlace stopper in protected

areaDip the needle into the vaccine

Do NOT re-dip the Do NOT re-dip the needle into the needle into the vaccine solution vaccine solution once it has touched once it has touched the person’s skin.the person’s skin.

Site Selection of Vaccine Site Selection of Vaccine AdministrationAdministration

Skin over the deltoid muscle, non Skin over the deltoid muscle, non dominant armdominant arm

Do not vaccinate an old scarDo not vaccinate an old scar Pull Skin Taut Prior to AdministrationPull Skin Taut Prior to Administration

Proper position of hands

Smallpox Vaccine Smallpox Vaccine AdministrationAdministration

Apply strokes perpendicular to the skinApply strokes perpendicular to the skin

Prick the skin in about 3 seconds within an area Prick the skin in about 3 seconds within an area of 5 millimetersof 5 millimeters

Apply sufficient pressure to visibly push down Apply sufficient pressure to visibly push down the skinthe skin 3 pricks for primary vaccination3 pricks for primary vaccination 15 pricks for secondary vaccination15 pricks for secondary vaccination

Pressure should be sufficient to visibly push down the skin

A trace of blood should be present after 10-20 seconds

If Blood Does Not If Blood Does Not AppearAppear

After 3 Pricks After 3 Pricks

Repeat 3 pricksRepeat 3 pricks

Do Do NotNot Re-Dip Needle Into Re-Dip Needle Into Vaccine VialVaccine Vial

Dispose of used needle immediately into sharps container

How To BandageHow To Bandage

Note --- There is a possibility that Note --- There is a possibility that a policy may be to NOT bandagea policy may be to NOT bandage

Cover site with a 2x2 dressing and tape

Discard Used Gauze in Red Bag Discard Used Gauze in Red Bag

Remove Gloves Remove Gloves OnlyOnly If Contaminated If Contaminated With Blood &/or Become Soiled & With Blood &/or Become Soiled &

Discard in Red BagDiscard in Red Bag

Wash Hands If You Wash Hands If You Remove GlovesRemove Gloves

Sign Medical RecordSign Medical Record

Show Patient What a Show Patient What a

““TAKE”TAKE”

Looks LikeLooks Like