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Information for Health Professionals
This section provides resources for healthcare personnel who provide immunization services.
It's Federal Law - You Must Use Vaccine Information Statements (CDC web site) every time you give a vaccine.
2012-13 Influenza Season
Oklahoma Immunization Updates
CE Credit for Physicians
CE Credit for Nurses
A Tdap booster is required for students in 7th and 8th grades for the 2012-13 school year.
General Recommendations on Immunization (CDC web site) Every office needs a copy.
Latest ACIP Recommendations
Vaccination Criteria for U.S. Immigration (CDC web site)
Great Schedule to Give to Parents: Online Personalized Immunization Scheduler for Children Birth through Six Years (CDC web site)
Download Shots 2012 onto your iPhone®, iTouch®, Blackberry Storm®, Palm Pre® or PC Palm OS® Handhelds and Pocket-PCs.
Standing Orders (Immunization Action Coalition web site)
Clinical Information for Vaccines Used in the United States (CDC web site)
Satellite broadcasts and web casts - Available on DVD and as archived web casts. Continuing education available (CME, CNE, CEU, CECH for Health Educators).
Additional Free Online Continuing Education Resources for Vaccine Providers
Every person who administers vaccines should screen every patient for contraindications and precautions before giving vaccines.
Effective screening is key to preventing serious adverse events and is not difficult or complicated. Screening can be accomplished with just a few questions (See the screening forms which follow).
The "Contraindications and Precautions" section in the General Recommendations (CDC web site), pages 40 through 43, describes valid and invalid contraindications and precautions.
More specific information on contraindications and precautions is available in vaccine-specific ACIP recommendations.
Vaccine Information Statements – Required by Federal Regulation
Vaccine Administration - Essential Resources for Your Clinic
Vaccine Safety - Healthcare Personnel Responsibilities to Ensure Vaccine Safety
Resources for Conversations with Parents
Oklahoma Immunization Update
For copies of the Oklahoma Immunization Update prior to 2010, contact the Immunization Service at (405) 271-4073.
Q: We inadvertently gave a child only the DTaP-IPV component of Pentacel (DTaP-IPV/Hib; sanofi pasteur), not realizing that this component was intended to reconstitute the Hib component. Does this count as a valid dose of DTaP and IPV? Can we mix the unused Hib component with sterile water and give it separately?
A: Use of DTaP-IPV solution as the diluent for the Hib component is specifically written both on the Pentacel box AND on the DTaP-IPV vial label. In answer to your first question, the DTaP-IPV component will count as valid doses of DTaP and IPV vaccines, but take measures to prevent this error in the future. In answer to your second question, NO, you cannot mix the Hib component with sterile water. ActHib must ONLY be reconstituted with either the DTaP-IPV solution supplied with Pentacel, or with a specific ActHib diluent. If you have ActHib but neither diluent, you must contact the manufacturer (sanofi pasteur) and obtain ActHib diluent. Q: How many vaccines can be given during an office visit?
A: No upper limit exists for the number of vaccines that can be administered during one visit. ACIP and AAP consistently recommend that all needed vaccines be administered during an office visit. Q: Which vaccines cannot be administered at an office visit along with other vaccines?
A: All routine vaccines can be given during an office visit, as long as a different syringe is used for each vaccine. Q: If all needed vaccines aren't administered during the same visit, does one need to wait a certain period of time before administering the other needed vaccines?
A: All inactivated vaccines can be given on the same day, or on any day before or after giving other inactivated or live vaccines. However, if two live vaccines are not given on the same day, they need to be spaced at least 4 weeks apart. This recommendation does not apply to rotavirus or oral typhoid vaccine, which can be given at any time before or after another live vaccine. Q: Do we have to check vital signs before giving vaccines?
A: No. ACIP does not recommend routinely checking a patient's temperature or other vital signs before vaccination. Requiring these extra steps can be a barrier to immunization. Q: Is it necessary to routinely test young women for pregnancy before administering vaccines?
A: No. However, females of childbearing age should be asked about the possibility of their being pregnant before they are given any vaccine for which pregnancy is a contraindication or precaution. The patient's answer should be documented in the medical record. If the patient thinks she might be pregnant, a pregnancy test should be performed before administering live virus vaccines. Q: Which vaccines can be given to breastfeeding women?
A: All vaccines except smallpox can be given to breastfeeding women. Breastfeeding is a precaution for yellow fever vaccine. Women who are breastfeeding should be advised to postpone travel to yellow fever endemic or epidemic regions; however, if travel cannot be postponed the woman should receive yellow fever vaccine. Questions and Answers acquired from the Immunization Action Coalition, Ask the Experts, http://www.immunize.org/askexperts/ on 4-6-2011. We thank the Immunization Action Coalition.
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