Smallpox Vaccine Administration

1
Smallpox Vaccine Administration

• Learning Objectives
• Demonstrate appropriate vaccine administration
  techniques

2
Job Description of Vaccinator (Vaccination
Area)

• Assure Clinic Room Supplies are Available in
  his/her Designated Area
• Assure Forms are Completed Signed
• Provide Vaccinations
• Proper Gloving Bandaging
• Assure Vaccination Card is Completed
• Understand Emergency Procedure How to Contact
  EMS Personnel
• Know How to Contact the Float Nurse

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Job Description of RN Vaccinator

• Has Knowledge of
• Clinic Flow
• Forms
• Vaccine Reconstitution (if necessary)
• Vaccine Administration
• Bandaging --- to or not to
• Site Care
• Emergency Procedure ---EMS
• Vaccine side effects, take adverse events
• (using CDC pamphlet)

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Smallpox Vaccine Administration

• Use of gloves is recommended
• Persons administering smallpox vaccine should be
  vaccinated

5
Re-Confirm

• Patient Has Signed All Paper Work
• Patient Has No Contraindications to Vaccine

6
Prior to Administration

• Prepare gauze and tape

7
Wash Hands
8
GLOVE BOTH HANDS
9
Vaccination Site Preparation

• Alcohol, soap and water, or chemical agents are
  not needed for preparation of the skin for
  vaccination unless grossly contaminated
• If needed, soap and water are the preferred
  cleaning agents
• Skin must be thoroughly dry in order to prevent
  inactivation of the vaccine.

10
Remove needle from sterile packaging
11
Remove stopper from vial Place stopper in
protected area Dip the needle into the vaccine
12
Do NOT re-dip the needle into the vaccine
solution once it has touched the persons skin.
13
Site Selection of Vaccine Administration

• Skin over the deltoid muscle, non dominant arm
• Do not vaccinate an old scar
• Pull Skin Taut Prior to Administration

14
Proper position of hands
15
Smallpox Vaccine Administration

• Apply strokes perpendicular to the skin
• Prick the skin in about 3 seconds within an area
  of 5 millimeters
• Apply sufficient pressure to visibly push down
  the skin
• 3 pricks for primary vaccination
• 15 pricks for secondary vaccination

16
Pressure should be sufficient to visibly push
down the skin
17
A trace of blood should be present after 10-20
seconds
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If Blood Does Not AppearAfter 3 Pricks

• Repeat 3 pricks
• Do Not Re-Dip Needle Into Vaccine Vial

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Dispose of used needle immediately into sharps
container
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How To Bandage

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

21
Cover site with a 2x2 dressing and tape
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Discard Used Gauze in Red Bag Remove Gloves
Only If Contaminated With Blood /or Become
Soiled Discard in Red Bag

• Wash Hands If You Remove Gloves

23
Sign Medical Record

• Show Patient What a
• TAKE
• Looks Like