IMMUNIZATIONS
1. Adenovirus
2. Meningococcal
3. Tdap
4. Polio
What are two patient identifiers?
1. Name
2. Date of birth
Which two applications/systems do we use for documentation?
FirstNet and CeTARS
Which application do we use to report any events that resulted or could have resulted in patient harm?
Joint Patient Safety Reporting System
What are the hours of operation for our department and at what time should the last needle go in?
0730-1500
Last needles goes in at 1415
What are the titer immunizations and which of them require second doses on 5-2 day?
MMR, Varicella, Hep A, Hep B, Twinrix
All except Hep A
What do you always verify with every recruit in addition to patient identifiers?
Allergies
For 5-2 recruits, their orders on MAR should match with what?
The documented P5 titers on CeTARS
What is the first thing you do when a recruit passes out and hits their head? Demonstrate.
Hold c-spine
Who is in your direct chain of command in this department?
WCS: HM3 Bautista, HN Watson
LPO: HM2 Matthews
DH: LT Shin
Which vaccines are live?
Adenovirus, MMR, Varicella
If any patient information or order(s) is incorrect, what do you do?
Send recruit to Corrections/CORE and inform them what the error is.
Which step do you take right BEFORE administering medications?
Scan ordered medications
What do we give at this clinic if a recruit is having anaphylaxis? Demonstrate.
EpiPen
Which lab result in female recruits is a hard stop for live vaccines and why?
Elevated hCG
Indicates chance of pregnancy
What is the recommended time interval between live vaccines per CDC guidelines?
28 days
Who is not required to receive the required immunizations and how can you confirm?
Prior service and dependents
JLV
Which step do you take right AFTER administering medications?
Sign the scanned medications
Who do you inform if you give the wrong medication?
Leadership
In addition to the EpiPen, what other medications are found inside the anaphylaxis kit?
Antihistamines and Corticosteroids
Name three medications/types of medications that are contraindicated with live vaccines?
1. Aspirin
2. Antivirals
3. Steroids
What do you have to add as a comment when scanning medications for all P5 recruits and under which one?
Vaccine education phrase under Meningococcal
What are the five rights of medication administration?
Right patient
Right medication
Right dose
Right route
Right time
What do you call when there is an adverse event or if there is any medical concern with a recruit?
Man down over 1MC
What is the most effective, evidence-based intervention to prevent infections?
Hand hygiene