Eligibility
Vaccines for Children has four eligibility categories, name them.
What are, Medi-Cal eligible, Uninsured, American Indian or Alaskan Native, Underinsured
A 2020 study reported in the Annals of Internal Medicine, looked at more than 80,000 adult patients hospitalized with ________ over eight years, and found that almost 12% of patients, or 1 in 8, had an acute cardiac event, such as acute heart failure or acute ischemic heart disease.
What is influenza?
A study published in the Journal of Infectious Diseases finds that even mild illness caused by influenza are associated with a twofold increase in the risk of acute cardiovascular events in older patients.
Ben is a healthy 15-month-old boy and is uninsured. You select his vaccines from __________ program.
What is VFC - Vaccines For Children
The routine vaccines given at 4 months of age for a baby that is on schedule.
What are DTaP, HiB, Polio, PCV, RV ?
This disease can be dangerous for infants and some young children. Each year in the United States, an estimated 58,000–80,000 children younger than 5 years are hospitalized due to it, according to the CDC.
What is Respiratory Syncytial virus or RSV?
A 10-year-old presents to ED after stepping on a rusty nail. He completed 5 doses of DTaP series; the last dose was given at 4-years-old.
Should he receive a tetanus vaccine and why?
What is YES
>5 years since previous vaccine administered
and it was not a clean/minor wound.
A 19-year-old patient presents to your clinic asking about the HPV vaccine. She has not been previously vaccinated for HPV but discloses a history of HPV infection.
Can she receive the HPV vaccine? and what is the dose series?
Yes
What is a 3 dose series at 0, 1-2 months, 6 months?
Carmen is a 45-year-old woman insured with IEHP Covered California. You select her vaccines from ______________ payor source.
What is FFS- Fee for Service
MMR stands for these vaccine preventable diseases ______, _____, _____, and the first dose is given at this age.
What are Measels, Mumps, Rubella
and 12- 15 months ?
According to the CDC's “General Best Practices for Immunization” a nurse can accept a patient-reported history for these two vaccines.
What are influenza and pneumococcal polysaccharide vaccines (PPSV)?
But not pneumococcal conjugate vaccine (PCV).
A healthy 58-year-old man with no contraindications to zoster vaccination wants to know if he is a candidate for it. He has never received a zoster vaccine but reports that he previously had shingles.
Should this person be offered recombinant zoster vaccine (RSV)?
What is Yes
It is recommended for adults over 50 without contraindications, whether or not they report a history of prior herpes zoster (shingles). *Not indicated during the acute stage of illness.
A healthy, 51-year-old man has come to the office for his annual influenza vaccine.
He has no contraindications to zoster vaccination.
Should he be offered Shingrix (recombinant zoster vaccine)?
What is Yes
Zoster vaccine is recommended by ACIP for healthy persons starting at age 50.
It can be given to age 19 and over for adults with immunocompromising conditions including HIV regardless of CD4 count
The adult patient has insurance with Medi-Cal or IEHP and needs vaccines today. You select the vaccines from _______ funding source.
What is FFS- private funds
Exception: ADAP and needs flu, use State flu
MMRV stands for Measels, Mumps, Rubella & Varicella
The minimum interval between MMRV doses is 3 months.
The maximum age for use of MMRV is
What is 12 years?
What disease causes a painful rash that occurs along one or more dermatomes?
What is Herpes zoster (shingles)?
caused by reactivation of latent varicella zoster virus infection from a prior chickenpox infection.
Influenza vaccine that comes from State supply is prioritized for Uninsured adults. There are three other populations that could use State Flu vaccine.
Two of them are
What are?
•ADAP patients
•Peds patients if no VFC flu is available
•Insured patients if no FFS flu is available
This vaccine is recommended for pregnant individuals meeting select criteria and adults 50 to 74 with risk factors and for all adult 75 and older.
What is RSV, Respiratory syncytial virus, vaccine.
Abrysvo, Arexvy, mResvia
Each year, an estimated 110,000–180,000 adults ages 50 and older in the United States are hospitalized due to RSV.
Patient has Medicare part B but no Medicare part D. They are requesting RSV and Zoster. You select ______ as a payor source.
What is 317.
Because they do not have drug coverage.
This type of infection can be asymptomatic and resolve on its own or Cause genital warts, Cause precancerous lesions, Cause 46,711 new cases of cancer annually in the US.
What is Human Papilloma Virus (HPV) ?
This vaccine is associated with high fever and increased risk of febrile seizures 5-12 days after administration when given in the 12-23 months of age range.
What is MMRV?
Approximately one additional febrile seizure occurred among every 2,600 children, ages 12 through 23 months vaccinated with a first dose of MMRV
A non-vaccinated 17-year-old immigrant is at risk for both hepatitis A and hepatitis B and requests vaccination. Would Twinrix, an inactivated combination vaccine containing both hepatitis A virus (HAV) and HBV antigens, be an acceptable choice to administer.
What is No
Twinrix is licensed for use in people who are age 18 years or older.
A pregnant woman presents for prenatal visit during the month of October. This is her first pregnancy, she is 35 weeks' gestation and has not been given any vaccines during this pregnancy.
You will recommend the following vaccines.
What are Abrysvo (RSV), influenza, and Tdap?
RSV - pregnant between 32 weeks and 36.6 weeks in the months from September through January.
1 dose Tdap each pregnancy preferably between 27 and 36 weeks gestation.
Edgar is 66 and has Medicare part D but no Medicare part B. He is here for a PCV20.
You choose __________ program because he is qualified for it.
What is 317
because Part D covers PCV20 and HBV
Other vaccines would be referred out to a pharmacy.
If they have Part B and D use FFS except for RSV and Shingrex, these should be referred out to pharmacy as that is where they are covered.
You have 2 siblings for their well child checks: a 13-year-old male and 15-year-old female. Parents are interested in vaccinating both kids against HPV. What is the difference in dosing between the siblings?
What are
13-year-old gets 2 doses
&
15-year-old gets 3 doses
I was told by a colleague that pregnant healthcare personnel were not allowed to administer live vaccines to others.
Is this a true statement?
What is false?
Pregnant healthcare personnel may administer any vaccine except the ACAM2000 smallpox vaccine.