The importance of rehearsing what is administered by nursing: An in-depth review of necessary vaccinations. SARAH HAMMOCK

  Virginia Beach Department of Public Health (VBDPH)  Janie Spence  Brenda Lawhorn  Debra Kaps  Selena Merchant  Cynthia Jones  Nancy Walker  Ashley Wilson  John Davidson Mentors and Mentor Site

  Why?  The Reproductive System  STDs  What are the symptoms?  Male vs. Female?  How is it spread?  What is the treatment? Case Study I: Sexually Transmitted Diseases

  Why?  The Reproductive System  The Methods  What is it?  How does it work?  Effectiveness  Risks Case Study II: Birth Control Methods

  The Structure  History  The Disease  When Case Study III: Vaccinations

  How does the immune system work?  How do vaccines work?  Why are vaccines so important? CSIII continued

  Administered in 1955  About polio  Administered Polio Vaccine DoseWhen First2 months Second4 months Third6-18 months Fourth (booster)4-6 years

  Available since 1970s  What is meningococcal disease?  Two kinds of vaccine  Administered Meningococcal Vaccine DoseWhen First11 or 12 years Second16 years

  Licensed in 1971  Measles, Mumps, and Rubella  Administered MMR Vaccine DoseWhen First12-15 months Second4-6 years

  1982 to 1991  About hepatitis B  Acute vs chronic  Administered Hepatitis B Vaccine DosageWhen FirstBirth Second1-2 months Third6-18 months

  Licensed in 1995  What is hepatitis A?  Administered Hepatitis A Vaccine DoseWhen First12 through 23 months of age

  1995  What is varicella?  Administered Chickenpox Vaccine DosageWhen First12-15 months Second4-6 years

  First administered in 2005  Tetanus, Diphtheria, and Pertussis  Administered Tdap Vaccine DoseWhen First11 or 12 years BoosterEvery 10 years

 Patient ageInjection SiteNeedle size Newborn (0-28 days)Anterolateral thigh muscle 5/8” Infant (1-12 months)Anterolateral thigh muscle 1” Toddler (1-2 years)Anterolateral thigh muscle 1-1 and ¼” Deltoid muscle of arm5/8-1” Children (3-18 years)Deltoid muscle5/8-1” Anterolateral thigh muscle 1-1 and ¼” Adults (19+)Deltoid muscle1-1 and ½” Anterolateral thigh muscle 1-1 and ½” Injection Site

 Intramuscular Sites Infants and Toddlers Children and Adults

 Needle Insertion

  Volunteer  Female observer The Work

  Nursing Assistants and Orderlies  Median $24,400/year (2012)  Certified Nursing Assistant  After state-approved education program, competency exam  High School Diploma and On-the-Job Training  21% Growth (faster than average)  Nurse Practitioner  Median $96,460/year (2012)  Master’s degree  31% (much faster than average) Occupation Overview

 The Experience Pros  Thorough knowledge on basic topics  Shadowed multiple people  Loving staff  Appreciation for public health Cons  Focus for case studies

  Janie Spence  The Virginia Beach Department of Public Health Staff  Mrs. Graves  Family  You! Thank you!

 Questions?