1. Giving the right vaccine safely

3. Immunization schedule for infants recommended by the Expanded Program on immunization
Vaccine
Age
Birth
6 wks
10 wks
14 wks
9 mo
BCG x
OPV x*
DTP
Hep B: (A)
Hep B: (B)
Hib
Yellow Fever
x**
Measles
X* : in polio-endemic countries
x**: in countries where yellow fever poses a risk
(A): in countries where perinatal transmission of virus hepatitis B is frequent
(B): in countries where perinatal transmission of virus hepatitis B is less frequent

4. TOPICS COMPLETING THE PATIENT REGISTER ASSESSING THE CLIENT
INFORMING CLIENTS
PREPARING VACCINES
GIVING IMMUNIZATIONS
DISPOSING OF USED SYRINGES AND NEEDLES
CLOSING REMARKS

5. 1. COMPLETING THE PATIENT REGISTER

6. 2. ASSESSING THE CLIENT

7. 3. INFORMING CLIENTS

8. 4. PREPARING VACCINES

9. 1. Reconstituing vaccine
Vaccine that require reconstitution
Vaccine
Powder
Diluent
BCG
Freeze- dried
vial
Liquid provided with vaccine
Measles
MMR YF JE
Hib
DTP-HepB+Hib
Freeze- dried Hib
Liquid DTP-HepB vaccine

10. 2. Reconstituting BCG, measles, MMR, MR, YF, JE, and Hib vaccines
Wash your hands
Inspect the vaccine vial or ampoule (VVM, Exp date)
Flick the vial or ampoule
Open the vaccine vial or ampoule
5. Inspect the diluents ampoule or vial
6. Read the label on the diluents ampoule or vial
Flicking a vaccine ampoule
Lift the center of the metal cap

11. Ampoules and metal file
7. Open the glass ampoule
Scratching” the neck of the ampoule
Breaking off the neck of an ampoule

12. 8. Draw diluents into a mixing syringe
Reconstitute the vaccine
10. Handling reconstituted vaccines

13. Injection equipment
Parts of a syringe and needle

14. Handling syringes and needles safely
Do not touch:
the shaft of the needle
the bevel of the needle
the adaptor of the needle
the adaptor of the syringe
the plunger seal of the syringe
the plunger shaft of the syringe
You may touch:
the barrel;
the plunger top. .

15. 4. Administering vaccine for infants
Name of vaccine
BCG
DTP or DTP-HepB, HepB
Measles/ yellow fever
OPV
Where given
Outer upper right/ left arm or shoulder
Outer mid-thigh in infants/ outer upper arm if older
Outer mid-thigh/upper arm depending on the age
Oral
How given
Intradermal injection
Intramuscular injection
Subcutaneous injection
Oral dropper
Dose
0,05 ml
0.5 ml
2 drops
Needle size
10mm, 26 gauge
25mm, 23 gauge
Type
Powder + diluents
Ready to use
Vial with oral dropper

16. Different needle positions
INTRADERMAL
INTRAMUSCULAR
SUBCUTANEOUS

19. BCG vaccine

20. OPV

21. DTP or DTP-HepB or HepB, Hib vaccine

22. HepB vaccine

23. Measles vaccine, yellow fever, JE

24. 5. DISPOSING OF USED SYRINGES AND NEEDLES

25. 6. CLOSING REMARKS

26. Student will practice DURING A SESSION Registering the clients
Assessing the client
Preparing vaccines
Giving immunizations
- practise positioning a client (A doll )
- administering each vaccine
(boiled potatoes to practice intradermal injections;
oranges for other injections)
AFTER A SESSION