Burnside Clinic Nurse Flow

Where is he vastus lateralis located?

Thigh

What question should i ask when addressing a transgender patient?

How would you like to be addressed? Pronouns?

Before giving Carbenuva HIV injection what should you find out?

What site of the buttocks was it given in the last time

Where is mmr vaccine given

Sub-Q in the outer upper fatty area of the arm

How many vaccines is the shingles given

2 Shingrix

dilutant

liquid used for dilution

Shingles

A REACTIVATION of the chickenpox virus in the body, causing a painful rash

Shingrix

the shingles vaccine that comes in two vials, a powder and a colorless vaccine, MIX before injecting

metaxalone

Muscle Relaxant

What size needle for a child 0-18 months

5/8 inch

What size needle for a child 18 months an older

1 inch

What important step you must remember when mixing powder with dilutant?

Use 2 needles

An intramuscular contraceptive injection given every 3 months.

(Depo-Provera)

Code for medication lock

2019

pneumococcal conjugate vaccine

Prevnar

ProQuad

MMRV - Measles, Mumps, Rubella, AND Varicella (SQ)

What is ProQuad 

ProQuad  MMRV - Measles, Mumps, Rubella, AND Varicella (SQ)

What is the first task when u come into the clinic in the morning

Check and log the temperatures of the fridge

In Adult Medicine what insurance do ALL adults have

private (VFA)

In peds what insurance does peds under 19 have

Medicaid/Managed (VFC)

What forms should you give the pts before giving them the vaccine?

VIF forms-- in the folders in the corner

What items are needed to prep to give a vaccine/medicine?

medication
alcohol wipe
bandage
pen to write

alcohol wipe

bandage

pen to write

What is the FIRST question you ask a pt when you enter the room?

Verify their name and date of birth

What should you do BEFORE attaching the medication to the needle

push up and remove the air

How often to give Carbenuva HIV med

Give first month then every months after

Which medication the clinic doesn't supply so pts must bring it in from the pharmacy

Shingles and Carbenuva (HIV)

How must the Shingles medication be administered?

2 shots one in each arm

b12 also known as

Cyanocobalamine

Zofran also known as

ondansetron

ondansetron

Antiemetic (vomiting)

Which medication would be given for vomiting

odansetron (zofran)

azithromycin

bicilin

Antibiotic IM medication used to treat STD such as gonorrhea and syphilis

Also known as MMRV

Proquad

MMRV is stored where

freezer

Hep B stored where

frig

High dose Flu for what age ONLY?

65+

Low dose Flu up to what age?

64

Any medication with varicella must be____

frozen

MMR is stored where

frig

What 2 medications HAS TO BE MIXED before injection?

MMR AND MMRV

Cabenuva stored where

frig

Antibiotic IM medication used to treat STD such as gonorrhea and syphilis

Bicillin L-A (benzathine penicillin G)

Apretude (PrEP)

(prevention for HIV), given to HIV-negative people every 2 months

HIV prevention given to HIV-negative patients every 2 months

Apretude (Prep)

Important technique while opening a needle?

Always keep it facing up in your hand NEVER place it back down or drop your hands!!

What determines a sterile technique?

Hands always above your waist

4 categories of VFC (Vaccine for Children)

Medicaid

Self Pay

Uninsured

CHP

When checking the oxygen tank, how many ml should it be?

1000 ml (not in red zone)

What are the 3 things to log once you arrive?

Temperatures

AED

Oxygen

Temperature of the room on side of first fridge

Oxygen Tank

Where are the pregnancy Test located

Med room last cabinet

Why must MMRV be protected from light?

because it may inactivate the vaccine viruses

What should you document in the notes after seeing patient?

Pt received vaccine/medication in the left arm. Pt tolerated with well with no adverse reactions of side effects.

Heplisav-B Inactivated given in how many doses?

2-dose series, adults only 1 month apart

Heplisav-B Inactivated needle size

Adults: 1 inch

Peds: 5/8 inch

Obese adults: 1.5 inch

Peds: Usually ⅝

Heplisav-B Inactivated Route

Adults & adolescents: Deltoid

Infants & small toddlers: Vastus lateralis (thigh)

What size needle is patient is very obese?

1.5 inch

Important documentation points for vaccines

source, vaccine name, lot number, site, route, VIS given.

How many doses of Prevnar (pneumonia) do infants get?

2 months
4 months•
6 months•
12-15 months (4 doses)

4 months•

6 months•

12-15 months

is a vaccine indicated for active immunization for the prevention of invasive disease caused by Streptococcus pneumoniae

Prevnar 20®

What medication is PCV 20?

Prevenar (pneumonia)

Which vaccine protects against viruses that attacks the liver and can cause liver failure, cirrhosis, and liver cancer from blood transmission?

Hep-A

Explain to patient the importance of taking Heplisav-B Inactivated medication

This vaccine protects against viruses that attacks the liver and can cause liver failure, cirrhosis, and liver cancer. can be transmitted through blood exposure• sex• needles• mother-to-baby transmission

How is Heplisav-B Inactivated medication transmitted?

blood exposure• sex• needles• mother-to-baby transmission

Hep A route for adults/peds

IM in the deltoid (arm) for adults and older kids.

IM in thigh for infants/toddlers when needed.

Hep A route for peds age 3?

deltoid

Flu vaccine route for 6 months infant?

thigh

Which vaccine protects against liver infection spread by contaminated food/water or close contact.

HEP A

Explain to the patient about HEP A

Its a vaccine that protects against liver infection spread by contaminated food/water or close contact.

Who are patients that are referred to as "Safe Haven" patients?

children who often need multiple vaccines at once because there's no reliable record.

What are the vaccines that needs to be reconstituted?

MMR - mix powder + diluent

Varicella - mix powder + diluent

MMRV (MMR + Varicella combo) - mix powder + diluent

Shingrix - mix powder + adjuvant

Meningococcal vaccine protects against

meningitis and bloodstream infections

Hep B dose schedule

3 doses (1 month apart) regular

You are preparing to administer the MMR vaccine to an adult patient. What is the correct route and injection angle?

A) Subcutaneous (SQ) at 45 degrees

B) Intramuscular (IM) at 90 degrees

C) Intradermal (ID) at 10-15 degrees

You are preparing to administer the MMR vaccine to an adult patient. What is the correct route and injection angle?

A) Subcutaneous (SQ) at 45 degrees
B) Intramuscular (IM) at 90 degrees
C) Intradermal (ID) at 10-15 degree

D) Oral, no injection needed

Subcutaneous (SQ) at 45 degrees (slanted up)

give pregnancy test first

What is a question related to allergies i should ask at every encounter before giving injection?

Do you have any known allergies to eggs, yeast, gelatin, or neomycin?

Which allergy is contraindicated for MMR and varicella

Gelatin (pork) allergy