vaccines

withdraw med from vial steps

• assemble syringe without touching patient parts

• push barrel back and forth a couple times

• Prepare vial

  • If it's a suspension, roll between hands to mix

  • Remove seal on top of vial

  • Cleanse rubber stopper with antiseptic wipe and airdry

• draw dose amount of air in syringe

• insert syringe in middle of rubber on vial at 90 degrees

• keep needle in airspace and inject all air from syringe

• turn vial upside down with needle in fluid

• draw desired amount

• Gently tap syringe to allow air bubbles to rise to top and dissipate

• Push plunger gently to push air from bubbles back into vial

• Return vial to upright and withdraw needle

• put safety device on needle

• remove needle and replace with new one

when to give Hep B

as newborn, at 1-2 months, at 6-18 months

when to give DTaP - 5 doses

2 months, 4 months, 6 months, 15-18 months, 4-6 yrs

when to give Pneumococcal - 4 doses

2, 4, 6, 12-15 months

when to give Polio - 4 doses

2, 4, 6-18 months, 4-6 yrs

when to give Hib - 4 doses

By 2 months, 4 months, 6 months, 12 months

when to give rotavirus - 2 or 3 doses

2 months, 4 months, then 6 months if 3 dose vaccine

when to give MMR

12-18 months, 4-6 yrs

when to give Varicella

12-18 months, 4-6 yrs

when to give Hep A , 2 dose series

12 to 23 months with at least 6 months apart from doses

newborn vaccines (0-28 days)

first dose of Hep B

infant (1 month - 1 yr) vaccines

• Diphtheria, tetanus, acellular pertussis (DTAP) - 4 of 5 doses

  • 2 months, 4 months, 6 months, 15-18 months

• Pneumococcal - 4 doses

  • 2, 4, 6, 12-15 months

• Polio (IPV)- 3 of 4 doses

  • 2, 4, 6-18

• Hib (Haemophilus influenzae type b) - 3 or 4 doses

  • By 2 months, 4 months, 6 months, 12 months

• Rotavirus - 2 doses

  • 2 months, 4 months, then 6 months if 3 dose vaccine

• Hep B

  • second dose at 1-2 months

  • Third dose at 6-18 months

• Flu - annually

toddler vaccines (1-3 yrs)

• MMR first dose

  • 12-18 months

• Varicella first dose

  • 12-18

• Hep A 2 doses

  • 12 to 23 months with at least 6 months apart from doses

preschool vaccines (3-6 yrs)

• MMR - second dose

  • 4-6 yrs

• Varicella - second dose

  • 4-6 yrs

• DTaP - 5th dose

  • 4-6 yrs

• polio - 4th dose

  • 4-6 yrs

• Flu

• Covid

school age vaccines (6-12 yrs)

• Flu

• Meningococcal - first dose

  • 11-12 yrs

• TDaP (dose of tetanus with less of diptheria and acellular pertussis)

  • 11-12 yrs

• Covid

adolescent vaccines (12-20)

• HPV series

  • 12- 14 yrs then 6-12 months later

• Meningococcal - second dose

  • 16 yrs

• Flu and covid

common contraindications for allergies

• Severe allergies to previous shots

• Encephalopathy without cause

• Hypersensitivity to yeast

  • for HepB and HPV

• Asthma or wheezing

  • Against Live Attenuated Influenza Vaccine (nose spray flu)

• Anatomic or functional asplenia

  • Against LAIV

• Known severe immunodeficiency