Informed Consent and Vaccination General Info (Peds)

Who can give informed consent?

parent or legal guardian

In the case of an emergency (preserve life or limb)

Implied Consent

What is an emancipated minor?

gone to court and petitioned to be legally considered an adult

What are mature minors?

14-18 years old

What can mature minors give consent for?

STI testing, contraceptive services, substance abuse treatment, mental health services

What is assent?

voluntary agreement (parents have final say)

When can assent be given?

7 years old

How should oral medications be given?

oral syringe (calibrated)

What should be given prior to painful procedures?

EMLA cream (lidocaine cream)

What are contraindications for live vaccines?

under 12 months, immunocompromised, pregnant

Can vaccines be given with a low-grade fever or illness?

yes

Can children receive aspirin?

No

When can ibuprofen be given?

6 months

What is the standard pain reliever given?

acetaminophen

What is contraindicated for Hep B and HPV vaccines?

allergy to yeast

What is the contraindication for rotavirus?

intussusception

What is a contraindication to PCV, MMR and Varicella?

neomycin

Where are IM injections given?

Vastus Lateralis and Deltoid

What age do vaccinations have to be in the vastus lateralis until?

12 months

What order should vaccinations be given in?

Least painful to Most (sub q last)