Immunisation for Health Practitioners (306) Assessment 4 Worksheet

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Immunisation for Health Practitioners (306)
Assessment 4 : Catch-up worksheet and vaccine administration
Student’s name
(as per AHPRA registration) :
Student’s ID :
Health profession :
Tutor’s name :
Month of course commencement :
Due date :
States / Territory student is
practicing in :
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Table 1 - Catch-up worksheet for children <10 years of age for NIP vaccine
(Adapted from The Australian Immunisation Handbook Figure 2.1.1)
Vaccines
No. of
previous
doses
No. of
doses
required at
current age
Dose
number
due now
Further
doses;
intervals
Student’s comments
Example 2 4 4 4 weeks
Diphtheria, acellular
pertussis, tetanus
(DTPa)
4 5 2 42months
Poliomyelitis (IPV) 3 4 1 42 weeks
Hepatitis A 2 2 0 Not needed
Hepatitis B 2 2 0 Not needed
Haemophilus
influenzae type b
(Hib)
2 2 0 Not needed
Pneumococcal
(13vPCV) 4 4 0 Not needed
Pneumococcal
(23vPPV) 0 1 1 42months
Meningococcal
vaccine (delete as
appropriate)
1. Monovalent
meningococcal C
conjugate
vaccine
(MenCCV)
2. Quadrivalent
meningococcal
conjugate
vaccines
(4vMenCV)
3. Meningococcal
B vaccine
1 1 0 Not needed
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(MenBV also
known as
4CMenB)
Measles / Mumps/
Rubella (MMR) 2 2 0 Not needed
Rotavirus 2 2 0 Not needed
Varicella 1 0 0 Not needed
Influenza 2 2 0 Not needed
Catch-up appointments
Visit 1 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
Current visit
Infanrix* hexa Intramuscular (IM)
injection
Prevenar 13 Intramuscular (IM)
injection
Rotarix Oral
Visit 2 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
1?
2
months
(delete as
Infanrix* hexa Intramuscular (IM)
injection (NCIRS, 2015)
Prevenar 13* Intramuscular (IM)
injection
Rotarix Oral
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appropriate)
Visit 3 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
2?
2
months
(delete as
appropriate)
Prevenar 13* Intramuscular (IM)
injection
Infanrix* hexa Intramuscular (IM)
injection
Visit 4 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
3?
6
months
(delete as
appropriate)
Nimenrix Intramuscular (IM)
injection
M-M-R II IM or SC injection
Prevenar 13 Intramuscular (IM)
injection
Vaqta Paediatric Intramuscular (IM)
injection
Visit 5 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
4?
6
months
(delete as
appropriate)
ActHIB Intradermal
Priorix Tetra IM or Sc injection
Infanrix Intramuscular (IM)
injection
Vaqta Intramuscular (IM)
injection
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Table 2 - Catch-up worksheet for children >10 years of age for NIP vaccine
(Adapted from The Australian Immunisation Handbook Table 2.1.12)
Vaccines
No. of
previous
doses
No. of
doses
required at
current age
Dose
number
due now
Further
doses;
intervals
Student’s comments
Example 2 4 4 4 weeks
Diphtheria, acellular
pertussis, tetanus
(dTpa)
0 0 1 42months
Hepatitis A 0 0 0 0
Hepatitis B 0 0 0 0
Poliomyelitis (IPV) 0 0 0 0
Haemophilus
influenzae type b
(Hib)
0 0 0 0
Human
papillomavirus (HPV) 0 1 1 0
Measles / Mumps/
Rubella (MMR) 0 0 0 0
Meningococcal
vaccine (delete as
appropriate)
Monovalent
meningococcal C
conjugate
vaccine
(MenCCV)
Quadrivalent
meningococcal
conjugate
vaccines
(4vMenCV)
0 0 0 0
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Meningococcal
B vaccine
(MenBV also
known as
4CMenB)
Pneumococcal
(13vPCV) 0 0 0 0
Pneumococcal
(23vPPV) 0 0 4 10 years
Varicella vaccine 0 0 0 0
Influenza 0 0 0 0
Zoster vaccine 0 0 1 65 years
Catch-up appointments
Visit 1 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
Current visit
Gardasil*9 Intramuscular(IM) injection
Infanrix Intramuscular (IM)
injection
Visit 2 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
1?
60
Pneumovax 23* Intra Muscular (IM)
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months
(delete as
Visit 3 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
2?
35
years
(delete as
appropriate)
Pneumovax 23* Intra Muscular (IM)
Visit 4 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
3?
15
years
(delete as
appropriate)
Pneumovax 23* Intra Muscular (IM)
Visit 5 Vaccine brand name and
dose number
Site / route of
administration Student’s comments
What is the
Interval from Visit
4?
5
years
(delete as
appropriate)
Zostavax Sub cutaneous
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Table 3 - Vaccine administration table
(Adapted from The Australian Immunisation Handbook Table 2.2.1 and 2.2.2)
Tasks
2 month-old infant receiving
Rotavirus vaccine
12 month-old infant receiving
MMR
4 year-old child receiv
DTPa-IPV
Identify the route(s) of
vaccine administration
Oral Intramuscle Itramuscular
Identify the site(s) of
vaccine administration
Through the mouth without
using syringe and needle
below the skin and above
muscles into subcutaneous
layer. At the anterolateral
aspects of the thigh (NCIRS,
2017b)
Into mucle mass through
injection. It should be
administered on the thig
Identify the needle gauge,
length, and the syringe size
used for vaccine
administration
1 inch needle, 22-25 gauge 1-1and1/4 inch needle, 22-
25gauge. 1mL or 2mL syringe
1 - 1and1/4 inch needle,
25 gauge. 1mL or 2mL sy
Describe the positioning of
the patient
Side-lying or upright position
to minimize the risk of
aspiration (NHVPR, 2018)
45 degrees to skin plane seated in a 90 degree ang
Describe the technique of
vaccine administration
Use of drops 45degrees to the skin plane 90 degrees to the skin pla
Tutor’s comments
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