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BUMEDNOTE 6230
Immunization Requirements and Recommendations
Question | Answer |
---|---|
What is BUMEDNOTE 6230 designed to do? | Designed to provide Immunization requirements and recommendations and to introduce adult and child immunization forms. |
How often should childhood and adolecent vaccination schedule be revised? | The CDC recommends that childhood and adolecent vaccination schedule be revised annually and is published in January. |
When should immunization status be reviewed? | Should be reviewed as part of each medical visit and should receive them promptly. |
Where should given vaccines be documented? | PHS 731 (The Yellow Card), DEERS, and the NAVMED 6230/4 and 6230/5. |
Where should vaccines not be documented? | Do not use DD2766 because it does not accomidate entryof all required data. |
What is the required information for doucumentation? | Date, Manufacturer, lot #, Dose, site and route of admistration, VIS (if req), name and address of person administering the vaccine. |
What program is the preferred Navy service electronic system for capturing imms? | SAMs |
How is/are navy reserve imms tracked? | Tracked with the use RAMIS. The Marine Corps Reserve is tracked using SAMS |
Anthrax | 6 doses, .5ml SC each 0,2 and 4 weeks and 6, 12 and 18 months. Annual booster, 0.5 ml SC |
Hep A | Varries with vaccine preparation. |
Hep B | 3 IM doses. 0,1, and 6 months No boosters. |
Hep A/B combination. | 3 IM doses. 0,1, and 6 months No boosters. |
Inactive Polio | 1 dose, 0.5 ML SC |
Influenza | 1 dose annually, |
MMR | 1 dose, 0.5 ML SC |
Meningococcal | 1 dose, 0.5 ML SC. Booster 1 dose every 5 years. |
Pneumococcal | 1 dose, 0.5 ML SC or IM Booster if in high risk, every 5 years. |
Rabies | Post exposure: 5 doses 1.0 ml SC each 0,3,7,14, and 28 days. |
Td | 1 dose: 0.5ml IM Booster 1 dose every 10 years |
Typhoid | 4 dose; 1 capsule PO every other day. repeat every 5. |
Typhoid (typum) | 1 dose / 0.5 ml IM One dose every 2 years. |
Varicella | 2 doses/ 0.5 ml SC 4-8 weeks apart no booster |
Yellow Fever | 1 dose/ 0.5 ml SC Booster 1 dose every 10 years. |
Where is Imms data for active duty entered? | DEERS |
Who is responsible for entering the imms data into the electronic system for capturing imms? | The command that administers the imms. |
What is the prefered Navy service electronic system for capturing imms? | The Shipboard Non-Tactical ADP Program (SNAP) Automated Medical System (SAMS) |
Data for Navy Reservist will be tracked thru? | Reserve Automated Medical Interim System. (RAMIS) |
Data for the USMC Reservist will be tracked thru? | SAMS |
A central repository for all SAMS imms data collected resides where? | Resides at the Naval Medical Information Management Center (NMIMC). Collected in SAMS on a weekly basis. |
Where does the imms data from the Naval Reserve be transmitted? | DEERS |
T/F: The use of jet injectors for routine imms is authorized. | False: the use of jet injectors for routine imms is prohibited unless specifically authorized by BUMED. |
T/F: Doses given at less than the recommended interval may not provide adequate antibody response and should not be counted as part of the primary series. | True. Restarting or adding extra doses is not necessary when an intitial series of avaccine or toxoid is interrupted because increasing the interval between doses in a series does not diminish imms efficacy. |
What must be done with pt that have shown previous rxn to a specific imms? | Defer individual with reported hypersensitivity to imms or components from immunization and refer to an allergy specialist. |
If a live virus must be administered to a women, what must you do? | Advise the women to avoid getting pregnant for 1 month following imms against: measles, mumps, smallpox or varicella (chicken pox). |
How long should a women avoid becoming pregnant if they are admistered rubella or MMR? | 3 months. |
Where do you report adverse events after immunizations? | Must be reported unsing the Vaccine Adverse Event Reporting System. (VAERS) |
What imms must be administered for initial training for military personnel? | Adenovirus (Enlisted only), HEP A, polio, influenza, MMR, Meningococcal, Td, HEP B, yellow fever, and varicella. |
What forms are used to document imms? | NAVMED 6230/4, NAVMED 6230/5, PHS 731, SF600, and VAERS if a adverse rxn occured. |