Post on 18-Jan-2016
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2010 Immunization Update2010 Immunization Update
ChildChild
AdultAdult
2010 Updates2010 UpdatesChildChild
Combination Combination vaccinesvaccines
PolioPolio
Hepatitis AHepatitis A
Re-vaccination with Re-vaccination with meningococcalmeningococcal
HPVHPV
AdultAdult
HPV-2 types-malesHPV-2 types-males
MMR immunityMMR immunity
Hepatitis A for Hepatitis A for adopteesadoptees
Hepatitis B minimal Hepatitis B minimal intervalinterval
Meningococcal Rev.Meningococcal Rev.
Hib for adultsHib for adults
Age of consentAge of consentTITLE 39 TITLE 39 HEALTH AND SAFETYHEALTH AND SAFETYCHAPTER 45 CHAPTER 45 THE MEDICAL CONSENT AND NATURAL DEATH ACTTHE MEDICAL CONSENT AND NATURAL DEATH ACT39-4503.PERSONS WHO MAY CONSENT TO THEIR OWN 39-4503.PERSONS WHO MAY CONSENT TO THEIR OWN CARE. Any person of ordinary intelligence and awareness CARE. Any person of ordinary intelligence and awareness sufficient for him or her generally to comprehend the need sufficient for him or her generally to comprehend the need for, the nature of and the significant risks ordinarily for, the nature of and the significant risks ordinarily inherent in, any contemplated hospital, medical, dental or inherent in, any contemplated hospital, medical, dental or surgical care, treatment or procedure is competent to surgical care, treatment or procedure is competent to consent thereto on his or her own behalf. Any health care consent thereto on his or her own behalf. Any health care provider may provide such health care and services in provider may provide such health care and services in reliance upon such a consent if the consenting person reliance upon such a consent if the consenting person appears to the health care provider securing the consent to appears to the health care provider securing the consent to possess such requisite intelligence and awareness at the possess such requisite intelligence and awareness at the time of giving the consent.time of giving the consent.
OtherOther
Merck is no longer making single Merck is no longer making single antigen measles, mumps, rubellaantigen measles, mumps, rubella
Pneumovax for adults. Should we get?Pneumovax for adults. Should we get?
Idaho remain Universal SelectIdaho remain Universal Select
Non state child vaccine-what to do Non state child vaccine-what to do with itwith it
Idaho become a choice stateIdaho become a choice state
Tiered orderingTiered ordering
HiberixHiberix
Use only for the last dose of the Use only for the last dose of the seriesseries
Minimum age is 12 months. Maximum Minimum age is 12 months. Maximum age is 4 years and 364 daysage is 4 years and 364 days
Reconstitute with prefilled syringe Reconstitute with prefilled syringe diluent into the single dose vialdiluent into the single dose vial
Give IMGive IM
After reconstitution, can be stored in After reconstitution, can be stored in fridge up to 24 hoursfridge up to 24 hours
HIBHIB
No further doses needed if previous No further doses needed if previous dose administered at age 15 months dose administered at age 15 months or older. or older.
Look at Catch up scheduleLook at Catch up schedule
PrevnarPrevnar
No further dose needed for healthy No further dose needed for healthy children if previous dose children if previous dose administered at age 24 months or administered at age 24 months or older. older.
For a healthy child between 24 For a healthy child between 24 months and 5 years and never months and 5 years and never received a dose of prevnar after age received a dose of prevnar after age 12 months- give one.12 months- give one.
See catch up scheduleSee catch up schedule
ScenariosScenarios
24 month old has had (last given at 6 24 month old has had (last given at 6 months)months)
3 hepatitis B’s- last one after 6 3 hepatitis B’s- last one after 6 monthsmonths
Hib x2Hib x2
Dtap x 3Dtap x 3
Polio x3Polio x3
What shots would you give today?What shots would you give today?
24 month answer24 month answer
PentacelPentacel
MMRMMR
Varicella (Proquad) What agesVaricella (Proquad) What ages
Hepatitis AHepatitis A
Prevnar-What if had 1 prevnar Prevnar-What if had 1 prevnar already, dependant on their agealready, dependant on their age
6 month old6 month old
3 hepatitis B’s3 hepatitis B’s
2 Dtap2 Dtap
2 IPV2 IPV
2 prevnar2 prevnar
2 hibs2 hibs
What get today?What get today?
6 month old6 month old
PentacelPentacel
PrevnarPrevnar
Hepatitis BHepatitis B