Immunization Schedule

24 cards·by ErinPhelpsRN

2 weeks

-Weight with no diaper on -Give parents immunization sheet and tylenol dosage sheet - Check to see if Hep. B #1 was given in the hosp

2 Months

-Weight with only the diaper; -DTAP-IPV-Hib (combination, PCV-13, Hep. B #2, Rotovirus Parents must initial for shots every visit

4 Months

-Weight with only diaper; -DTap-IPV-Hib (combination), PCV-13, Rotavirus

6 Months

-Weight with only diaper; -Dtap-IPV-Hib (combination), PCV-13, Rotavirus -Start Flu IM in thigh if indicated

9 Months

-Weight by nurse with only diaper -Hep. B #3 IM in thigh

12 Months

-MMR (SubQ), Varivax (SubQ) *Varivax must be given within 30 min past reconstitution, PCV-13 (IMthigh);Send to lab for CBC and lead, iscreen

15 Months

-Weight diaper only; -Dtap, Hib

18 Months

Weight diaper only; -Hep A #1 (IM in Deltoid); Parents need to fill out M-Chat

2 Year

-Weight diaper only LAST time; - Hep.A#2(IM deltoid) *If at least 6 months since HepA#1, M-Chat, Send to lab

3 Year

-Weight, Height, BP; -Calculate BMI and record results on parent ho & progress note

4 Year

-Weight, Height, BP, Vision Test, Hearing test, Color vision test & stereos; Dtap, IPV (IM Deltoid), MMR-Varivax combo (SubQ)

5 Year

weight, height, BP, vision, hearing test IF NOT GIVEN BEFORE- MMR-Varivax combo subQ arm

11 Years or older

TDap #1, MCV-4 #1 (IM Deltoid)

9 Year - 14 year

HPV 9 - IM in Deltoid; 2 dose regimen, Given 0-6 months to 12months; Pt. must wait in the office 15min. after

HPV Rules

If the 2nd dose is administered earlier than 5 months after the 1st dose, administer a third dose at least 4 months after the 2nd

16 Years or older

MCV-4#2 (IM in Deltoid)

16 years to 23 years

-Meningoccal B (IM in Deltoid) *Pt must wait in office 15min after shot; 2nd dose is given one month after 1st *Must be atleast 28 days

Allergy Shots

-Give SC in arms -2 Nurses must confirm correct dosage -Pt. must wait in office 20-30min after shot; check for local/systemic reaction

Epinephrine

-1:1000, IM in thigh; Should be kept in stock in case of reaction; Nurse must obtain MD order

Flu Vaccine

-Given at 6 months and older; IM in thighs up to 18months; IM in deltoid after 18mo.; Dose for 6-35months = 0.25ml; Dose for 3+=0.5ml

Flu vaccine regimen for FIRST flu vaccine under age 9

Children under 9 who have never had the flu shot will need two doses 4 weeks apart

PPD Skin Test (TB Screen)

-0.1ml intradermally given in LEFT arm; Pt must return 48-72hr; Positive result will need to be seen by MD

Ceftriaxone (Rocephin) Antibiotic

-IM thighs with a 3cc syringe (23G needle); 500mg and 1g vials available; Inject Lidocaine 1% into the powder according to dosage & shake

What is Rocephin dosage is over 1ml?

Draw up two syringes and give simultaneously with 2 nurses *Pt. must wait in office for 20 min after