Ajr Feb 2011 Bumednote 6230 Ajr

Front 1

What is BUMEDNOTE 6230 designed to do?

Back 1

Designed to provide Immunization requirements and recommendations and to introduce adult and child immunization forms.

Front 2

How often should childhood and adolecent vaccination schedule be revised?

Back 2

The CDC recommends that childhood and adolecent vaccination schedule be revised annually and is published in January.

Front 3

When should immunization status be reviewed?

Back 3

Should be reviewed as part of each medical visit and should receive them promptly.

Front 4

Where should given vaccines be documented?

Back 4

PHS 731 (The Yellow Card), DEERS, and the NAVMED 6230/4 and 6230/5.

Front 5

Where should vaccines not be documented?

Back 5

Do not use DD2766 because it does not accomidate entryof all required data.

Front 6

What is the required information for doucumentation?

Back 6

Date, Manufacturer, lot #, Dose, site and route of admistration, VIS (if req), name and address of person administering the vaccine.

Front 7

What program is the preferred Navy service electronic system for capturing imms?

Back 7

SAMs

Front 8

How is are navy reserve imms tracked?

Back 8

Tracked with the use RAMIS. The Marine Corps Reserve is tracked using SAMS

Front 9

Anthrax

Back 9

6 doses, .5ml SC each
0,2 and 4 weeks and 6, 12 and 18 months. Annual booster, 0.5 ml SC

Front 10

Hep A

Back 10

Varries with vaccine preparation.

Front 11

Hep B

Back 11

3 IM doses. 0,1, and 6 months
No boosters.

Front 12

Hep A/B combination.

Back 12

3 IM doses. 0,1, and 6 months
No boosters.

Front 13

Inactive Polio

Back 13

1 dose, 0.5 ML SC

Front 14

Influenza

Back 14

1 dose annually,

Front 15

MMR

Back 15

1 dose, 0.5 ML SC

Front 16

Meningococcal

Back 16

1 dose, 0.5 ML SC.
Booster 1 dose every 5 years.

Front 17

Pneumococcal

Back 17

1 dose, 0.5 ML SC or IM
Booster if in high risk, every 5 years.

Front 18

Rabies

Back 18

Post exposure: 5 doses
1.0 ml SC each 0,3,7,14, and 28 days.

Front 19

Td

Back 19

1 dose: 0.5ml IM
Booster 1 dose every 10 years

Front 20

Typhoid

Back 20

4 dose; 1 capsule PO every other day. repeat every 5.

Front 21

Typhoid (typum)

Back 21

1 dose / 0.5 ml IM
One dose every 2 years.

Front 22

Varicella

Back 22

2 doses/ 0.5 ml SC
4-8 weeks apart
no booster

Front 23

Yellow Fever

Back 23

1 dose/ 0.5 ml SC
Booster 1 dose every 10 years.

Front 24

Where is Imms data for active duty entered?

Back 24

DEERS

Front 25

Who is responsible for entering the imms data into the electronic system for capturing imms?

Back 25

The command that administers the imms.

Front 26

What is the prefered Navy service electronic system for capturing imms?

Back 26

The Shipboard Non-Tactical ADP Program (SNAP) Automated Medical System (SAMS)

Front 27

Data for Navy Reservist will be tracked thru?

Back 27

Reserve Automated Medical Interim System. (RAMIS)

Front 28

Data for the USMC Reservist will be tracked thru?

Back 28

SAMS

Front 29

A central repository for all SAMS imms data collected resides where?

Back 29

Resides at thhe Naval Medical Information Management Center (NMIMC). Collected in SAMS on a weekly basis.

Front 30

Where does the imms data from the Naval Reserve be transmitted?

Back 30

DEERS

Front 31

T/F: The use of jet injectors for routine imms is authorized.

Back 31

False: the use of jet injectors for routine imms is prohibited unless specifically authorized by BUMED.

Front 32

T/F: Doses given at less than the recommended interval may not provide adequated antibody response and should not be counted as part of the primary series.

Back 32

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.

Front 33

What must be done with pt that have shown previous rxn to a specific imms?

Back 33

Defer individual with reported hypersensitivity to imms or components from immunization and refer to an allergy specialist.

Front 34

If a live virus must be administered to a women, what must you do?

Back 34

Advise the women to avoid getting pregnant for 1 month following imms against: measles, mumps, smallpox or varicella (chicken pox).

Front 35

How long should a women avoid becoming pregnant if they are admistered rubella or MMR?

Back 35

3 months.

Front 36

Where do you report adverse events after immunizations?

Back 36

Must be reported unsing the Vaccine Adverse Event Reporting System. (VAERS)

Front 37

What imms must be administered for initial training for military personnel?

Back 37

Adenovirus (Enlisted only), HEP A, polio, influenza, MMR, Meningococcal, Td, HEP B, yellow fever, and varicella.

Front 38

What forms are used to document imms?

Back 38

NAVMED 6230/4, NAVMED 6230/5, PHS 731, SF600, and VAERS if a adverse rxn occured.