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24 Cards in this Set
- Front
- Back
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BUMEDINST 6230.15
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Immunizations and Chemoprophylaxis
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Immunizing agents will not be used beyond the manufacturer's potency expiration date, unless ________
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the appropriate surgeon general authorizes extension in exceptional circumstances.
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What is the recommended number of immunizations you should recieve in one day?
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To minimize injection site discomfort, not more than 5 vaccine injections will be given on the same day.
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Live-virus immunizations typically are given simultaneously or at an interval of how many weeks?
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Interval of 4 or more weeks.
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What are three starting points for prioritizing immunizations for an individual?
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3 starting points would be considering what microbes most likely will be encountered, greatest severety if encountered, or of long standing risk if encountered.
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When should the "5 injections a day" threshold be exceeded?
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Cases where the vaccine recipient is deploying beyond the reach of deployable medical resources, or when physician authorizes.
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Individuals with reported hypersensitivity should be.....
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deferred from immunization or chemoprophylaxis. refer patient to appropriate medical specialist.
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Which health record do you record hypersensitivity to vaccines, or vaccine components?
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SF 600 (Health Record-Chronological Record of Medical Care)
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True or False. A pregnancy screening test for women of childbearing potential is required before administering vaccines, including live-virus vaccines.
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False. Pregnancy test is not required.
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True or False. If patient might be pregnant, defer her from immunization until her pregnancy ends, unless benefits of immunization outweigh risks in pregnancy.
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True.
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True or False. Breast feeding women may be immunized in accordance with the current ACIP guidelines. (Advisory Committee on Immunization Practices)
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True. At present, no immunization products are medically contraindicated in breastfeeding women. Smallpox IS however, witheld except in an outbreak.
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What are the two types of exemptions from immunization?
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Administrative, and medical.
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What is the preferred record for immunizations data on military personel and civilian employees?
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DOD-approved electronic ITS is preferred.
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The ACIP recommends that persons be observed for how long after immunization?
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15 to 20 minutes
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In the event of an adverse reaction, what is the mandatory information to document?
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Identification, lot number, manufacturer of the vaccine or other medication, date of administration, name and location of facility. Type/severity of the event. Treatment provided.
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VAERS stands for what?
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Vaccine Adverse Event Reporting System
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The NVIC program requires health care providers to report adverse events involving vaccines to ________.
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VAERS
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The DOD require health care providers to report adverse events involving other medications (example: immune globulins, chemoprophylaxis agents) to _______.
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MedWatch
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Submit report ov adverse event to VAERS or MedWatch with __ days.
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seven days.
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True or False. Military treatment facilities and commands will conduct a review of the adequacy of immunization coverage every 3 years.
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False. Review of immunization coverage is done at least annually.
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T or F. Cholera Immunization is required by only a few nations to meet international travel requirments.
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False. Cholera immunization is no longer required by any nation for travel.
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T or F. Cholera Immunization is required by only a few nations to meet international travel requirments.
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False. Cholera immunization is no longer required by any nation for travel.
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What immunization is required for all Marine Corps personnel and for all Navy personnel assigned to Marine operating forces?
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Yellow Fever Immunization
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SF 601
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Health Record- Immunization Record
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