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92 Cards in this Set

  • Front
  • Back
What is BUMEDINST 6230.15A?
Immunizations and Chemoprophylaxis
True or False: Electronic Immunization Tracking Systems are the preferred record for immunization data.
True
A "Proponent" is someone with the authority to approve exceptions and waviers to a regulation or instruction. Who is the proponent for BUMEDINST 6230.15A, Immunizations and Chemoprophylaxis?
The Surgeon General
What Chapter of BUMEDINST 6230.15A covers Chemoprophylaxis?
Chapter 5
True or False: It is required that a trained physician be present during the administration of vaccines.
False
Who is responsible for making sure emergency medical response is available; that those who administer immunizations have at least basic CPR skills & the ability to administer Epinephrine in case of adverse reactions to vaccines?
Medical Commanders, Commanding Officers, and Command Surgeons
Which military branch is the Executive Agent for the Military Immunization Program?
The Army
Whose responsible for operating a Military Vaccine Office, providing military Services with a source of information and education of vaccine related activities.
The Army
Individuals administering immunizations need to be properly trained in accordance with what four guideline authorities?
Department of Defense (DOD), Service, United States Coast Guard (USCG), and Centers for Disease Control Prevention (CDC)
Immunizing agents will not be used beyond the manufacturer’s potency expiration date, unless WHO authorizes extension in exceptional circumstances?
The appropriate Surgeon General or CG–11, USCG
Explain why immunizations given at intervals shorter than the recommended interval should not be counted as part of a primary series.
Because it may not provide adequate immune response.
We know that immunizations given at intervals shorter than the recommended interval should not be counted as part of a primary series, because it may not provide adequate immune response, but there is one exception to the rule. Whats the exception?
Only if its part of “catchup” schedules accepted by the CDC.
In what case would it not be necessary to complete a series of immunizations that were previously started?
If a medical contraindication exists or the person is no longer susceptible or likely to be exposed to the pathogen in question.
True or False: When an initial series of a vaccine or toxoid is interrupted you should restart the interval of vaccines or just increase the dosage.
False
When an initial series of a vaccine or toxoid is interrupted, what should be done to correct the interval?
Delay doses as soon as feasible
Not more than 5 vaccine injections will be given on the same day. For what reason is this true?
To minimize injections site discomfort
Generally speaking, at what interval are inactivated vaccines administered?
One week apart
Generally speaking, at what interval are live-virus immunizations administered?
4 or more weeks apart
When prioritizing immunizations for military training centers what is typically the most imminent threat?
Contagious Diseases
When prioritizing immunizations, which microbes would you consider most likely to be encountered. (Name the 3 microbes)
Typhoid, Hepatitis A, Influenza
When prioritizing immunizations, which microbes would you say had the greatest severity if encountered. (Name the 6 microbes)
Anthrax, Smallpox, Meningococcal, Yellow Fever, Japanese Encephalitis, & Rabies
When prioritizing immunizations, which microbes would you consider to be a long standing risk if encountered. (Name the 5 microbes)
Hepatitis B, Tetanus–Diphtheria–Pertussis, Poliovirus, Varicella, Measles-Mumps–Rubella (MMR)
Prioritization is best preformed by who?
An experienced health care provided
In what 3 situations is it ok to administer more than 5 injections of vaccines at one time?
When deploying beyond the reach of deployable medical resources, where exceptional personal exposure to infectious diseases exists, or when authorized by the physician responsible for the immunization service
When prioritizing immunizations, which microbes would you consider most likely to be encountered. (Name the 3 microbes)
Typhoid, Hepatitis A, Influenza
When prioritizing immunizations, which microbes would you say had the greatest severity if encountered. (Name the 6 microbes)
Anthrax, Smallpox, Meningococcal, Yellow Fever, Japanese Encephalitis, & Rabies
When prioritizing immunizations, which microbes would you consider to be a long standing risk if encountered. (Name the 5 microbes)
Hepatitis B, Tetanus–Diphtheria–Pertussis, Poliovirus, Varicella, Measles-Mumps–Rubella (MMR)
Prioritization is best preformed by who?
An experienced health care provided
In what 3 situations is it ok to administer more than 5 injections of vaccines at one time?
When deploying beyond the reach of deployable medical resources, when deploying to a location where exceptional personal exposure to infectious diseases exists, or when authorized by the physician responsible for the immunization service
For some vaccine–preventable diseases, which test can be used to show that a person is already immune from a previous infection or immunization, which may eliminate administering unnecessary immunizations.
Serologic Tests
All personnel involved with medical supply, who deal with the storage and delivery of vaccinations should have what main concern?
Maintaining the cold chain; ensuring appropriate storage temperatures are met and kept
Shipping and storage advice about vaccinations are available from what centers?
Service medical logistics centers
Shipping vaccines that must be stored at frozen temperatures is not very ideal. What's a more practical way to get the job done?
Small stations and ships may requisition these items from a nearby military medical activity who have them in stock
Immunizing and chemoprophylaxis agents are stored, shipped, and handled in accordance with the______.
Pharmaceutical Manufacturers’ Instructions
Shipping vaccines that must be stored at frozen temperatures is not very ideal. What's a more practical way to get the job done?
Small stations and ships may requisition these items from a nearby military medical activity who have them in stock
Immunizing and chemoprophylaxis agents are requisitioned in accordance with________.
Medical Supply Procedures
Immunizing and chemoprophylaxis agents are stored, shipped, and handled in accordance with the______.
Pharmaceutical Manufacturers’ Instructions
Exemptions from further immunization, due to allergies or other adverse reactions, are entered onto what two documents?
PHS Form 731 (International Certificate of Vaccination) and the deployable health record DD Form 2766 (Adult Preventive and Chronic Care Flowsheet)
Immunizing and chemoprophylaxis agents are requisitioned in accordance with________.
Medical Supply Procedures
For potentially pregnant women smallpox vaccines require a specific pre–immunization screening that assesses the date of the last menstrual period. Women are recommended to take a pregnancy test if their last menstrual period is beyond how many days?
28 days
Exemptions from further immunization, due to allergies or other adverse reactions, are entered onto what two documents?
PHS Form 731 (International Certificate of Vaccination) and the deployable health record DD Form 2766 (Adult Preventive and Chronic Care Flowsheet)
For potentially pregnant women smallpox vaccines require a specific pre–immunization screening that assesses the date of the last menstrual period. Women are recommended to take a pregnancy test if their last menstrual period is beyond how many days?
28 days
True or False: Breastfeeding women may be immunized in accordance with the current ACIP guidelines.
True
Smallpox vaccine is withheld from breastfeeding women, except in what situation?
Primarily in the event of an outbreak
Why are smallpox vaccines withheld from breastfeeding women?
The child could contract the vaccinia virus
There are 2 types of exemptions from immunization. What are they?
Medical and Administrative
Granting medical exemptions is a medical function that can only be validated by________.
A health care professional
True or False: Breastfeeding women may be immunized in accordance with the current ACIP guidelines.
True
Smallpox vaccine is withheld from breastfeeding women, except in what situation? primarily.
an outbreak
Why are smallpox vaccines withheld from breastfeeding women?
The child could contract the vaccinia virus
There are 2 types of exemptions from immunization. What are they?
Medical and Administrative
Granting medical exemptions is a medical function that can only be validated by________.
A health care professional
Granting administrative exemptions from immunization is a non–medical function, usually controlled by who?
An individual’s unit commander.
Within 180 days before separation or retirement, Service personnel may be exempt from deployment (mobility) specific immunizations. Which type of immunization exemption is this an example of?
Administrative Exemption
Is religion a valid Administrative Exemption from an immunization?
Yes...
Clinics and other activities administering immunizations will transmit electronic records and exemption information to (and receive updates from) a DOD–centralized repository how often?
Weekly
If an individual’s immunization records are lost what steps are taken to administer future immunizations?
Administer future immunizations based on an estimated date of last immunization
The National Childhood Vaccine Injury Act (NCVIA) is a immunization coverage program and was established in what year?
1986
Needle–free multi–use nozzle jet injectors (MUNJIs) capable of 600 or more injections per hour, formerly identified within DOD supply systems as “hypodermic injection apparatus jet automatic: 115 volt or foot operated,” were dissapproved for use in 1997 due to what safety concern?
Potential transmission of bloodborne pathogens
The ACIP general recommendations suggest that vaccinees be observed for ____to____ minutes after being immunized.
15 to 20
Aviation personnel typically will be grounded for_____hours after immunization, or as specified by their flight surgeon
12 Hours
Japanese–encephalitis vaccine: Aviation personnel are required to be grounded for_____days after first dose,_____days after second dose, and _____days after third dose.
3days, 5days, and 3days
The NVIC program requires health care providers to report adverse events involving vaccines to the Vaccine Adverse Event Reporting System (VAERS) using what form?
Form VAERS–1
The DOD and USCG require health care providers to report adverse events involving other medications to MedWatch. What form is used?
FDA Form 3500
Patients may also submit a VAERS or MedWatch report directly. Submit copies of the report within how many days of adverse event recognition?
7 days
If contamination or other serious problem with a vaccine vial or lot is suspected who should be notified immediately via email message?
The Defense Medical Standardization Board
For personnel needing yellow fever immunization based on their next duty assignment, administration is preferred at what point?
Toward the end of the training cycle
Live–virus immunizations follow at least how many days after a previous live–virus immunization?
28 days
Yellow fever and Typhond immunizations are required for Navy personnel assigned to Navy units subject to deployment and are within how many days of notification into land areas where yellow fever is endemic.
10 days
For short notice travel or deployments requiring vaccines given in a multidose series, administer the first dose of the basic series. What happens if the series cannot be completed before departure?
Finish the series when they arrive to the deployment site
What DOD instruction covers Immunization of civilian employees and contracted workers for biological warfare
defense?
DODI 6205.4
True or False: Cholera immunization is required by all nations to meet international travel requirements.
False
True or False: Hepatitis A, is an acute infection of the spleen?
False it is an infection of the liver
Japanese encephalitis virus can cause an
acute infection of the brain, spinal cord, and meninges with high rates of complications, chronic disability, and death. How is the disease contracted?
By mosquito's in East Asia and Western Pacific Islands
True or False: Japanese encephalitis, is a mosquitoborne viral disease requiring a booster shot every five years?
False Booster shot is administered every 3 years
In 1980, the W.H.O declared that what virus was globally eradicated?
Smallpox
Tetanus, diphtheria, and pertussis boosters are given to active duty personnel at what interval?
Every 10 years
Generally, personnel are vaccinated how many days prior to being deployed into a place where a specific virus is endemic?
10 days
Sometimes you have vaccines and other products which are the only ones available to immunize an infectious threat, but these products are labeled "Investigational New Drugs". For what reasons would vaccine or other drug products be in the "Investigational New Drug" Status?
Products that have not been
approved or licensed for commercial marketing
Who approves the use of Investigational New Drugs for force health protection purposes?
Secretary of Defense
A vaccine, antibiotic, or other
product in an Investigational New Drug status may be mandatory for military members, if the members consent is wavied by who?
President of the United States
Whats the form# for MedWatch: The FDA Safety Information and Adverse Event Reporting System
FDA Form 3500
Whats the form# for Vaccine Adverse Event Reporting System
Form VAERS–1
Whats the form# for International Certificate of Vaccination
PHS Form 731
Whats the form# for Medical Record – Chronological Record of Medical Care
SF 600
Whats the form# for Health Record – Immunization Record
SF 601
Whats the directive for DOD Immunization Program for Biological Warfare Defense.
DODD 6205.3
Whats the form# for Adult Preventive and Chronic Care Flowsheet
DD Form 2766
Whats the instruction for Immunization of Other Than U.S. Forces (OTUSF) for Biological Warfare Defense.
DODI 6205.4
Abbreviation for Coast Guard, Director of Health and Safety
CG–11
Abbreviation for Department of Defense Directive
DODD
Whats the abbreviation for World Health Organization
WHO