Bumednote 6230

Front 1

Health care providers who administer immunizations, toxoids, and other immunobiologicals must record pertinent vaccine related information on the _____, _________, and _______

Back 1

PHS 731 (yellow card), electronic database that transmit data to DEERS, and in the appropriate location in the health record. Do not use DD 2766. The new adult and child immunization records, NAVMED 6230/4 and NAVMED 6230/5, have spaces for all required information.

Front 2

True or False. The PHS 731 serves as the individual's official record of immunization

Back 2

True. It should remain in the custody of the individual or legal guardian and updated at the time of immunization.

Front 3

True or false. The Shipboard Non-Tactical ADP Program (SNAP) Automated Medical System (SAMS) is the preferred Navy service electronic system for capturing immunizations

Back 3

True

Front 4

True or False. The use of jet injectors are used for routine immunizations

Back 4

False. It is prohibited unless authorized by the Bureau of Medicine and Surgery

Front 5

If a live virus vaccine is to be administered, advise the woman to avoid becoming pregnant for __ month for measles, mumps, small pox or varicella and ___ months against rubella

Back 5

one month, 3 months

Front 6

Pneumococcal vaccine should be provided to adults over the age of ____ years

Back 6

65 Years

Front 7

Anthrax Vaccine Adsorbed (AVA)

Back 7

Selected personnel will be immunized. AVA being administered according to DOD AVIP. Primary series consists of a total of 6 subcutaneous dosses of 0.5 ml each. Doses given at 0, 2, 4, 6, 12 and 18 months. DO NOT accelerate schedule. Do not restart series if one dose is delayed. Resume immunizing with the next dose in the series. An annual booster dosse of 0.5 ml is required

Front 8

Hepatitis A Virus vaccine

Back 8

Required for all active duty and selected reserve personnel. Dose:VAQTA Adults 50units/1.0 ml IM, repeated in 6 to 12 months, Children(2-18) 25 units/.5ml IM, repeated in 6 to 12 months

Dose:HAVRIX Adult 1440 EL.U./1.0 ml IM, repeaed in 6 to 12 months
Children 360 EL.U./0.5 ml IM at 0,1, and 6 to 12 months or 720 EL.U./0.5 ml IM at 0, and 6 to 12 months

Front 9

Hepatitis B Virus vaccine

Back 9

All Medical Department personnel. Dose: Three IM doses at 0, 1, and 6 months Adult - 10 ug/1.0 ml for Recobivax HB, 20 ug/1.0 ml for Engerix-B. Child = 1/2 adult

Front 10

Hepatitis A/B Vaccine

Back 10

Combined hepatits A/B vaccine (Twinrix). Adults - 3 IM doses at 0, 1, and 6 to 12

Front 11

Inactivated Poliovirus Vaccine (IPV)

Back 11

Include all enlisted and officer accessions, travelers to polio endemic area . Dose: 0.5 ml subcutaneously. Single dose for accessions. Single lifetime booster for adult travelers to endemic areas unless unvaccinated, in which case a ful series should be given (0, 1-2, 6-12 months. 0,4,8 for accelerated

Front 12

Influenza Vaccine

Back 12

Annual dose. Aviation Personnel grounded for 12 hours.

Front 13

Japanese Encephalitis

Back 13

Significant threat to exposed personnel in the Far East and Indian subcontinent, particularly in Southeast Asia and rural Okinawa. At risk primarily at night during field operations in rural areas. Personnel should receive all three initial doses prior to departure. Most people traveling to major urban centers for 30 days or less do not need vaccine.

Front 14

Japanese Encephalitis - Dose

Back 14

Three doses of 1.0 ml each, administered subcutaneously on days 0, 7, and 30. Personnel should be observed for 30 minutes because of possible llergic reaction. Accelerated 0, 7,14 for travelers 30 days or less. Allergic reaction can happen within 10 days, therefore last dose should be administered at least 10 days prior to departing. Booster 3 or more years

Front 15

MMR

Back 15

All active duty personnel and DOD health care providers, given one dose 0.5 ml SC. Pregnant women should not receive this live vaccine. All women advised to avoid pregnancy for at least 4 weeks after immunization.

Front 16

MMR

Back 16

It may decrease the response to a tuberculosis skin test(TST), causing a false negative response. MMR can be given the same day as a TST. If MMR given and one or more days have elapsed, wait 4 to 6 weeks before giving a routine TST. If varicella vaccine is to be administered and not given the same day, separate by 4 to 6 weeks. After reconstitution, vaccine stored in a dark place 2-8C and discard within 8 hours.

Front 17

Meningococcal Vaccine

Back 17

Al enlisted and officer accessions nd individuals traveling or deploying to outbreak areas or the sub-Saharan Africa's "meningitis belt", immunocompromised adults.

Front 18

Meningococcal Vaccine - Dose

Back 18

One dose 0.5 ml SC. Booster 0.5 ml SC administered 5 years. Saudi Arabia requires a booster for persons entering during Hajj if not received dose in last 3 years

Front 19

Pneumococcal Vaccine Polyvalent

Back 19

Administered to all adults 65 years of age and older. Not administered to pregnant women. Dose: Pnemovax 23 and Pnu-Immune 23 given as a single 0.5 ml dose IM or SC. Booster provided 5 years.

Front 20

Pneumococcal Conjugate Vaccine

Back 20

All children 23 months of age or younger.

Front 21

Rabies Vaccine

Back 21

Should be administered simultaneously with human rabies immune globulin (HRIG)

Front 22

Tetanus-diphtheria

Back 22

Dose: Give 0.5 ml IM Recive a booster dose once every ten years. If an individual sustains a wound considered tetnus-prone, a booster dose of Td administered if more than 5 years.

Front 23

Thyphoid Vaccine

Back 23

Military personnel of orders to a deployable unit or a unit outside the US. Dose: One casule by mouth with a cool beverage, an hour or more before a meal on days 1, 3, 5, and 7. 1, 3, 5, and 8 acceptable. Should be repeated every 5 years. Should not be given to immunocompromised adults. Vaccine of 0.5 ml administered IM every 2 years.

Front 24

Varicella Virus Vaccine

Back 24

Suseptible Navy and Marine Corps recruits and officer accessions immunized with the two-dose vaccine series. Women of childbearing age should be immunized, it may reduce their risk of transmitting varicella to their fetuses. Women should avoid pregnancy for three months following each dose of vaccine.

Front 25

Varicella Virus Vaccine - Dose

Back 25

Single dose of 0.5 ml SC required for children 12 and 13 years of age. Persons 13 years of age and older must receive two dose series. 0.5 ml dose SC followed by a second 0.5 ml dose SC given 4 to 8 weeks after the first dose. Avoid salicylate use for 6 weeks. Stored frozen -15C. Reconstitution to RT must be done within 30 minutes. Space Varicella and MMR 4 weeks apart if not administered same day

Front 26

Yellow Fever

Back 26

All active duty personnel. Subcutaneous dose of 0.5 ml of this virus vaccine required for all ages. Booster required every 10 years. Store 0-5C must be used within one hour of reconstitution

Front 27

Temperature Checks

Back 27

Check and record refrigerator and freezer temps twice daily, 7 days a week.