HealthCheck Training
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Post-Test
Overview
Health Supervision
- Introduction
- Health History
- Physical Examination
- Screening Services
- Laboratory Tests
- Immunizations
- Health Education
Special Health Issues
- Introduction
- Mental Health
- Introduction
- The Provider's Role
- Ages and Stages
- Infancy
- Introduction
- Surveillance
- Screening Tools
- Developmental Checklist
- Bright Futures Approach
- Office Practices
- Early Childhood
- Introduction
- Suviellance
- Screening Tools
- Developmental Checklist
- Bright Futures Approach
- Office Practices
- Middle Childhood
- Introduction
- Suviellance
- Screening Tools
- Developmental Checklis
- Bright Futures Approach
- Office Practices
- Adolescence
- Introduction
- Suviellance
- Screening Tools
- Developmental Checklist
- Bright Futures Approach
- Office Practices
- Referrals
- Documentation
- Autism Spectrum Disorders
- Introduction
- Screening
- Disorders
- Social Withdrawal
- Autistic Disorder
- Rett’s Disorder
- Childhood Disintegrative Disorder
- Asperger’s Disorder
- Pervasive Developmental Disorder
- Commonly Associated Disorders
- General Interventions
- Referrals
- Resources
- Early Intervention
- Substance Use and Abuse
- Introduction
- Substance Use, Abuse and Dependence
- Commonly Associated Problems
- General Interventions
- Referrals
- Resources
- Dental Health
- Overweight and Obesity
- HIV Guidelines
- Child Abuse & Neglect
- Transition
- Language Barriers
- TEFRA/Katie Beckett
Documentation
Go To Resources »
Health Supervision
Immunizations: Vaccine Precautions, Exceptions, and Contraindications
Before administering any vaccine, consider the following information based on recommendations of ACIP and AAP:
- Refer to package inserts and statements from ACIP and AAP for additional details.
- Follow the manufacturers'
recommendations regarding dosage, route of
administration, and storage of vaccines. - Decide to administer
or delay DTaP vaccine because of a current or recent
febrile illness based largely on the severity of the symptoms and their etiology. - Be aware that mild acute illnesses with or without low-grade fever and current use of antibiotics or other medicine (except immunosuppressive medicine or radiation therapy) are not contraindications for any vaccine.
- Delay immunization if the patient has a moderate or severe illness with or without a fever and appears to be very sick.
- Recognize that anaphylactic reaction to a vaccine contraindicates further doses of that vaccine.
- Also recognize that anaphylactic reaction to a vaccine constituent contraindicates the use of vaccines containing that substance.
- Refrain from giving
all live virus vaccines to females known to be pregnant or
considering becoming pregnant within a three-month time period. - Be aware
that:
- MMR vaccine is contraindicated for those who have experienced an anaphylactic reaction to egg ingestion or to neomycin.
- IPV is contraindicated for children who have experienced an anaphylactic reaction to neomycin or streptomycin.
- Anaphylactic reaction to common baker’s yeast contraindicates the use of hepatitis B vaccine.
Adverse Events
- Report all adverse events following immunizations to (1) the Federal Vaccine Adverse Event Reporting System (VAERS) at 1-800-822-7967, and (2) the DC Immunization Program at (202) 576-7130.
National Childhood Vaccine Injury Act
According to the National Childhood Vaccine Injury Act of 1986, PCPs must:
- Provide a copy of the most current Vaccine Information Statement (VIS) to the child’s parent/legal guardian and to adolescents aged 18 years of age or younger who are covered under the VFC program
- Maintain documentation of when and what vaccines were administered
- Document in the patient’s medical record the date that the VIS was given (along with the statement’s publication date)
Vaccine Information Statements (VISs)
VISs are required and available for:
- All vaccines routinely recommended for infants and children covered by the National Childhood Vaccine Injury Act
VISs are also recommended and available, but not required for the following vaccines:
- Influenza,
- Pneumococcal
- Hepatitis A
School Exemptions
Exemptions from the required immunizations are granted for the following reasons:
- Religious: exemptions may be granted to students who in good faith believe that immunizations would violate their religious beliefs.
- Medical: exemptions may be granted by PCPs who determine that immunizations would be medically inadvisable because of health reasons or a time-limited condition.
Submit all exemption requests in writing to:
Chief,
Bureau of Epidemiology and Disease Control
899 North Capitol St., NE, Washington, DC 20002
- Phone (202) 442-9366; fax (202) 442-4834.
This concludes the Immunizations module. Move on to the next module, Health Education/Anticipatory Guidance. |
