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  • PassportHealthUSA.com 1

    Immunization Refresher Training

    (Influenza)

    EMERGENCY CONTACT

    1-844-FLU-HELP

  • PassportHealthUSA.com

    Immunization Training Objectives AT THE CONCLUSION OF THIS TRAINING SESSION, YOU WILL BE ABLE TO

    EFFECTIVELY:

    • Store vaccinations at proper temperatures

    • Understand what is Influenza

    • Understand the Vaccine Information Sheet

    • Understand who should not receive the influenza vaccine

    • Understand the client flow

    • Understand preparations prior to your clinic and day of your clinic

    • Vaccine preparation and selection of proper injection site(s) for influenza vaccine

    • Administer immunizations utilizing proper technique, needle gauge and length

    • Document immunizations by recording correct patient, time, dose, route and vaccine

    given

    • Passport Health Expectations: when to show up/what to wear/how to set up

    • How to close your clinic

    2

  • PassportHealthUSA.com

    Effective management procedures

    Trained personnel

    PROPER STORAGE

    3

    What is Cold Chain Management? It is the system to keep and distribute temperature sensitive medical products

    It starts at the manufacturing plant and includes all links in the distribution chain until it is administered to the client. At all links in the chain the product must be maintained at the proper storage temperature to be effective. There are 3 components to Cold Chain Management:

    Transport and

    storage

    Vaccines must be stored, shipped and administer according to the manufacturer's instructions as outlined in the manufacturer’s package insert.

    If cold chain is broken the vaccine is no longer usable and should not be administered. Never throw away spoiled vaccine, call your immediate supervisor for instructions.

    1-844-FLU-HELP

    SUMMARY OF STORAGE INSTRUCTIONS • Ensure vaccine is not exposed to excess heat/cold/light • Influenza must be kept cold at 35-46° F • DO NOT FREEZE • Use of refrigerated or frozen packs during shipping is

    common and provided they are packed correctly, they will maintain cold chain during shipping.

  • PassportHealthUSA.com

    What is Influenza? • Influenza “The Flu” is a contagious respiratory illness caused by influenza viruses that infect the

    nose, throat, and lungs. It can cause mild to severe illness, and at times can lead to death.

    • The best way to prevent the flu is by getting a flu vaccine each year.

    • Easily spread by coughing, sneezing, or nasal secretions

    • Everyone is susceptible

    • Rates of infection higher among children

    • Symptoms include fever, cough, sore throat, headache, chills, muscle aches and fatigue

    • 226,000 hospitalized annually

    • 36,000 die annually-mostly elderly

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    220+ CLINICS NATIONWIDE

  • PassportHealthUSA.com

    Vaccination Information Sheet (VIS) You will receive VIS sheets for your clinic. There are 2 this year

    5

    They are for:

    Live Flu

    Inactivated Flu

    You are required to hand this to the client prior to

    the administration of the vaccine

  • PassportHealthUSA.com 6

    Who Should Get Vaccinated This Season?

    Everyone who is at least 6 months of age should get a flu vaccine this season.

    While everyone should get a flu vaccine this season, it’s especially important for some people to get vaccinated.

    Those people include the following:

    • People who are at high risk of developing serious complications (like pneumonia) if they get sick with the flu.

    – People who have certain medical conditions including asthma, diabetes, and chronic lung disease.

    – Pregnant women.

    – People younger than 5 years (and especially those younger than 2), and people 65 years and older.

    • People who live with or care for others who are at high risk of developing serious complications

    • Household contacts and caregivers of people with certain medical conditions including asthma, diabetes, and chronic lung disease.

    – Household contacts and caregivers of infants less than 6 months old.

    – Health care personnel.

  • PassportHealthUSA.com

    INFLUENZA (INACTIVATED) VACCINE

    DO NOT GIVE IF….. Any severe (life-threatening) allergies, including an allergy to eggs. If you ever had a life-threatening allergic reaction after a dose of flu vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get a dose.

    Any history Guillain-Barré Syndrome (a severe paralyzing illness, also called GBS). Some people with a history of GBS should not get this vaccine.

    If you are not feeling well. They might suggest waiting until you feel better. But you should come back.

    7

    WHO SHOULD NOT GET VACCINATED INFLUENZA (LIVE) VACCINE

    DO NOT GIVE IF…. Any severe (life-threatening) allergies, including an allergy to eggs. If you ever had a life-threatening allergic reaction after a dose of flu vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get a dose.

    Any history Guillain-Barré Syndrome (a severe paralyzing illness, also called GBS). Some people with a history of GBS should not get this vaccine.

    If you are not feeling well. They might suggest waiting until you feel better. But you should come back.

    THE FOLLOWING SHOULD ONLY RECEIVE INACTIVATED INFLUENZA – DO NOT GIVE LIVE VACCINE

    – are pregnant

    – have a weakened immune system

    – have certain long-term health problems

    – are a young child with asthma or wheezing problems

    – are a child or adolescent on long-term aspirin therapy

    – have close contact with someone who needs special care for an extremely weakened immune system

    – are younger than 2 or older than 49 years. (Children 6 months and older can get the flu shot. Children younger than 6 months can’t get either vaccine.)

    – If you have gotten any other LIVE vaccines in the past 4 weeks.

  • PassportHealthUSA.com 8

    Pregnant Women & Influenza • Flu is more likely to cause severe illness in pregnant women than in women who are not pregnant. Changes in the

    immune system, heart, and lungs during pregnancy make pregnant women more prone to severe illness from flu as well

    as hospitalizations and even death. Pregnant woman with flu also have a greater chance for serious problems for their

    unborn baby, including premature labor and delivery.

    • Flu shots will protect pregnant women, their unborn babies and even protect the baby after birth.

    The Flu Shot is the Best Protection Against Flu

    Getting a flu shot is the first and most important step in protecting against flu. The flu shot given during pregnancy has been

    shown to protect both the mother and her baby (up to 6 months old) from flu. (The LIVE nasal spray vaccine should not be

    given to women who are pregnant.)

    The Flu Shot is Safe for Pregnant Women

    Flu shots are a safe way to protect the mother and her unborn child from serious illness and complications of flu. The

    flu shot has been given to millions of pregnant women over many years. Flu shots have not been shown to cause harm

    to pregnant women or their babies. It is very important for pregnant women to get the flu shot.

    NOTE: Many pregnant women may request preservative free flu vaccine. There are no contraindications with pregnancy and regular (non LIVE) flu vaccines per CDC. HOWEVER,

    PPH’s practice is to provide all pregnant women and children with preservative free, inactivated flu vaccine.

  • PassportHealthUSA.com 9

    Preservative in Flu Vaccines

    What is thimerosal?

    • It is a mercury-based preservative approved by the FDA and used for decades in the US

    • It is in multi-dose vials (vials containing more than one dose)

    • It is to prevent the growth of germs, bacteria and fungi, that can contaminate them.

    Is thimerosal in vaccines safe? Yes. There is a large body of scientific evidence on the safety of thimerosal. Data from several studies show :

    • Low doses of thimerosal in vaccines do NOT cause harm, and are only associated with minor

    local injection site reactions like redness and swelling at the injection site.

    • CDC, FDA and NIH found it to be a safe product to use in vaccines.

    • The National Academy of Sciences’ Institute of Medicine, Advisory Committee on Immunization

    Practices (ACIP), and the American Academy of Pediatrics (AAP)] also found thimerosal to be a safe

    product to use in vaccines.

    • The medical community supports the use of thimerosal in influenza vaccines to protect against

    potential bacterial contamination of multi-dose vials.

  • PassportHealthUSA.com

    INFLUENZA VACCINE • SELECT THE PROPER VACCINE FROM YOUR STOCK.

    • CONFIRM VIAL IS THE SAME AS THE BOX.

    • CHECK THE EXPIRATION DATE AND CHECK FOR SIGNS OF CONTAMINATION.

    • RULE OF THUMB PREFILLED SYRINGE OR SINGLE DOSE VIAL = PRESERVATIVE FREE

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    A Multi Dose Vial

    All influenza vaccines you will receive will be one of the following presentations:

    A pre-filled syringe

    An intradermal

    prefilled syrin