Childhood Vaccines

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Vaccination for Infants and Children Worksheet

 

Complete the following –using references provided in pediatric prep information.  (5 points )

Age

 

 

 Recommended Childhood Vaccines

Include route of administration

(oral, IM or Subcutaneous)

And indicate if a combination vaccine is indicated.

 Special Considerations for Age and Vaccine

Site of Administration, Angle of Insertion, and Needle and Syringe Size, etc.
Within 12 hours of Birth

 

    
2 months

 

    
4 months

 

    
6 months

 

    
12 months

 

    
15-18 months

 

    
2 years

 

    
5 years

 

    
11-12 years

 

    
16 years

 

    
Infants 6 months to 18 years of age

 

    

 

 

Review the technique, sites, angle of insertion, correct sized syringe and needle, combination vaccines, and recommended vaccines for each age group. Here are a few questions to get you thinking…    (points  2.5)

 

  1. A 15 month old child is to be immunized.

a. What immunizations will you consider him/her?

b. List supplies needed for these immunizations.

c. What size syringe will you select for these immunizations? What size needle?

d. What angle of insertion will you use in administering these immunizations?

2. A 6 month old infant is to receive all her recommended vaccines today.

a What is the name of the combination vaccine used that is given at this visit and what are the 3 components?

b. Which site do you select for her injections?

c. What do you tell the child’s parents before they leave the clinic?

3. A seventh grader requests an MMR booster

a. What questions will you ask to determine if he/she is an appropriate candidate?

b. What will you tell the student (client) before he/she leaves the clinic?

Childhood Vaccines

Age:

  • Within 12 hours of Birth: Hepatitis B vaccine (HepB) – IM
  • 2 months: DTaP, IPV, Hib, PCV13, RV – IM, Subcutaneous (SC), Oral
  • 4 months: DTaP, IPV, Hib, PCV13, RV – IM, SC, Oral
  • 6 months: DTaP, Hib, PCV13, RV – IM, SC, Oral
  • 12 months: MMR, Varicella, HepB, Hib, PCV13 – SC, IM, Oral
  • 15-18 months: DTaP, Hib, PCV13 – IM, SC
  • 2 years: Influenza (yearly) – IM, Nasal spray
  • 5 years: DTaP, IPV, MMR, Varicella – IM, SC
  • 11-12 years: Tdap, HPV, MenACWY – IM
  • 16 years: MenB – IM
  • Infants 6 months to 18 years: Influenza (yearly) – IM, Nasal spray

Questions:

  1. 15 month old child: a. Immunizations: DTaP, Hib, PCV13. b. Supplies: Syringes, needles, alcohol swabs, vaccine vials, sterile cotton balls. c. Syringe & Needle: 1 mL syringe, 23-25 gauge needle. d. Angle of Insertion: 90-degree angle for IM injections.
  2. 6 month old infant: a. Combination vaccine: DTaP-IPV-Hib-HepB (Pentacel). Components: Diphtheria, Tetanus, Pertussis, Polio, Hib, Hepatitis B. b. Injection site: Thigh for IM injections. c. Information for parents: Explain the vaccines, potential side effects, and any post-vaccination care instructions.
  3. Seventh grader (MMR booster): a. Questions: Ask about their vaccination history, allergies, current health status, and any recent illnesses. b. Information for student: Explain the purpose of the MMR booster, its potential side effects, and any precautions they should take after the vaccination.
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