Saturday, October 24

And

Saturday, November 7

2009 Kaiser PermanenteSeasonal Flu Clinics

Copyright © 2008-2009. All rights reserved.

Kaiser Permanente Clinical Faculty

Contact information Before the Flu Clinics:

Phone: 303-636-2937

Email: mary.wolbach@kp.org

Contact number During the Flu Clinics:

Pager: 303-203-6046

Mary Wolbach RN, BSN

Thank You for participating

Today, you are learning some Flu Clinic basics. Each medical office has some individual work flows.

Please arrive on time for instruction and opportunity to administer Flu vaccine to your peers.

Course objectives

Student Expectations for Flu Clinic

Safety Glide Needle

Sharps Safety

Parameters of the Influenza Vaccine

Flu Safety Recommendations

Flu Documentation Requirements

We will review:

Relevant graphicRelevant graphic

Uniform

Students:School uniform

Closed toe shoes

School name tag visible

Faculty: School Name tag visible and a lab coat

over business dress or scrubs

Note

Valuables

should be on

your person

or locked in

your vehicle

trunk.

Note

All medical

office

campuses

are non

smoking

facilities.

What If ????

The faculty member is delayed or unable to come?

Students may only participate with faculty on site.

Attaching the needle

Only sterile for one hour afterwards

Sterile technique

PLAY IT SAFE! _____________

_____________

_____________

_____________

If tired or feeling rushedSLOW DOWN!

FLU SAFETY MESSAGE

One handed safety activation only

Use designatedsharps containers

Activate safety needle immediately after every injection

Do not let sharps containers overflow

What If ???

There is a needle stick injury or blood exposure? Tell the patient what happened.

Ask them to stay for lab work.

Tell the faculty and staff.

Your initial lab work will be drawn at Kaiser Permanente.

Arrange through school for long term follow up.

Orders for Influenza Vaccine Injection

Flu Vaccine for Adults

There is a written standing order for influenza vaccine to

be administered.

Copies of standing orders will be available at the clinics.

Contraindications

Patient has known allergy to to egg proteins (eggs or egg products) to chicken proteins or history of a serious reaction after previous administration of the

vaccine

Influenza vaccine should not be administered to individuals: who have a prior history of Guillain-Barré syndrome (GBS) who have had an allergy shot within the last 24 hours

Vaccination may be postponed in case of febrile illness or acute disease.

As with any vaccine, vaccination with influenza vaccine may not protect 100% of susceptible individuals.

Parameters for Influenza Vaccine Injection

Vaccine should be administered according to the standing order:

Adult 0.5 mL 1 dose Intramuscular

In case of a serious reaction to immunization, notify

Kaiser Permanente staff immediately

Note

What if this

is the

patient’s first

Flu Shot???

Landmark the Deltoid Site

Positioning patient with arm relaxed at side.

Locate the acromion process and head of humerus.

Three finger widths below the acromion process

Above the level of the axillia.

In the center of the upper arm.

This is where your injection site will be.

1

2

3

4

5

6

Intramuscular Injection

1

2

5

4

6

3

2

Technique

Patient should relax arm with hand on hip. May be standing or seated.

Cleanse identified site with a circular motion.

With immunizations, aspiration is optional. Follow your school practice recommendations.

Different Flu Vaccines to be available in the clinic

Students will administer one type of vaccine

2009-2010 Influenza Vaccine Products

Age Indication Name Manufacturer Dosage

4 years and older Fluvirin® Novartis 0.5 mL intramuscular

6 month - 35 months Fluzone® Sanofi 0.25 mL intramuscular

3 years(36 month - 47 months) Fluzone® Sanofi 0.5 mL

intramuscular

2 years - 49 years FluMist®

(LIVE VIRUS)

Med-Immune 0.2 mL given intranasally

(The PREFFERED agent for children ages 2, 3 & 4 years)

Options for Flu Vaccine

Students assist with ADULT vaccine

Novartis (Fluvirin)

Age Indication:

4 years through Adults

Nursing students will only immunize adults (18 years and older)

Dose 0.5 mL

(Fluvirin®) Dose 0.5 mL

Given IM

Age Indication: 4 years and older

Pre-filled syringes from the manufacturer.

A sterile needle must be attached using sterile technique.

Vaccine must be used within one hour of attaching the needle, or it will expire.

NOTE: All students are expected to perform the three checks and five rights.

Flu Safety Recommendations

Remember safety is first and efficiency second. Take adequate time to be safe.

Remember the Three Checks and Five Rights

Nursing students and Faculty must confirm correct medication as follows:

On paperwork

On ALL vaccine syringes

Nursing students will only immunize adults (18 and older)

Flu Documentation

Flu Clinic Documentation

Step 1

Step 2

Step 3

Step 4

Use data collection form to document flu vaccine administered

Verify Medical Record Number is on Form.

Verify Patient’s Name and Age is on Form.

Document the date, time and Lot # fields.

Step 5

Step 6

Step 7

Select Novartis Fluvirin 0.5 ml

Indicate the site of the injection.

Confirm VIS sheet and after care instructions given.

Sign with legible signature and make sure the documentation is complete.Step 8

Doe Jane

000-00-0000

x

x

x

x

xx

Nancy Nurse, SN, School / Faculty Signature

UA100654B

10-24-2009 09:00

68

SignatureN. Nurse, SN-SON

Legible Signature

SPN or SN

School of Nursing

Co-signature by Faculty

Novartis

Fluvirin®0.5 mL

Given IM4 years and older

Students will assist with the injection of this vaccine on all adults

(18 years and older)

Novartis

Fluvirin®0.5 mL

Given IM4 years and older

Students will assist with the injection of this vaccine on all adults

(18 years and older)

Course summary

For your Reference:

References

Becton Dickinson, www.bd.com

Centers for Disease Control and Prevention

Minimum Flu Safety Recommendations, Kaiser Permanente, 2009

Morbidity and Mortality Weekly Report, 2006, p. 19

Regional Standing Order Influenza for 2009-10, Kaiser Permanente