Nursing Actions For Vaccinations

Here are the steps that should be followed when vaccinating a patient:

• Obtain immunization history.

• Obtain medical history of immune deficiency diseases such as malignancy (cancer) or HIV.

• Obtain pregnancy history and pregnancy test.

• Obtain drug history including high-dose immunosuppressants, blood transfusions, and immune globulin.

• Obtain a complete allergy history include drugs, foods, and environmental allergies.

• Do not administer vaccines to a pregnant patient.

• Determine if anyone in the patient's household is not vaccinated or is immunodeficient.

• Assess for symptoms of moderate to severe acute illness with or without fever.

• Adhere to storage requirements for the vaccine to ensure its potency.

• Administer vaccine within stated time limit after preparation.

• If more than one vaccine is being administered at the same time, use different injection sites.

• Do not mix vaccines in the same syringe.

• Observe patient for signs and symptoms of adverse reactions to vaccines.

• Keep epinephrine available in the case of anaphylactic reaction.

• Document that a Vaccine Information Statement (VIS) is available from the CDC for each vaccine administered and is provided to the patient/ family. Be sure to include the date of vaccination, route and site, vaccine type, manufacturer, lot number, and expiration date, name, address, and title of individual administering vaccine.

• Provide patient with a record of immunizations.

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