Published on in Vaccine Update for Healthcare Providers
Protecting the health of your patients depends on following the recommendations of the U.S. Centers for Disease Control and Prevention (CDC) for preparing and administering vaccines to patients. Are you and your staff fully versed in the technical aspects of administering vaccines? Can the staff who provide vaccines in your setting answer “yes” to the following questions?
Do you know how to:
- Choose the needle length and gauge that are appropriate for each patient?
- Properly prepare the vaccine (and diluent) for administration?
- Determine which vaccines are administered intramuscularly (IM) and which are subcutaneous (SC)?
- Select the recommended site on the arm or leg for proper IM and SC injection?
- Safely dispose of the needle, syringe, nasal spray container, or rotavirus vaccine dosing device?
The Immunization Action Coalition (IAC) is here to help with a multitude of both practical and technical vaccination resources for healthcare professionals, including free print materials covering important topics in vaccine administration. Also available for a nominal charge is an excellent training DVD, Immunization Techniques: Best Practices with Infants, Children and Adults.
Handy print materials and forms
IAC’s immunize.org website features helpful print materials on vaccine administration in its Handouts for Patients and Staff web section. Its Administering Vaccines Web section includes the following up-to-date tools and forms for clinic staff:
- Administering Vaccines: Dose, Route, Site, and Needle Size(PDF): Reference table providing key information on administering vaccines to patients of all ages.
- Administering Vaccines to Adults: Dose, Route, Site, and Needle Size(PDF): Reference table covering key information on administering vaccines to adult patients.
- How to Administer IM and SC Vaccine Injections(PDF): Two-sided information sheet with illustrations showing how to administer intramuscular (IM) and subcutaneous (SC) injections to patients of all ages.
- How to Administer IM and SC Vaccine Injections to Adults(PDF): One-page information sheet with illustrations showing how to administer intramuscular (IM) and subcutaneous (SC) injections to adult patients.
- NEW! How to Administer Intradermal, Intranasal, and Oral Vaccinations(PDF): One-page information sheet with illustrations showing how to administer intradermal, intranasal, and oral vaccinations.
- How to Administer Intramuscular, Intradermal, and Intranasal Influenza Vaccines(PDF): Provider piece showing how to administer IM, intradermal, and intranasal influenza vaccines.
- Vaccines with Diluents: How to Use Them(PDF): Table of vaccines requiring reconstitution prior to administration; also includes information about the diluent and time allowed between reconstitution and use.
- Skills Checklist for Immunization(PDF): Self-assessment tool for healthcare staff, to be used in conjunction with the immunization techniques training DVD (see the following section).
Immunization techniques DVD
Developed by the Immunization Branch of the California Department of Public Health, in collaboration with a team of national experts, the 35-minute DVD "Immunization Techniques: Best Practices with Infants, Children, and Adults" focuses on the skills and techniques needed for vaccine administration. Every organization that administers vaccines should have a copy of this comprehensive educational program, which includes “how to” information about providing vaccinations in a clinic or non-traditional setting. It is appropriate for training and orientation, as well as a refresher for more experienced staff. To purchase this great DVD, visit www.immunize.org/dvd.
Vaccine information statements
Finally, please remember that it’s a federal requirement to provide a copy of the relevant Vaccine Information Statement (VIS) to your patient or their legal guardian before administering almost all vaccines to infants, children and adults. Check the IAC website to find a wealth of VIS information, including translations of the forms into a wide variety of languages.
Contributed by: Deborah Wexler, MD
Categories: Technically Speaking
Materials in this section are updated as new information and vaccines become available. The Vaccine Education Center staff regularly reviews materials for accuracy.
You should not consider the information in this site to be specific, professional medical advice for your personal health or for your family's personal health. You should not use it to replace any relationship with a physician or other qualified healthcare professional. For medical concerns, including decisions about vaccinations, medications and other treatments, you should always consult your physician or, in serious cases, seek immediate assistance from emergency personnel.