Transcript Module 4 - HPV vaccine administration pptx, 2.08Mb

Essential Training Package for HPV Vaccine Introduction
Module 4
HPV vaccine administration
CervarixTM
Learning Objectives
 At the end of this module, you will have learned to:
– Describe activities carried out before, during and after an
immunization session.
– Describe how to ensure that vaccine is of good quality
– Describe the technique to administer the vaccine
– Describe considerations for conducting immunization
session in school setting
 Duration
– 45 ’
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Key issues
1 How to ensure that the vaccine
is of good quality?
2 How to prepare for vaccination?
3 How to administer the vaccine?
4 How to handle 2-dose vial of
CervarixTM vaccine?
5 What to do after completing the
immunization session?
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Immunization sessions:
phases & critical activities
Phase 1
Phase 2
Phase 3
Before girls come
for immunization
When girls come for
immunization
After all girls leave
immunization area
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Phase 1:
Before girls come for immunization
1. Take vaccines and vials out of the
refrigerator
2. Check expiry date and VVM status
for each vial
3. Collect & arrange supplies and
monitoring tools for immunization
session
4. Prepare an AEFI Kit
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How to ensure that vaccine is of good
quality?
 Check the temperature inside the refrigerator, if vaccine
freezing is suspected perform the Shake test to confirm
 Check VVM status
 Check the expiry date on the vials
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How to check VVM status?
 Before administering the vaccine, you need to check the
Vaccine Vial Monitor (VVM) on the vaccine vial
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What should you do in this scenario?
The vaccine vial monitor
shows that the inner square
is lighter than
the outer circle?
What should you do?
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Checklist of supplies and monitoring tools
needed for HPV vaccination
Supplies
Monitoring tools
 Vaccine and syringes
 IEC materials (e.g. flyers, pamphlets,
posters)
 Chair and table
 Water and soap for cleaning hands
 Trays
 Safety box
 Containers for used vials
 Drugs to manage allergic reactions- 'AEFI
kit'
 Chairs to rest after vaccination (15 mins)
 Pen, pencil
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



Vaccination register
Tally sheets
Vaccination cards
Calendar
Phase 2:
When girls come for immunization
1. Check eligibility of girls
2. Prepare injection using aseptic techniques
3. Administer vaccine according to the
recommended techniques and injection site
4. Dispose used syringes immediately into the
safety box after each injection
5. Complete immunization card and tally sheet
6. Give key messages to girl/caregiver/parent:
inform about vaccines given, side effects, and
date of return
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What to do when girls come for
immunization ?
3.Prepare for
vaccine
1.Greet the
girl
4.Inject in the
upper arm
2.Verify, register,
explain HPV vaccine
benefits
5.Determine date for
next vaccine dose
7.Observe the
girl for 15’
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6.Return the
updated card
HPV Vaccine administration, Module 4 | 24 July 2016
How to prepare for vaccination ? (1/3)
 Shake the vial well
 Open AD syringe package and
remove the syringe and needle
from plastic wrapping
 Ensure that you do not touch any
part of the needle
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How to prepare for vaccination ? (2/3)
 Take off the needle cap when you
are ready to give the vaccine
 Insert the needle into the vaccine
vial
 Draw vaccine from the vial into the
0.5mL syringe
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Route and site of administration
 Injection route: Intramuscular
 Injection site: the upper arm,
check national policy on which
arm (left or right)
 The injection angle- 90 degree
angle
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Proper handling of 2-dose vial
of CervarixTM?
 After opening, handle the vaccine in
the same manner as:
– A reconstituted BCG vaccine vial
– Or measles vaccine vial
 Discard any opened vial with unused
doses:
– At the end of immunization session
– Or 6 hours after opening
 During the session:
– Put open vials in the vaccine carrier
– DO NOT return them in the refrigerator
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Phase 3:
After all girls leave immunization site
1. Complete Immunization tally sheet by
counting the number of doses given
2. Return unopened vaccine vials to the
refrigerator
3. Put safety box in a safe location
4. Inform community of the next session and
activities planned to reach unvaccinated girls
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Key messages
 HPV vaccine session requires planning of activities before
girls come, when girls arrive and after all girls leave
 The quality of vaccine should be checked before giving the
vaccine
 The HPV vaccine is given as an intramuscular injection in
the deltoid muscle of the upper arm
 Discard any opened vials with unused doses at the end of
the immunization session or 6 hours after opening
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End of module
Thank you
for your attention!
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References
 Comprehensive Cervical Cancer Control. A guide to
essential practice (C4 GEP). WHO 2014
 HPV vaccine introduction into national immunization
programmes: Information for programme managers and
health workers. WHO 2014
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