This is an activity carried out by the Public/Community health nurse at CWC where the nurse gives the vaccine intramuscularly to a child. This is 5-in-1 vaccine which protects the child against diphtheria, tetanus, pertussis, Hepatitis B and haemophilus influenza type B.
Aims
· Protect children under five (5) or 0-59 months from these vaccine preventable diseases
· Decrease the risk of death among young children from these vaccine preventable diseases
· Achieve herd immunity amongst children under five (5)
· Educate mothers and caregivers on high level of proper personal and environmental hygiene
Types
· Injectable
Requirements
a. Furniture which includes chairs, tables, bulletin board
b. Tablecloth
c. Two (2) registers, one for registration of children under one (1) year and the other for children above one year
d. Attendance book
e. Immunization tally sheets
f. Maternal and child health record book
g. Syringes and needles/solo shot
h. Immunization tray containing gallipots, kidney dish, dissecting forceps, artery forceps, scissors
i. Sterile cotton wool swabs in a closed drum
j. Safety box for sharps
k. Vaccine carrier containing vaccines/cold box
l. A flask containing ice cubes
m. Cheatle forceps
n. Hand washing facilities- veronica bucket, plastic bowls, soap in a dish, hand towels
o. Medication for treatment of minor ailments such as paracetamol syrup
p. Electronic/manual visual aids for education
q. Blue and red pens, pencils, eraser and rule
Steps
1. Establish rapport and ask about general health or the health of the baby
2. Find out from mother the type of immunization the child has had
3. Look at the child’s health record book and check on which vaccine to give
4. Explain the procedure to the mother
5. Explain any side effects to mother and discuss with her what she can do about them
6. Ask mother for feedback
7. Show mother how to hold the child and wash hands with appropriate technique
8. Check Vaccine Vial Monitor VVM and expiry date of vaccine and draws 0.5ml
9. Clean the outer middle part of the left thigh with damp cotton wool and discard it
10. Hold the part tightly between the thumb and forefinger of left hand and gently push the needle deep into the muscle at an angle of 90˚/45˚
11. Remove and discard solo shot after injecting vaccine, press the area with dry clean cotton wool ball and discard
12. Tell mother not to apply anything to the site but to give baby paracetamol syrup according to age in case of fever
13. Commend the mother for bringing her child for Immunization
14. Wash hands with appropriate technique
15. Record and report findings manually/electronically
0 Comments