Vaccination Puzzle: What would you give? Chris Shepherd RN BSN

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1 Vaccination Puzzle: What would you give? Chris Shepherd RN BSN

2 Work in a group of 3 4 Decisions: What vaccinations does this child need to get to be up to date? What vaccinations will be given today? When should the child come back for the next vaccination (accelerated schedule? or regular?) Are the intervals correct? What vaccine or combinations can I use?

3 Scenario 1 DOB: Age: Reminder Date: 08/01/ years 7 months 20 days 05/18/2011 Vaccine: Dose: Date: Age: Clinic DTAP 1 11/17/2009 0y 3m 16d PR DTAP 2 01/29/2010 0y 5m 28d PR DTAP 3 11/17/2010 1y 3m 16d PR HIB HIB, NOS 1 11/17/2009 0y 3m 16d PR HIB, NOS 2 01/29/2010 0y 5m 28d PR PNEUMOCOCCAL PNEUMOCOCCAL, NOS 1 11/17/2010 1y 3m 16d PR

4 Vaccine: Dose: Date: Age: Clinic DTAP 1 11/17/2009 0y 3m 16d PR DTAP 2 01/29/2010 0y 5m 28d PR DTAP 3 11/17/2010 1y 3m 16d PR HIB HIB, NOS 1 11/17/2009 0y 3m 16d PR HIB, NOS 2 01/29/2010 0y 5m 28d PR PNEUMOCOCCAL PNEUMOCOCCAL, NOS 1 11/17/2010 1y 3m 16d PR Vaccine IZ needed for UTD IZ needed today When return Acc or regular schedule Intervals right? Combo vaccines

5 03/13/ years 0 months 8 days Scenario 2 Vaccine: Dose: Date: Age: Clinic DTAP--IPV 1 09/17/2008 0y 6m 4d BCPH-BLDR DTAP-HIB-IPV (PENTAC 2 02/04/2009 0y 10m 22d BCPH-BLDR DTAP--IPV 1 09/17/2008 0y 6m 4d BCPH-BLDR DTAP-HIB-IPV (PENTAC 2 02/04/2009 0y 10m 22d BCPH-BLDR HIB HIB-4 DOSE PRP-T 1 09/17/2008 0y 6m 4d BCPH-BLDR DTAP-HIB-IPV (PENTAC 2 02/04/2009 0y 10m 22d BCPH-BLDR HEP B, PED/ADOL 1 03/15/2008 0y 0m 2d BLD MED CN DTAP--IPV 2 09/17/2008 0y 6m 4d BCPH-BLDR HEP B, PED/ADOL 3 02/04/2009 0y 10m 22d BCPH-BLDR HEPA PNEUMOCOCCAL PCV7 (PREVNAR) 1 09/17/2008 0y 6m 4d BCPH-BLDR PCV7 (PREVNAR) 2 02/04/2009 0y 10m 22d BCPH-BLDR 1 02/04/2009 0y 10m 22d BCPH-BLDR

6 Vaccine: Dose: Date: Age: Clinic DTAP--IPV 1 09/17/2008 0y 6m 4d BCPH-BLDR DTAP-HIB-IPV (PENTAC 2 02/04/2009 0y 10m 22d BCPH-BLDR DTAP--IPV 1 09/17/2008 0y 6m 4d BCPH-BLDR DTAP-HIB-IPV (PENTAC 2 02/04/2009 0y 10m 22d BCPH-BLDR HIB HIB-4 DOSE PRP-T 1 09/17/2008 0y 6m 4d BCPH-BLDR DTAP-HIB-IPV (PENTAC 2 02/04/2009 0y 10m 22d BCPH-BLDR HEP B, PED/ADOL 1 03/15/2008 0y 0m 2d BLD MED CN DTAP--IPV 2 09/17/2008 0y 6m 4d BCPH-BLDR HEP B, PED/ADOL 3 02/04/2009 0y 10m 22d BCPH-BLDR HEPA PNEUMOCOCCAL PCV7 (PREVNAR) 1 09/17/2008 0y 6m 4d BCPH-BLDR PCV7 (PREVNAR) 2 02/04/2009 0y 10m 22d BCPH-BLDR 1 02/04/2009 0y 10m 22d BCPH-BLDR Vaccine IZ needed for UTD IZ needed today When return Acc or regular schedule Intervals right? Combo vaccines

7 Scenario 3 DOB: Age: Reminder Date: 06/14/ years 9 months 7 days Vaccine: Dose: Date: Age: Clinic DTAP 1 12/15/2005 0y 6m 1d PR DTAP 2 01/12/2006 0y 6m 28d PR DTAP 3 02/09/2006 0y 7m 25d PR DTAP 4 03/02/2007 1y 8m 18d PR IPV 1 03/23/2006 0y 9m 9d PR IPV 2 09/15/2006 1y 3m 1d PR MEASLES 1 06/15/2006 1y 0m 1d PR RUBELLA 1 06/15/2006 1y 0m 1d PR MUMPS 2 07/15/2008 3y 1m 1d PR HEP B, PED/ADOL 1 05/20/2010 4y 11m 6d PR HEP B, PED/ADOL 2 06/17/2010 5y 0m 3d PR VARICELLA 1 03/10/2008 2y 8m 26d PR OTHER BCG 1 11/08/2005 0y 4m 24d PR JAPANESE ENCEPHALITI 1 08/10/2009 4y 1m 26d PR JAPANESE ENCEPHALITI 2 09/01/2009 4y 2m 17d PR

8 Vaccine: Dose: Date: Age: Clinic DTAP 1 12/15/2005 0y 6m 1d PR DTAP 2 01/12/2006 0y 6m 28d PR DTAP 3 02/09/2006 0y 7m 25d PR DTAP 4 03/02/2007 1y 8m 18d PR IPV 1 03/23/2006 0y 9m 9d PR IPV 2 09/15/2006 1y 3m 1d PR MEASLES 1 06/15/2006 1y 0m 1d PR RUBELLA 1 06/15/2006 1y 0m 1d PR MUMPS 2 07/15/2008 3y 1m 1d PR HEP B, PED/ADOL 1 05/20/2010 4y 11m 6d PR HEP B, PED/ADOL 2 06/17/2010 5y 0m 3d PR VARICELLA 1 03/10/2008 2y 8m 26d PR OTHER BCG 1 11/08/2005 0y 4m 24d PR JAPANESE ENCEPHALITI 1 08/10/2009 4y 1m 26d PR JAPANESE ENCEPHALITI 2 09/01/2009 4y 2m 17d PR Vaccine IZ needed for UTD IZ needed today When return Acc or regular schedule Intervals right? Combo vaccines

9 Scenario 4 DOB: Age: 08/20/ years 7 months 1 days 03/23/2011 Vaccine: Dose: Date: Age: Clinic DTAP 1 10/10/2001 0y 1m 21d BCPH-BLDR DTAP 2 02/06/2002 0y 5m 17d BCPH-BLDR DTAP 3 05/15/2002 0y 8m 26d PR DTAP 4 11/20/2002 1y 3m 0d BCPH-BLDR IPV 1 10/10/2001 0y 1m 21d BCPH-BLDR IPV 2 02/06/2002 0y 5m 17d BCPH-BLDR IPV 3 05/15/2002 0y 8m 26d PR 1 11/20/2002 1y 3m 0d BCPH-BLDR HIB HIB-HEP B 1 10/10/2001 0y 1m 21d BCPH-BLDR HIB-HEP B 2 02/06/2002 0y 5m 17d BCPH-BLDR HIB-HEP B 3 11/20/2002 1y 3m 0d BCPH-BLDR HIB-HEP B 1 10/10/2001 0y 1m 21d BCPH-BLDR HIB-HEP B 2 02/06/2002 0y 5m 17d BCPH-BLDR HIB-HEP B 3 11/20/2002 1y 3m 0d BCPH-BLDR HEPA HEP A, PED/ADOL 1 12/22/2010 9y 4m 2d BCPH-BLDR PNEUMOCOCCAL PCV7 (PREVNAR) 1 05/15/2002 0y 8m 26d PR VARICELLA 1 12/22/2010 9y 4m 2d BCPH-BLDR 1 12/22/2010 9y 4m 2d BCPH-BLDR

10 Vaccine: Dose: Date: Age: Clinic DTAP 1 10/10/2001 0y 1m 21d BCPH-BLDR DTAP 2 02/06/2002 0y 5m 17d BCPH-BLDR DTAP 3 05/15/2002 0y 8m 26d PR DTAP 4 11/20/2002 1y 3m 0d BCPH-BLDR IPV 1 10/10/2001 0y 1m 21d BCPH-BLDR IPV 2 02/06/2002 0y 5m 17d BCPH-BLDR IPV 3 05/15/2002 0y 8m 26d PR 1 11/20/2002 1y 3m 0d BCPH-BLDR HIB HIB-HEP B 1 10/10/2001 0y 1m 21d BCPH-BLDR HIB-HEP B 2 02/06/2002 0y 5m 17d BCPH-BLDR HIB-HEP B 3 11/20/2002 1y 3m 0d BCPH-BLDR HIB-HEP B 1 10/10/2001 0y 1m 21d BCPH-BLDR HIB-HEP B 2 02/06/2002 0y 5m 17d BCPH-BLDR HIB-HEP B 3 11/20/2002 1y 3m 0d BCPH-BLDR HEPA HEP A, PED/ADOL 1 12/22/2010 9y 4m 2d BCPH-BLDR PNEUMOCOCCAL PCV7 (PREVNAR) 1 05/15/2002 0y 8m 26d PR VARICELLA 1 12/22/2010 9y 4m 2d BCPH-BLDR 1 12/22/2010 9y 4m 2d BCPH-BLDR Vaccine IZ needed for UTD IZ needed today When return Acc or regular schedule Intervals right? Combo vaccines

11 DOB: Age: Scenario 5 01/01/ years 2 months 20 days Vaccine: Dose: Date: Age: Clinic DTP 1 02/10/1997 0y 1m 9d PR DTP 2 03/15/1997 0y 2m 14d PR DTP 3 04/17/1997 0y 3m 16d PR TD 4 06/21/ y 5m 20d PR OPV 1 01/01/1997 0y 0m 0d PR OPV 2 02/10/1997 0y 1m 9d PR OPV 3 03/15/1997 0y 2m 14d PR OPV 4 04/17/1997 0y 3m 16d PR OPV 5 06/21/ y 5m 20d PR MEASLES 1 09/20/1997 0y 8m 19d PR 2 06/21/ y 5m 20d PR HEP B, PED/ADOL 1 06/21/ y 5m 20d PR VARICELLA 1 06/21/ y 5m 20d PR SEASONAL 1 06/21/ y 5m 20d PR MENINGOCOCCAL MENINGOCOCCAL, NOS 1 06/21/ y 5m 20d PR

12 Vaccine: Dose: Date: Age: Clinic DTP 1 02/10/1997 0y 1m 9d PR DTP 2 03/15/1997 0y 2m 14d PR DTP 3 04/17/1997 0y 3m 16d PR TD 4 06/21/ y 5m 20d PR OPV 1 01/01/1997 0y 0m 0d PR OPV 2 02/10/1997 0y 1m 9d PR OPV 3 03/15/1997 0y 2m 14d PR OPV 4 04/17/1997 0y 3m 16d PR OPV 5 06/21/ y 5m 20d PR MEASLES 1 09/20/1997 0y 8m 19d PR 2 06/21/ y 5m 20d PR HEP B, PED/ADOL 1 06/21/ y 5m 20d PR VARICELLA 1 06/21/ y 5m 20d PR SEASONAL 1 06/21/ y 5m 20d PR MENINGOCOCCAL MENINGOCOCCAL, NOS 1 06/21/ y 5m 20d PR Vaccine IZ needed for UTD IZ needed today When return Acc or regular schedule Intervals right? Combo vaccines

13 The Final! DOB: Age: Reminder Date: 11/16/ years 4 months 5 days 09/07/2011 Vaccine: Dose: Date: Age: Clinic DTAP 1 07/15/2009 0y 7m 29d PR HIB HEP B, PED/ADOL 1 07/15/2009 0y 7m 29d PR PNEUMOCOCCAL TB

14 DOB 11/16/ yrs 4 months 5 days History DTaP #1 7/15/09 HepB#1 7/15/09 How many total are needed (primary) Today Date Date Date Date Kindergarten

15 History How many total are needed (primary) AT THIS AGE Today 10/11/12 1 month 11/11/12 2 months 12/11/12 6/11/13 Kindergarten DTaP #1 4 DTaP#2 DTaP#3 DtaP#4 DTaP 7/15/09 Pediarix Pediarix IPV 0 3 IPV IPV IPV IPV Pediarix Pediarix HepB#1 7/15/09 HepB#2 Pediarix HepB#3 Pediarix 0 2 Hib 0 1 Hib Hiberix PCV PCV13 Varicella 0 2 Var#1 Var#2 Influenza 0 2 if 1 st time Flu#1.25 Flu#1.25 HepA 0 2 HepA#1 HepA#2

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