Immunization Training: Stages of Vaccination Service

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What is the primary purpose of using a Patient Group Direction (PGD)?

To deliver effective patient care in a pre-defined clinical situation (correct)

To maximise the use of the skills of a range of health professionals

To provide a safe legal framework to protect patients

To reduce delays in treatment

In the vaccination service, what is the stage that involves providing advice and obtaining consent?

Vaccine Preparation

Record Keeping

Assess individual, consent and provide advice (correct)

Vaccine Administration

What is one of the advantages of using a PGD in patient care?

It delays treatment

It improves access to appropriate medicines (correct)

It reduces the use of health professionals' skills

It improves access to inappropriate medicines

What is the stage of the vaccination service that involves documenting patient information?

Record Keeping Signup and view all the answers

What is the purpose of appropriate governance in the vaccination service?

To ensure the vaccine, patient, and pharmacist are aligned Signup and view all the answers

What is the purpose of a Record of Authorisation in a Patient Group Direction?

To give authority for a healthcare professional to work under the PGD Signup and view all the answers

What is the recommended storage temperature range for the influenza vaccine?

Between 2-8°C Signup and view all the answers

What is the age range for which live attenuated influenza vaccine (LAIV) is suitable?

2 years to under 18 years Signup and view all the answers

What is the purpose of a Self-Audit in clinical governance?

To identify areas for improvement in the vaccination service Signup and view all the answers

What is the significance of the 'black triangle' symbol in the PGD?

It indicates a vaccine with intensified monitoring Signup and view all the answers

Who needs to provide consent for 13-17-year-olds receiving the influenza vaccine?

The patient's parent or guardian Signup and view all the answers

What is the purpose of the Service Level Agreement (SLA) in a vaccination service?

To outline the terms of the vaccination service Signup and view all the answers

What is a Cell-based quadrivalent influenza vaccine (QIVc)?

A type of inactivated influenza vaccine Signup and view all the answers

What is the purpose of the Green Book in a vaccination service?

To outline the national guidelines for vaccination services Signup and view all the answers

What is the significance of a 'clinically at risk' group in the PGD?

It includes individuals who are at high risk of influenza complications Signup and view all the answers

What is the recommended age range for administering LAIV in preference to inactivated influenza vaccine?

Aged 2 to under 18 years Signup and view all the answers

What is the recommended action if a patient has had a confirmed anaphylactic reaction to a previous dose of the vaccine?

Document and refer to GP Signup and view all the answers

What is the recommended procedure for administering the influenza vaccine?

Intramuscular injection in the mid deltoid Signup and view all the answers

What is the recommended period of time for the patient to remain with the pharmacist after the procedure?

At least 10 minutes Signup and view all the answers

What is the recommended course of action in the event of an anaphylactic reaction?

Call 999 immediately Signup and view all the answers

What is the recommended record-keeping period for patient records and consent forms?

At least 10 years Signup and view all the answers

What is the recommended action if a patient declines the influenza vaccine?

Document and refer to GP Signup and view all the answers

What is the recommended route of administration for the influenza vaccine?

Intramuscular Signup and view all the answers

What is the recommended action prior to administering the influenza vaccine?

All of the above Signup and view all the answers

What is the recommended storage condition for the influenza vaccine?

Store at room temperature Signup and view all the answers

What is the primary purpose of recording patient details in the record and consent form?

To obtain patient consent for the vaccination Signup and view all the answers

What is the significance of the Pharmacy Self Audit in relation to vaccine administration?

It is a quality control measure for pharmacy services Signup and view all the answers

What is the primary responsibility of an authorised person under the Patient Group Direction (PGD)?

To practise within their own competence and maintain clinical knowledge Signup and view all the answers

What is the purpose of the post-vaccination questionnaire?

To monitor patient reactions to the vaccine Signup and view all the answers

What is the requirement for storing vaccines in a pharmacy?

In a refrigerator monitored daily Signup and view all the answers

What is the consequence of not using the current version of the PGD?

The pharmacy may not receive NHS payment Signup and view all the answers

What is the purpose of the resuscitation guidelines in the PGD?

To outline procedures for anaphylaxis Signup and view all the answers

What is the requirement for reporting data in the PGD?

All records must be made on the PharmOutcomes or Sonar system Signup and view all the answers

What is the significance of the Annual Flu Letter and Flu Plan in the PGD?

They are references for the authorised person Signup and view all the answers

What is the final check before practising under a PGD?

Ensure all necessary training and CPD are completed Signup and view all the answers

What is the primary purpose of reconstituting vaccines just before administration?

To maintain efficacy and stability Signup and view all the answers

Which of the following vaccines is administered orally?

Cholera vaccine Signup and view all the answers

What is the recommended needle length for intramuscular injections in most adults?

25 mm Signup and view all the answers

Why is the deltoid area of the upper arm a preferred injection site?

It provides a larger muscle mass Signup and view all the answers

What is the primary reason for not injecting vaccines into the buttock?

Risk of sciatic nerve damage Signup and view all the answers

Why should the skin be stretched flat during intramuscular injections?

To ensure the vaccine is injected into the muscle Signup and view all the answers

What is the recommended action when visibly dirty skin is encountered?

Clean the skin with soap and water Signup and view all the answers

What is the recommended angle for the needle during intramuscular injections?

90º angle Signup and view all the answers

What should be checked before administering a vaccine?

All of the above Signup and view all the answers

Why should the diluent be added slowly to the vaccine during reconstitution?

To prevent frothing Signup and view all the answers

What is a severe allergic reaction NOT considered as?

A contraindication to vaccination Signup and view all the answers

Which of the following is a true contraindication for vaccination?

Moderately or severely unwell individuals Signup and view all the answers

What is the correct way to hold a child during vaccination in the anterolateral aspect of the thigh?

Parent cuddles the child closely and places the child's nearest arm around the parent's back Signup and view all the answers

What should be reported to the Committee on Safety of Medicines using the Yellow Card Scheme?

Only serious adverse reactions for established vaccines Signup and view all the answers

Where should the BCG vaccine and equipment be disposed of?

Purple lidded waste container for cytotoxic waste Signup and view all the answers

What information should be recorded accurately in the patient's record?

All of the above Signup and view all the answers

Who should report suspected adverse drug reactions (ADRs) to vaccines?

Both healthcare professionals and parents or caregivers Signup and view all the answers

What should be done to a sharps bin when it is 2/3rds full?

It should be replaced with a new one Signup and view all the answers

What is the purpose of the minimum slide set created by the Immunisation Department, Centre for Infections?

To assist in teaching the Core Curriculum for Immunisation Training Signup and view all the answers

What should be ensured before vaccination?

The vaccinee or carer is fully informed about the vaccines and understands the vaccination procedure Signup and view all the answers

What is the primary purpose of a Patient Group Direction (PGD)?

To deliver effective patient care that is appropriate in a pre-defined clinical situation Signup and view all the answers

What is the primary advantage of using a PGD in patient care?

To improve access to appropriate medicines Signup and view all the answers

What is the purpose of appropriate governance in the vaccination service?

To ensure vaccine, patient, and pharmacist governance Signup and view all the answers

What is the significance of Stage 1 of the vaccination service?

Assess individual, consent, and provide advice Signup and view all the answers

What is the primary purpose of the stages of the vaccination service?

To deliver effective patient care that is appropriate in a pre-defined clinical situation Signup and view all the answers

What is the primary purpose of the Record of Authorisation?

To give authority for a healthcare professional to work under the PGD Signup and view all the answers

What is the significance of the 'at risk' groups in the PGD?

They may be included or excluded depending on the PGD Signup and view all the answers

What is the recommended storage temperature range for the influenza vaccine?

2-8°C Signup and view all the answers

What is the purpose of the Self-Audit in clinical governance?

To evaluate the vaccination process Signup and view all the answers

What is the recommended action if a patient declines the influenza vaccine?

Document the refusal in the patient's record Signup and view all the answers

What is the significance of the Green Book in a vaccination service?

It is a comprehensive guide to immunisation Signup and view all the answers

What is the primary purpose of the Service Level Agreement (SLA)?

To specify the service standards for the vaccination service Signup and view all the answers

What is the recommended action prior to administering the influenza vaccine?

Check the patient's medical history Signup and view all the answers

What is the purpose of the Patient Group Direction (PGD)?

To authorise healthcare professionals to administer vaccinations Signup and view all the answers

What is the significance of the National Protocol in the PGD?

It ensures consistency in vaccination practices Signup and view all the answers

What is the appropriate action to take if a patient has a confirmed anaphylactic reaction to a component of the vaccine?

Document and refer to GP Signup and view all the answers

What is the recommended dose and route of administration for the influenza vaccine?

0.5ml intramuscularly in the deltoid region Signup and view all the answers

What should be done with the patient's records and consent forms after vaccination?

Keep them for 10 years Signup and view all the answers

Who should be informed about the benefits and risks of immunization?

The patient Signup and view all the answers

What should be checked before administering the influenza vaccine?

All of the above Signup and view all the answers

What is the purpose of the Yellow Card scheme?

To report adverse reactions to the vaccine Signup and view all the answers

What should be rotated to 'mix' before using the vaccine?

The vaccine vial Signup and view all the answers

What is the recommended action if a patient declines the influenza vaccine?

Do not administer the vaccine and inform the patient of the risks Signup and view all the answers

What should be done with the patient after the vaccination procedure?

The patient should remain with the pharmacist for 10 minutes Signup and view all the answers

What is the significance of the black triangle status of some vaccines?

It indicates that the vaccine has a high risk of adverse reactions Signup and view all the answers

What should be done with older versions of the PGD once an updated version is released?

Withdraw them from use with immediate effect Signup and view all the answers

What is the primary responsibility of an authorised person under the PGD?

To work within the bounds of their own competence Signup and view all the answers

What is the purpose of the Pharmacy Self-Audit?

To identify areas for improvement in the vaccination service Signup and view all the answers

What should be recorded accurately in the patient's record?

Patient details, vaccination details, and adverse effects Signup and view all the answers

What is the purpose of the post-vaccination questionnaire?

To monitor for any adverse effects Signup and view all the answers

What is the requirement for reporting data in the PGD?

For all vaccinations provided Signup and view all the answers

What is the significance of the Green Book in the PGD?

It provides immunisation guidance for healthcare professionals Signup and view all the answers

What is the primary purpose of the governance structure in the PGD?

To ensure accountability and responsibility Signup and view all the answers

What is the recommended action when a patient declines the influenza vaccine?

Document the decline and respect their decision Signup and view all the answers

What should be done with the vaccine storage fridge?

Check the temperature daily Signup and view all the answers

Why is it important to inject vaccines into muscle and not into fat?

To ensure a better immune response to the vaccine Signup and view all the answers

What should be checked before administering a vaccine?

The colour and composition of the vaccine Signup and view all the answers

What is the recommended injection site for infants under 1 year?

The anterolateral aspect of the thigh Signup and view all the answers

Why should the diluent be added slowly to the vaccine during reconstitution?

To avoid frothing Signup and view all the answers

What should be done to visibly dirty skin before administering a vaccine?

Cleaned with soap and water Signup and view all the answers

Why should vaccines not be given into the buttock?

Due to the risk of injecting into fat rather than muscle Signup and view all the answers

What should be recorded after administering a vaccine?

The site at which each vaccine was given Signup and view all the answers

Why should the skin be stretched flat during intramuscular injections?

To ensure the vaccine is injected into muscle Signup and view all the answers

What is the recommended needle length for intramuscular injections in most adults?

25mm Signup and view all the answers

What should be ensured before administering a vaccine?

The patient has given consent Signup and view all the answers

What should be done before vaccinating a moderately or severely unwell individual?

Delay vaccination until they recover Signup and view all the answers

What is a true contraindication to vaccination?

Anaphylaxis to a previous dose of vaccine or a vaccine component Signup and view all the answers

Who should report suspected adverse drug reactions (ADRs) to vaccines?

Both healthcare professionals and parents or caregivers Signup and view all the answers

What information should be recorded accurately after vaccination?

Vaccine name, batch number, expiry date, dose administered, and site used Signup and view all the answers

Where should the vaccination area be positioned for all ages?

Completely exposed Signup and view all the answers

What should be done with reconstituted vaccines, opened single and multidose vials, and used needles and syringes?

Dispose of them in a yellow sharps bin Signup and view all the answers

What is the purpose of observing vaccine recipients for immediate adverse reactions?

To identify any potential allergic reactions Signup and view all the answers

What should be done if a child is being breastfed?

Vaccinate the child as scheduled Signup and view all the answers

What is the recommended action for a child's mother who is pregnant?

Vaccinate the child as scheduled Signup and view all the answers

What should be recorded in the patient's record?

Vaccine name, batch number, expiry date, dose administered, and site used Signup and view all the answers

What is the primary purpose of a Patient Group Direction (PGD)?

To deliver effective patient care in a pre-defined clinical situation Signup and view all the answers

What is the purpose of Stage 1 in the vaccination service?

Assess individual, consent and provide advice Signup and view all the answers

What is an advantage of using a PGD?

To improve access to appropriate medicines Signup and view all the answers

What is the purpose of the governance structure in a PGD?

To provide a safe legal framework to protect patients Signup and view all the answers

What is the significance of the stages in the vaccination service?

To ensure correct administration of vaccines Signup and view all the answers

What is the primary responsibility of the authorized person under the Patient Group Direction (PGD)?

To practise only within the bounds of their own competence Signup and view all the answers

What information should be recorded in the patient's record?

Patient details, vaccine details, and any adverse effects Signup and view all the answers

What should be done with older versions of the PGD once an updated version is released?

Withdraw the older version from use with immediate effect Signup and view all the answers

What is the purpose of the Pharmacy Self-Audit?

To evaluate the vaccination service provided Signup and view all the answers

Who should be informed about the benefits and risks of immunization?

The patient only Signup and view all the answers

What is the significance of the Green Book in a vaccination service?

It provides guidance on vaccination administration Signup and view all the answers

What should be ensured before administering a vaccine?

The patient has been screened and consented Signup and view all the answers

What is the purpose of the consent form?

To obtain the patient's consent for vaccination Signup and view all the answers

What should be done to a patient who reports an adverse effect after vaccination?

Report the adverse effect and manage it accordingly Signup and view all the answers

What is the recommended way to record patient data?

On the PharmOutcomes or Sonar system Signup and view all the answers

What is the purpose of a Patient Group Direction (PGD)?

To provide authority for healthcare professionals to administer vaccines Signup and view all the answers

What is essential for providing a safe service and clinical governance?

All of the above Signup and view all the answers

What type of influenza vaccine may be offered when every attempt to use QIVc or QIVr has been exhausted?

Egg-grown quadrivalent influenza vaccine (QIVe) Signup and view all the answers

Who needs to sign the PGD?

The healthcare professional Signup and view all the answers

In which age range is the live attenuated influenza vaccine (LAIV) suitable?

2 to under 18 years Signup and view all the answers

What is the significance of a 'clinically at risk' group in the PGD?

It does not necessarily mean inclusion for vaccination Signup and view all the answers

What should be done if a patient has a confirmed anaphylactic reaction to a component of the vaccine?

Document and refer to GP Signup and view all the answers

What is the purpose of the Service Level Agreement (SLA)?

To outline the service standards and expectations Signup and view all the answers

What is the primary purpose of a Standard Operating Procedure (SOP)?

To outline the steps to follow in a specific situation Signup and view all the answers

What should be reported using the Yellow Card scheme?

Adverse effects of the vaccine Signup and view all the answers

What is the recommended storage temperature for the vaccine?

2-80°C Signup and view all the answers

What is the recommended dose and route of administration for the influenza vaccine?

0.5ml intramuscularly in the deltoid Signup and view all the answers

What should be done with the patient's records and consent forms after vaccination?

Keep them for 10 years Signup and view all the answers

What is the age range for which live attenuated influenza vaccine (LAIV) is suitable?

2 years to under 18 years Signup and view all the answers

What is the primary purpose of informing the patient about the benefits and risks of immunization?

To obtain consent Signup and view all the answers

What should be recorded accurately in the patient's record?

The vaccine administered, patient's medical history, and post-vaccination check Signup and view all the answers

What should be done before vaccinating a moderately or severely unwell individual?

Delay vaccination until the individual is well Signup and view all the answers

What is the recommended action in the event of an anaphylactic reaction?

All of the above Signup and view all the answers

What should be done with used needles and syringes?

Dispose of them in the sharps bin Signup and view all the answers

What is the purpose of the Pharmacy Self-Audit?

To check the pharmacy's governance Signup and view all the answers

What is the main reason for reconstituting vaccines just before administration?

To maintain efficacy and stability Signup and view all the answers

What should be checked before administering a vaccine?

The vaccine's expiry date and correct dose Signup and view all the answers

What is the preferred injection site for infants under 1 year?

Anterolateral aspect of the thigh Signup and view all the answers

Why should the buttock be avoided as an injection site?

It may cause sciatic nerve damage Signup and view all the answers

What should be done with visibly dirty skin before vaccination?

Cleaned with soap and water Signup and view all the answers

What is the recommended angle for injecting the vaccine into the muscle?

90 degrees Signup and view all the answers

What should be recorded after administering a vaccine?

The vaccination site Signup and view all the answers

What is the purpose of using a green (21G) needle for reconstituting freeze-dried vaccines?

To draw up the diluent Signup and view all the answers

What should be ensured before administering a vaccine?

There are no contraindications to the vaccine Signup and view all the answers

What is the recommended length of the needle for intramuscular injections in most adults?

25 mm Signup and view all the answers

What should be done before vaccinating a moderately or severely unwell individual?

Postpone the vaccination until the individual recovers Signup and view all the answers

What is a true contraindication for vaccination?

Anaphylaxis to previous dose of vaccine or a vaccine component Signup and view all the answers

How should a child be held during vaccination in the anterolateral aspect of the thigh?

The child should be held securely on the parent's lap Signup and view all the answers

What should be done with used needles and syringes?

Dispose of them in a yellow sharps bin Signup and view all the answers

What information should be recorded accurately in the patient's record?

Vaccine name, batch number, and expiry date Signup and view all the answers

What should be done with a sharps bin when it is 2/3rds full?

Replace it with a new one Signup and view all the answers

Who should report suspected adverse drug reactions (ADRs) to vaccines?

Both healthcare professionals and parents or caregivers Signup and view all the answers

What is the purpose of observing vaccine recipients for immediate adverse reactions?

To detect and respond to adverse reactions promptly Signup and view all the answers

Where should the vaccination area be positioned for all ages?

In a designated area with the vaccination area completely exposed Signup and view all the answers

Immunization Training: Stages of Vaccination Service

Podcast Beta

Questions and Answers

What is the primary purpose of using a Patient Group Direction (PGD)?

In the vaccination service, what is the stage that involves providing advice and obtaining consent?

What is one of the advantages of using a PGD in patient care?

What is the stage of the vaccination service that involves documenting patient information?

What is the purpose of appropriate governance in the vaccination service?

What is the purpose of a Record of Authorisation in a Patient Group Direction?

What is the recommended storage temperature range for the influenza vaccine?

What is the age range for which live attenuated influenza vaccine (LAIV) is suitable?

What is the purpose of a Self-Audit in clinical governance?

What is the significance of the 'black triangle' symbol in the PGD?

Who needs to provide consent for 13-17-year-olds receiving the influenza vaccine?

What is the purpose of the Service Level Agreement (SLA) in a vaccination service?

What is a Cell-based quadrivalent influenza vaccine (QIVc)?

What is the purpose of the Green Book in a vaccination service?

What is the significance of a 'clinically at risk' group in the PGD?

What is the recommended age range for administering LAIV in preference to inactivated influenza vaccine?

What is the recommended action if a patient has had a confirmed anaphylactic reaction to a previous dose of the vaccine?

What is the recommended procedure for administering the influenza vaccine?

What is the recommended period of time for the patient to remain with the pharmacist after the procedure?

What is the recommended course of action in the event of an anaphylactic reaction?

What is the recommended record-keeping period for patient records and consent forms?

What is the recommended action if a patient declines the influenza vaccine?

What is the recommended route of administration for the influenza vaccine?

What is the recommended action prior to administering the influenza vaccine?

What is the recommended storage condition for the influenza vaccine?

What is the primary purpose of recording patient details in the record and consent form?

What is the significance of the Pharmacy Self Audit in relation to vaccine administration?

What is the primary responsibility of an authorised person under the Patient Group Direction (PGD)?

What is the purpose of the post-vaccination questionnaire?

What is the requirement for storing vaccines in a pharmacy?

What is the consequence of not using the current version of the PGD?

What is the purpose of the resuscitation guidelines in the PGD?

What is the requirement for reporting data in the PGD?

What is the significance of the Annual Flu Letter and Flu Plan in the PGD?

What is the final check before practising under a PGD?

What is the primary purpose of reconstituting vaccines just before administration?

Which of the following vaccines is administered orally?

What is the recommended needle length for intramuscular injections in most adults?

Why is the deltoid area of the upper arm a preferred injection site?

What is the primary reason for not injecting vaccines into the buttock?

Why should the skin be stretched flat during intramuscular injections?

What is the recommended action when visibly dirty skin is encountered?

What is the recommended angle for the needle during intramuscular injections?

What should be checked before administering a vaccine?

Why should the diluent be added slowly to the vaccine during reconstitution?

What is a severe allergic reaction NOT considered as?

Which of the following is a true contraindication for vaccination?

What is the correct way to hold a child during vaccination in the anterolateral aspect of the thigh?

What should be reported to the Committee on Safety of Medicines using the Yellow Card Scheme?

Where should the BCG vaccine and equipment be disposed of?

What information should be recorded accurately in the patient's record?

Who should report suspected adverse drug reactions (ADRs) to vaccines?

What should be done to a sharps bin when it is 2/3rds full?

What is the purpose of the minimum slide set created by the Immunisation Department, Centre for Infections?

What should be ensured before vaccination?

What is the primary purpose of a Patient Group Direction (PGD)?

What is the primary advantage of using a PGD in patient care?

What is the purpose of appropriate governance in the vaccination service?

What is the significance of Stage 1 of the vaccination service?

What is the primary purpose of the stages of the vaccination service?

What is the primary purpose of the Record of Authorisation?

What is the significance of the 'at risk' groups in the PGD?

What is the recommended storage temperature range for the influenza vaccine?

What is the purpose of the Self-Audit in clinical governance?

What is the recommended action if a patient declines the influenza vaccine?

What is the significance of the Green Book in a vaccination service?

What is the primary purpose of the Service Level Agreement (SLA)?

What is the recommended action prior to administering the influenza vaccine?

What is the purpose of the Patient Group Direction (PGD)?

What is the significance of the National Protocol in the PGD?

What is the appropriate action to take if a patient has a confirmed anaphylactic reaction to a component of the vaccine?

What is the recommended dose and route of administration for the influenza vaccine?

What should be done with the patient's records and consent forms after vaccination?

Who should be informed about the benefits and risks of immunization?

What should be checked before administering the influenza vaccine?

What is the purpose of the Yellow Card scheme?

What should be rotated to 'mix' before using the vaccine?