Podcast
Questions and Answers
Which injection site is recommended for newborns receiving nirsevimab?
Which injection site is recommended for newborns receiving nirsevimab?
What is the recommended needle length for infants aged 1-12 months?
What is the recommended needle length for infants aged 1-12 months?
Which of the following is NOT one of the 7 rights to affirm at the time of administration?
Which of the following is NOT one of the 7 rights to affirm at the time of administration?
What is the maximum recommended volume for intramuscular injections in the anterolateral thigh muscle for infants?
What is the maximum recommended volume for intramuscular injections in the anterolateral thigh muscle for infants?
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Which age group would typically receive an injection volume on the higher end of the scale?
Which age group would typically receive an injection volume on the higher end of the scale?
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Which of the following strategies might healthcare providers utilize to minimize injection volume?
Which of the following strategies might healthcare providers utilize to minimize injection volume?
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For which of the following vaccines is it recommended to use an alternate route other than intramuscular administration?
For which of the following vaccines is it recommended to use an alternate route other than intramuscular administration?
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What is the recommended needle gauge for intramuscular injections of nirsevimab?
What is the recommended needle gauge for intramuscular injections of nirsevimab?
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Which needle length is appropriate for IM injection in toddlers and children weighing less than 130 lbs?
Which needle length is appropriate for IM injection in toddlers and children weighing less than 130 lbs?
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What is the first right to affirm at the time of immunization administration?
What is the first right to affirm at the time of immunization administration?
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Under what condition is nirsevimab not recommended for patients under 8 months of age?
Under what condition is nirsevimab not recommended for patients under 8 months of age?
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What is the appropriate dosage of nirsevimab for a patient weighing more than 5 kg?
What is the appropriate dosage of nirsevimab for a patient weighing more than 5 kg?
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Which of the following groups is newly recommended to receive nirsevimab second-season prophylaxis?
Which of the following groups is newly recommended to receive nirsevimab second-season prophylaxis?
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What indicates that nirsevimab should be generally recommended for a patient 8-19 months old?
What indicates that nirsevimab should be generally recommended for a patient 8-19 months old?
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Which right relates to ensuring correct documentation during immunization administration?
Which right relates to ensuring correct documentation during immunization administration?
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What condition must be true for children who are severely immunocompromised to receive nirsevimab?
What condition must be true for children who are severely immunocompromised to receive nirsevimab?
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Study Notes
RSV Vaccine (Beyfortus/Nirsevimab)
- Vaccine is for Respiratory Syncytial Virus (RSV)
- Administration guidelines provided
- Follow 7 rights of administration: patient, time (age, RSV season), immunization, dosage (weight-based), route/needle/technique, site, documentation.
Injection Technique
- Use 22-25 gauge needle
- Needle length varies by age and body mass
- Newborns (0-28 days): 5/8" needle, anterolateral thigh
- Infants (1-12 months): 1" needle, anterolateral thigh
- Toddlers (1-2 years): 1-1/4" or 5/8"-1" needle, deltoid muscle.
- Alternative needle lengths may be used based on skin tension
- %" needle for toddlers/children/patients < 130 lbs in deltoid muscle
- 1" needle for thigh muscle for adults
- Average volumes for injection
- Deltoid (arm): 0.5 mL (range 0.5-2 mL)
- Anterolateral thigh: 1-4 mL (range 1-5 mL)
Co-administration
- Simultaneous administration with other age-appropriate vaccines is recommended
- CDC creating job aid to address volume issues related to multiple injections.
Patient Risk Factors for Nirsevimab
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Age: Infants under 8 months are not recommended for the vaccine
- Infants 8-19 month who meet high-risk criteria are recommended.
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High Risk Criteria (8-19 months):
- Chronic lung disease of prematurity (requiring medical support) in the 6 months prior to the RSV season.
- Severe immunocompromised conditions
- Cystic fibrosis with severe lung disease (hospitalization, imaging abnormalities) or weight-for-length <10th percentile
- American Indian and Alaska Native children (for second-season prophylaxis)
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Other Considerations:
- Maternal RSV vaccine during pregnancy
- Infant born within 14 days of maternal vaccination
- Previous dose of nirsevimab in the RSV season
- Consideration of nirsevimab when the potential benefit outweighs the risks for certain rare situations
- Patients should be weighed prior to administration. Dosages vary according to weight.
Other Vaccine Information
- Include age-appropriate combination vaccines (Pentacel, Pediarix, Vaxelis).
- Alternate routes (subcutaneous) are an option for some vaccines (IPV, MMR, Varicella, PPSV23)
- Take advantage of recommended age ranges for other vaccines (e.g., 3rd HepB dose at 18 months)
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Description
This quiz provides essential information on the administration guidelines for the RSV vaccine, Beyfortus (Nirsevimab). It covers the seven rights of administration, appropriate injection techniques based on age, and co-administration with other vaccines. Test your knowledge on how to safely and effectively administer this vaccine.
