H: Immunization

No.

Competency 

NO 

YB 

YS 

NA 

H-1 

I have knowledge of the concept of immunity.  

H-2

I can explain the pathophysiology and manifestations of common communicable diseases and diseases preventable through immunization.

H-3

I can describe the principles of Communicable Disease Control.

H-4

I have knowledge of local and national standards of immunization.

H-5

I can describe the rationale for immunization schedules to prevent communicable disease.

H-6

I have the ability to differentiate between immunization schedules for adults, children, and a variety of populations.

H-7

I know the action, purpose, uses and nature of common immunizing / biological agents.

H-8

I can identify the factors which affect the action of immunizing / biological agents.

H-9

I can identify side effects, adverse affects, and contraindications of common immunizing / biological agents, and report appropriately.

H-10 I adhere to the legal responsibilities, policy, procedure, and scope of practice in the preparation and administration of immunizing / biological agents.

H-11 I maintain the cold chain in the transportation and storage of immunizing / biological agents.

H-12

I establish the need for the administration of an immunizing / biological agent.

H-13 I review the pertinent health information of the client prior to the immunization.

H-14 I identify risk factors and contraindications to the immunization and report appropriately.

H-15 I document assessment and nursing actions related to immunization risk factors.

H-16 I ensure the client or parent has sufficient information to give informed consent to the immunization.

H-17 I witness client or parent consent for immunization using appropriate agency protocol.

H-18 I perform critical elements to ensure safety in the preparation and administration of immunizing / biological agent.

H-19 

I check for the correct name and expiration date of the immunizing / biological agent.

H-20

I properly prepare immunizing / biological agent for injection. 

H-21

I use the proper technique to draw immunizing / biological agent from vial or ampoule.

H-22

I maintain asepsis in changing needle to appropriate size for injection into client.

H-23

I properly label multi-dose vials.

H-24

I dispose of sharps, and store or discard unused medication properly.

H-25

I check client's name, immunizing/biological agent, dosage, route, site, and time of administration.

H-26

I explain steps of the procedure and the pertinent information regarding the immunization to the client or parent.

H-27

I prepare the environment for administering the injection.

H-28 I select the right site and landmark site for injection.

H-29 I use proper technique to administer intramuscular, subcutaneous, and intra-dermal injection. 

H-30 I dispose of sharps, used equipment and supplies appropriately and safely.

H-31 I record the immunizing / biological agent administration and client's response.

H-32 I document and report any undesirable effects from the immunization.

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