H1N1 Immunization Manual

Also known as "Orientation Self Study Reference Package for Immunization Staff"

1. Introduction
   
   
2. Informed Consent
   
   
3. Immunization Schedules
   
   
4. Contraindications and Routine Precautions for Immunization
   
   
5. Administration of Biologicals
   
   
6. Mass Immunization Clinic Documents
   
   
7. Infection Prevention and Control
   
   
8. Management of Biologicals
   
   
9. Protocol for Management of Suspected Anaphylactic Shock
   
   
10. Adverse Events Following Immunization
    
    
11. Common Questions about Vaccines - Resources for Staff
    
    
12. Immunization Resources

1. Introduction

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2. Informed Consent

1. WRHA Policy 110.000.005 - Informed Consent (For procedures, treatments, and investigations)
   
   
2. Clinical Practice Guideline - Informed Consent for Immunization
   

3. Immunization Schedules

1. Manitoba Immunization Schedules – Reference Guide for Health Professionals
   
   
2. MHHL Eligibility Criteria for Publicly-Funded Vaccines

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4. Contraindications and Routine Precautions for Immunization

1. Quick Reference Guide for H1N1 Vaccine 2009-10 (Updated Nov. 16, 2009)
   
   
2. Quick Reference Guide for Seasonal Influenza and Pneumococcal Vaccine 2009-10 
   
   
3. Screening checklist for influenza vaccines (Updated Nov. 13, 2009)
   

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5. Administration of Biologicals

1. Pre-Injection Aseptic Technique
   
   
2. Aseptic Technique for Intramuscular Injections
   
   
3. Aseptic Technique for Subcutaneous Injections
   
   
4. Aseptic Technique for Intradermal Injections
   
   
5. Injection Site Volume and Equipment Guidelines
   
   
6. Landmarking Sites for Intramuscular Injections
   
   
7. Landmarking Sites for Subcutaneous Injections
   
   
8. Landmarking Sites for Intradermal Injections
   
   
9. Uncooperative Child or Adolescent
   
   
10. Comforting Restraint for Immunizations
    
    
11. Use of Emla Patches

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6. Mass Immunization Clinic Documents

1. Clinic Flow Diagram
   
   
2. Roles
   
   
3. Seasonal Influenza and Pandemic H1N1 Vaccine Surveillance Protocol (Updated Nov. 10, 2009)
   
   
4. Process to navigate clients from the consent area to the corresponding immunization station (New Nov. 12, 2009)

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7. Infection Prevention and Control

1. Community Infection Prevention and Control Manual – Routine Practices
   
   
2. Clinical Practice Guideline - Infection Control for Mass Immunization Clinics

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8. Management of Biologicals

1. Clinical Practice Guideline for Storage and Handling of Vaccines
   
   
2. Clinical Practice Guideline for Pre-drawing Vaccine
   
   
3. Arepanrix* H1N1 Vaccine - Instructions for Use/Handling (New Nov. 3, 2009)
   
   
4. Panvax* H1N1 unadjuvanted vaccine - Instructions for Use/Handling (Updated Nov. 6, 2009)
   
   
5. Pandemic H1N1 Vaccine without adjuvant - instructions for use/handling (Updated Nov. 16, 2009)

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9. Protocol for Management of Suspected Anaphylactic Shock

1. MHHL Protocol for Management of Suspected Anaphylactic Shock

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10. Adverse Events Following Immunization

1. Clinical Practice Guideline for Adverse Events Following Immunization
   
   
2. Canadian Adverse Events Following Immunization Form
   
   
3. User Guide: Report of Adverse Events Following Immunization (AEFI)
   
   
4. AEFI Reporting - Guidelines for Front-line Staff (New Nov. 3, 2009)

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11. Common Questions about Vaccines – Resources for Staff

1. WRHA Questions and Answers (Updated Nov. 1, 2009)
   
   
2. PHAC – Questions and Answers – H1N1 Vaccine
   
   
3. PHAC FAQ - Influenza A (H1N1) 2009 Pandemic Vaccine - ArepanrixTM H1N1
   
   
4. PHAC - Questions and Answers - Unadjuvanted vaccine (New Nov. 13, 2009)
   
   
5. NACI Thimerosal: Updated Statement – July 2007
   
   
6. Immunization Communication Tool for Immunizers – from BCCDC
   
   

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12. Immunization Resources

1. Forms
   
   
   1. H1N1 Consent Form (Updated Nov. 13, 2009)
      
      
   2. Second Dose Reminder Letter (Added Nov. 13, 2009)
      
      
      
2. Fact Sheets
   
   
   1. Influenza (The Flu)
      
      
   2. Pneumococcal Polysaccharide Vaccine
      
      
   3. Pandemic H1N1 Influenza Vaccine (H1N1 Flu Shot) with Adjuvant: Arepanrix™ (Updated Nov. 13, 2009)
      
      
   4. Vaccin contre la grippe pandémique H1N1 avec adjuvant : Produit : Arepanrix™
      
      
   5. Information for Pregnant Women
      
      
   6. Faits à propos des vaccins pour les femmes enceintes
      
      
   7. Pandemic H1N1 Influenza Vaccine (H1N1 Flu Shot) without Adjuvant: Panvax™
      
      
   8. Vaccin contre la grippe pandémique H1N1 sans adjuvant : Nom du produit : Panvax
      
      
   9. H1N1 Unadjuvanted Vaccine - English (Added Nov. 13, 2009)
      
      
   10. H1N1 Unadjuvanted Vaccine - French (Added Nov. 13, 2009)
       
       
   11. Thimerosol in Vaccines 
       
       
   12. H1N1 Flu Vaccine: Dosing Recommendations (Added Nov. 13, 2009)
       
       
3. Product Monographs
   
   
   1. Fluviral
      
      
   2. Vaxigrip
      
      
   3. Pneumo 23
      
      
   4. H1N1 adjuvanted Vaccine  - Product Information Leaflet
      
      
   5. Guidance Document on the Use of Pandemic H1N1 Vaccine
      
      
   6. Panvax* H1N1 Vaccine (Unadjuvanted) Product Information (New Nov. 1, 2009)
      
      
   7. Panvax* H1N1 Vaccine (Unadjuvanted) Product Leaflet (New Nov. 1, 2009)
      
      
   8. H1N1 Unadjuvanted Vaccine - Product Information Leaflet (Added Nov. 13, 2009)
      
      
   9. Guidance Document on the Use of H1N1 Unadjuvanted Vaccine (Added Nov. 13, 2009)
      
      

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