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JMJMarist BrothersNotre Dame of Dadiangas UniversityCollege of Nursing ________________________________________________ A Ward Class Lesson PlanOnImmunization ________________________________________________ Presented to:Ms. Claire Espiritu, RNMs. Eleanor Caballero, RNCLINICAL INSTRUCTORIn Partial Fulfillment of the Requirements inNursing Care Management 102-BPresented by:Jeande Lee Sasam, SNJoanna Paula Songcayauon, SNLevel III Section BMEIN BENENNEN 2010January 19, 20092

Semester S.Y. 2008-2009

IMMUNIZATION (VACCINATION)Overview

At birth, infants have protection against certain diseases becauseantibodies have passed through the placenta from the mother to the unbornchild. After birth,breastfedbabies get the continued benefits of additionalantibodies in breast milk. But in both cases, the protection is temporary.Immunization (vaccination) is the process by which vaccines areintroduced into the body before infection sets in. Vaccines are administered toinduce immunity thereby causing the recipient’s immune system to react to thevaccine that produces antibodies to fight infection. Vaccinations promote healthand protect children from disease-causing agents. Infants and newborns need tobe vaccinated at early age since they belong to the vulnerable age group. Theyare susceptible to childhood diseases.

TARGET DISEASES

1.tuberculosis2.diphtheria3.pertussis4.tetanus5.poliomyelitis6.measles7.hepatitisA child is “Fully Immunized Child” when a child receives one dose of BCG, 3doses of OPV, 3 doses of DPT, 3 doses of Hepa B and one dose of measlesbefore a child’s birthday.

TETANUS VACCINEDescription:

The tetanus vaccine is an inactivated toxin (poison) called a toxoid.It is made by growing the bacteria in a liquid medium and purifying andinactivating the toxin. Because it is not a live vaccine, a person's immunity tendsto decline with time, which is why booster doses are recommended.

Indication:

To actively immunize all children from the age of 6 weeks onwards.

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To protect infants against the risks of tetanus neonatorum by immunizingpregnant mothers.

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To actively immunize civil population particularly those who are exposedto occupational risks such as road workers, athletes, agricultural workers,industrial workers etc.

To actively immunize civil and defense personnel, home guardsand police personnel.

Dosage:

The full basic course of immunization against tetanus toxoid consists of three primary doses of 0.5ml at least four weeks apart, followed by booster dosesat 18 months, 5 years, 10 years and 16 years and then every 10 years.

Protection of the newborn against tetanus:

For prevention of neonatal tetanus, tetanus toxoid is recommended for immunization of women of childbearing age, and especially pregnant women.Tetanus toxoid may be safely administered during pregnancy and should begiven to the mother at first contact or as early as possible in pregnancy.

Administration:

The vaccine should be administered by deep intramuscular injection.Tetanus toxoid should be injected intramuscularly into the deltoid muscle inwomen and older children. If there are indications for the use of tetanus toxoid in