OVERVIEW

• Vaccines: Traditional Vs: mRNA

• Preparation: Know what you need!
• PPE
• Safety
• Injections: Getting comfortable drawing up
from vials
• County Protocols/Policies
Science 27 Nov 2020: Vol. 370, Issue 6520, pp. 1022
DOI: 10.1126/science.370.6520.1022
COVID – 19 VACCINES

• GO TO THE BOARD

• INJECTION REVIEW
FROM ON LINE MODULE
 Prior to Vaccine Paperwork

• Provide “Vaccine Information Sheet”

• Make sure consent has been
obtained.
• Make sure screening questions have
been answered
 Medication

• Review and confirm Medication

Manufacturer: Pfizer, Moderna, other
Lot Number
Expiration Date
 Medication

• Review and confirm Medication

6 Rights
Right Patient, Right Medication, Right Dose
Right Route, Right Time,
Right Documentation
 Contraindications/Precautions

• Review and Confirm

Do not administer vaccines to anyone who has
had an allergic Rxn, or Anaphylactic Rxn to a
Prior dose of that vaccine or any of it’s
ingredients.
 Contraindications/Precautions

• Review and Confirm – INFLUENZA VACCINE

NO VACCINE GIVEN TO
Pregnant, allergic to eggs/chickens
Hx of Guillain Barre disease
Another vaccine in last 30 days
Allergic to ANY ingredient in vaccine
Children less than 14 yo.
 Contraindications/Precautions

• Review and Confirm – INFLUENZA VACCINE

EMT’S DO NOT GIVE VACCINE TO ANYONE UNDER

14 YEARS OLD!!!!
 Contraindications/Precautions

• Review and Confirm – COVID-19 VACCINE

NO VACCINE GIVEN TO :
Severe allergic Rxn to any component of vaccine

Persons with severe allergic Rxn to any vaccine

or injectable therapy (IM, IV, SC) should not receive
Pfizer vaccine
EQUIPMENT AND PREPARATION
BE PREPARED!!!

Needle Size
23 – 25 g
Appropriate sized syringe
1 to 1.5 inches in length: vary on Pt size
Alcohol prep swabs
Bandaids and guaze
 EQUIPMENT AND PREPARATION

Prefilled syringes, or multi dose vials

If needed gently invert 10 times: DO NOT SHAKE
If no needle attached, screw on and tighten
securely
If single dose, deliver all
If multi-dose, withdraw and deliver exactly 1 dose
 PPE

• Maintain aseptic technique when administering the influenza

vaccine.
• Wash hands prior to beginning vaccine administration process.
• Don appropriate level of PPE
– note: COVID-19 requires additional PPE for vaccinators which
may include: a surgical or N95 mask and eye protection (goggles
or a face shield)
• To prevent syncope, vaccinate patients while they are seated or
lying down
• Cleanse the area of the deltoid muscle with the alcohol prep.
 PPE

• PPE may include one or more of the following:

• Gloves
• Goggles or face shield
• Face mask (surgical or N95)
• Gown
 SITE ADMINISTRATION

• Identify
appropriate deltoid
administration site:
• 2-3 finger widths
down from the
acromion process
• Bottom edge is
imaginary line
drawn from axilla
ADMINISTERING VACCINES

SKILLS
Finding Acromion Process and
Injection Site
Z track method practice
ADMINISTERING VACCINES

SKILLS
• SAFETY
• LOADING SYRINGE
Z-Track How to Video
 ADMINISTERING VACCINES

Insert needle at 90 degree angle

Do not aspirate prior to injection
Inject into muscle - wait a few seconds
Withdraw needle and apply pressure to site
Apply safety to needle and dispose in sharps
container
DO NOT RECAP NEEDLES BY HAND!!!
 ADMINISTERING VACCINES

Monitor patient for allergic rxn

Follow Instructions for directing

patients to Observation Area
 DOCUMENTATION

Date, Name, Patient Consent, Inj site,

Vaccine Lot #, Vaccine manufacturer
Complete all appropriate
documentation
 TEST TIME

The link for the final test has been

texted to you.

Thank you!