Immunotherapy Safety for the Primary Care ... - U.S. Coast Guard

ONGOING COMPETENCY ASSESSMENT OF UNIT SPECIFIC SKILLS & PROCEDURES: Allergy and Immunology
CRITICAL BEHAVIOR
(SOURCE OF PERFORMANCE STANDARD)
*Self
Assess
+Eval
Method
Validator’s Signature Day/Month/Year Comments
3. Patient Care:
IMMUNOTHERAPY/IMMUNIZATIONS
A. Assures a physician order is available prior to administering
immunotherapy/immunizations.
B. Screens patient’s records for required immunotherapy/
immunization(s).
C. Documents date, vial/lot number, amount, manufacturer and
site of vaccine to be given as appropriate for vaccination.
D. Measures pulmonary function IAW clinic policy.
E. Assures educational needs are met IAW clinic policy.
F. Obtains appropriate vaccine(s) and gathers supplies for
administration.
G. Checks expiration date on vaccines and diluents.
H. Dilutes appropriately and draws up right vaccine and dose.
I. Explains the procedure to patient.
J. Reviews and clarifies screening questions (immunodeficiency,
allergies, pregnancy, worsening symptoms, new medications).
K. Appropriately refers to HCP, if needed.
L. Washes or sanitizes hands between patient contacts and uses
proper aseptic technique.
M. Carefully check and administer vaccine(s) utilizing the five
(5) rights to giving medications.
N. Cleanses the site “center to outward”, approximately 2”
around it. Allows the site to dry.
O. Inserts the needle at the correct angle to the skin for SC or for
IM as appropriate to the immunotherapy/vaccine.
P. Aspirates prior to injecting vaccine.
Q. Applies gentle pressure to injection site for several seconds
after each injection. Does NOT rub immunotherapy site.
R. Properly disposes of needle, syringe and empty vials in
sharps container.
CRITICAL THINKING: Recognizes unique needs of toddlers through geriatric patients and performs
examinations/procedures accordingly. Gathers age and diagnosis appropriate supplies and equipment. Explains all
examinations/procedures in an age appropriate manner according to the level of understanding of the patient and the
family. Approaches patient in professional and non-threatening manner. Serves as a chaperone for physical exams as
needed. Provides reassurance to patient and family.
CRITICAL THINKING: Recognizes appropriate size needle gauge and length based on patient’s age and size considering
the route of administration.
CRITICAL THINKING: Focus on the right medication (age specific vaccine, IT prescription#, allergen contents,
concentration), right dose (age/dose specific, VIT vs AIT), via the right route to the right patient at the right time interval.
Name: ____________________________________
3
*Self Assessment: E = Experienced NP = Needs Practice ND = Never Done NA = Not Applicable (Based on Scope of Practice)
+Evaluation Method: V = Verbal D = Demonstrated PE = Practical Exercise L = Lecture or Video