Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

Annex 31Recommended Immunization PracticesWork with the local EPI representative to give refresher training to the vaccinator teams that will conductthe emergency immunization activity. At a minimum, make sure vaccinator teams know how to:1. Reconstitute the vaccine correctly:— Determine the appropriate quantity of diluent to reconstitute the freeze-dried vaccine.— Use a sterile syringe and sterile needle.— Draw up and expel the diluent several times in the vial that contains the vaccine.2. Wrap the vial in silver foil or cover it with a dark cloth. This will protect the vial from sunlight.3. In a field situation, protect the vaccine and diluent from contamination. Cover the open top of the vialwith foil to keep out dirt and flies.4. Place the vaccine immediately into a cup of ice, or stand it on an ice pack. Keep the ice and vaccines inthe shade.5. Give instructions for use of injection techniques. Review with health staff the need to plan vaccinationcampaigns.6. Do not discard the reconstituted vaccine at the end of the session. Follow national policy for usingopened vials.7. Record the dose on an immunization card for each person immunized, if it is national policy to requirevaccinated persons to have a card.8. Collect data for monitoring the activity. For example, record the number of doses given on a tally sheetso that coverage from the campaign can be calculated.9. Remind health workers about the risk of getting blood-borne diseases from an accidental needle stick.Review safe practices for handling and disposing of sharp instruments and needles.10. Arrange for safe disposal of used injection materials at the end of the activity. They can beburned or buried in a pit.Annex 31: Recommended Immunization Practices209