c. Perform Handwash. Perform patient care handwash.
d. Obtain Immunizing Agent. Vaccines are kept in a refrigerator or other
designated storage area. The proper storage temperature of different vaccines is found
on their labels and must be adhered to in order to keep them safe for administration.
Some vaccines contain live organisms and must remain frozen. Since a considerable
amount of variation exists between storage temperatures and potency periods for these
vaccines, it is essential to review the instructions on the labels for each vaccine. Check
the clinic SOP regarding proper storage of preconstituted and reconstituted vaccines.
All other equipment for administering immunizations will be available in a specific
location within the clinic.
e. Check Label for Expiration Date.
(1) The labels of all immunizing agents have an expiration date. The
expiration date is the last date the vaccine may be used.
(2) Vaccines or other immunizing agents must not be used after the date of
expiration. Expired agents must be disposed of in accordance with local policy.
(3) If vaccine is outdated, obtain new vaccine and discard or return outdated
vaccine IAW local policy.
f. Examine Vial and Contents.
(1) Check the agent for unnecessary or unusual particles, clotting,
discoloration, evidence of bacterial growth, or abnormal appearance.
Do not use the agent if anything unusual is observed.
(3) Consult your supervisor or the pharmacy if you find any evidence of the
above mentioned problems with the vaccine.
g. Draw Up Required Amount of Immunizing Agent.
(1) To determine the amount of immunizing agent required, refer to AR
40-562, check the local clinic SOP, check the supervisor's directive, or check the
(2) If directed to draw the vaccine, have the supervisor check the dosage
prior to administration.
Use a different sterile needle and syringe for each individual.
h. Select Site Administration. Determine appropriate site and route for