meningococcal (types A and C), rubella, rubeola, and TB skin hypersensitivity testing.
AR 40-562 gives details of requirements, dosages, and administration. Additional
information on immunizations and immunizing agents may be found in TB MED 114.
Copies of these two publications governing the administration of immunization to
members of the Armed Forces and their dependents must be kept readily available at
all locations where immunizing agents are administered. Every medical specialist who
gives immunizations must read and be very familiar with the contents of these
directives.
b. Intervals. The intervals for giving immunizations are prescribed in
AR 40-562. They are minimum intervals and must never be shortened. If a series is
interrupted before completion, it should not be started again but should be completed by
giving the remaining injections, regardless of time lapse. If a period longer than that
prescribed between stimulating (booster) doses has elapsed, the initial series is not
repeated. Once a basic series is completed, it need not be repeated because a
stimulating dose is adequate; the single, small booster dose renews the production of
antibodies to an effective immunizing level.
c. Immunization Record (SF 601). The Immunization Record (SF 601 form is
prepared (in an original copy only) for all military personnel when the initial series of
immunizations is given. All immunizations are recorded on this form and kept in the
health record. It is the official record of an individual's immunizations and related data
and the source of information for completing the Immunization Certificate.
d. Immunization Certificate. A Public Health Service Certificate (International
Certificate of Vaccination, PHS Form 731) is prepared for all individuals receiving
immunizations. Military personnel must carry this form when performing international
travel. Nonmilitary personnel retain PHS Form 731 as their official record of
immunizations received.
3-4.
PROCEDURE FOR ADMINISTERING AN IMMUNIZATION
Whenever immunizations are given, a military or civilian member of the medical
department must be present. This person must be trained and qualified in emergency
resuscitative techniques. Follow the local SOP, AR 40-15, AR 40-562, and
TB MED 114.
a. Interview Patient. The patient should bring the records mentioned above.
Perform the following steps as part of the immunization procedures.
(1) Refer to the Immunization Record or Certificate to determine what
immunizations are needed. (This could include a physician's order or a requirement to
go overseas.)
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