3.1 Clean hands with 70% alcohol-based antiseptic, when there is no visible dirt, or wash with soap and water, in cases of dirt. If necessary, put on procedure gloves (presence of open lesions on the hands or risk of contact with body fluids), changing and cleaning hands between users. |
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3.2 Choose syringe size according to the volume of the vaccine to be administered and choose needle length and gauge according to users’ biotype. |
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3.3 Check vaccine name, liquid integrity and expiration date. |
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3.4 Show users the vial and read along with them the name of the vaccine to be administered and the expiration date. |
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3.5 Remove the seal from the vaccine vial with the aid of rat-tooth forceps or the staple extractor and clean the rubber of the vial with dry cotton. |
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3.6 Attach a 25x7.0 dec/mm, 25x8.0 dec/mm needle to the syringe and introduce it into the vial. |
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3.7 Homogenize the liquid, rotating the flask in one direction and without producing foam, until a uniform suspension is obtained. |
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3.8 Place the syringe in a vertical position, at eye level, aspirate the liquid corresponding to the dose to be administered and eliminate the air with the needle still inside the vial, immediately before its application. |
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3.9 Replace the 25x7.0 dec/mm or 25x8 dec/mm needle with a 25x6.0 dec/mm or 20x5.5 dec/mm needle, according to users’ biotype and keep it protected. |
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3.10 Pack the syringe in the thermal box. |
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3.11 Position the upper limb aligned with the body with the shoulder relaxed and the forearm on the abdomen. |
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3.12 Locate the deltoid muscle by identifying the acromion, mark 3 cm below the acromion and draw an imaginary triangle with the base facing upwards. |
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3.13 Take the ice pack from the freezer, attach it to the back of the portable high-frequency vibration device and place it in contact with the skin, in the center of the imaginary triangle, where the vaccine will be administered. Fix the vibration device associated with the ice pack with the tourniquet that comes with said device, turn on the vibration button and time 30 seconds. After that time, with the device still on, slide the device about 2 cm above the vaccine administration site. |
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3.14 Administer the vaccine using the Z technique. |
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3.15 Introduce the needle into the deltoid muscle in the center of the imaginary triangle, at a right angle (90º) with lateral bevel. |
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3.16 Do not vacuum. |
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3.17 Maintain Z technique while administering the vaccine rapidly. |
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3.18 Withdraw the needle with a quick, firm movement and undo the Z technique. |
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3.19 Activate the safety system on the needle, if applicable. |
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3.20 Place dry cotton and maintain light pressure on the vaccine administration site. |
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3.21 Disconnect and remove the vibration device associated with the ice pack. |
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3.22 Do not rub the vaccine administration site. |
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3.23 Observe if there is bleeding at the vaccine administration site, if necessary, maintain compression until the bleeding stops. |
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3.24 Observe user reactions, be aware of immediate adverse events. |
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3.25 Dispose of the syringe with the needle in the sharp puncture box. |
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3.26 Remove the cotton and dispose of it in the infectious waste. |
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3.27 Apply absorbent covering over the vaccine administration site. |
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Application room: post-vaccination
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4.1 Dispose of the syringe and needle packaging in the common trash. |
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4.2 Dispose of the bottle in an appropriate place, in accordance with legislation. |
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4.3 Clean the hands with soap and water, according to the institution’s standard operating procedure for hand hygiene. |
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4.4 Sign the name in full, legibly, on the vaccination card and return it to users. |
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4.5 Instruct users to remain seated in the unit’s premises for 15 minutes for observation. |
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4.6 Clarify doubts. |
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4.7 Dismiss users. |
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4.8 Disinfect the portable high-frequency vibration device with 70% alcohol. |
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4.9 Disinfect the gel bag with 70% alcohol and return it to the freezer. |
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4.10 Clean the hands with soap and water, according to the institution’s standard operating procedure for hand hygiene. |
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