B–6. Standard #6 training
a. Persons who administer vaccines must be appropriately trained.
b. Medical personnel administer vaccines after training to a standard acceptable to the MTF commander, command surgeon, or other appropriate medical authority. Training will include vaccine storage and handling, vaccine characteristics, patient interviewing techniques, distinguishing valid and invalid contraindications, injection technique, documentation, managing and reporting of adverse events, and anaphylaxis.
c. Persons who administer vaccines complete at least 8 hours of annual continuing education and training on current immunization recommendations, schedules, and techniques. Training resources include resident courses, the self–paced project immune readiness (http://www.vhcinfo.org), and video training from CDC.
d. Persons who administer vaccines have ready access to information resources regarding
d. Persons who administer vaccines have ready access to information resources regarding current recommendations for childhood, general adult, travel, and military–specific immunizations.
B–7. Standard #7 adverse events after immunization
a. Epinephrine (such as auto–injectable epinephrine), properly stored, is readily available along with other supplies determined locally.
b. Staff members have ready access to reporting options for the VAERS.
c. A quality improvement process assures adverse events are reported to VAERS promptly.
d. Persons who administer vaccines are close to a telephone or radio, so emergency medical personnel can be summoned. Medical providers document adverse events in the health record at the time of the event or as soon as possible thereafter.
