Influenza Clinic Volunteer Orientation

1. Influenza Clinic Volunteer Orientation 2013-2014

2. Introduction to Operation Immunization Leadership Operation Immunization Co-Chairs- Michelle Hancock, Melissa Sanders Operation Immunization Committee Leaders- Kathleen Drobnicki, Carline Joseph, Alex Miller, Verona Xhixhi Operation Immunization Advisor- Dr. Ohri, Dr. Castillo Shoo the Flu Vaccine Clinic Coordinator- Sue Weston OISSE- Kate Martens Stricklett Additional Event Coordinator- Dr. O’Brien

3. Introduction to Operation Immunization • Activities • Vaccination Clinics • Screening, Education & Promotion Events

4. Introduction to Operation Immunization:Vaccine Clinics • Shoo the Flu at CU • Community Engagements • Doses from the Dean

5. Introduction to Operation Immunization: Screening, Promotion & Education • Goal: Spread awareness of certain disease states preventable through immunizations in children, adolescent, adult, and elderly populations

6. Introduction to Operation Immunization: Screening, Promotion & Education • Binational Health Week Events • Youth Emergency Services (YES) Clinic • Holy Family Church Clinic • Joy of Life Ministries • Mexican Consulate

8. Introduction to Operation Immunization: Screening, Promotion & Education • Vaccine-Preventable Diseases • Vaccine Promotion

9. Introduction to Operation Immunization: Screening, Promotion & Education • Opportunities to get involved • “Shoo the Flu at CU” advertising campaign • Vaccine promotion poster creation

10. How to Volunteer • Clinic Dates • Eventbrite • Approved for Service Hours

11. How to Volunteer: Clinic Dates

12. How to Volunteer: Registration • OISSE • Eventbrite • Community Engagement Cues

13. Operation Immunization Training Video

15. Special Circumstances • Addressing Patient Anxiety • Emergency Response • Fainting • Needlestick • Anaphylaxis

16. Special Circumstances:ABCs of Addressing Patient Anxiety • A = Assess your patient – Look for signs of anxiety (patient admits to fear or history of fainting; joking but appears nervous; pale, trembling; resisting vaccination) • B = Be prepared and empathetic– Practice what to say & do to help nervous patients; No razzing! • C = Comfort– Offer privacy and support; Ask supervisor/another vaccinator/ patient’s companion to assist you in supporting patient through process (hand on shoulder or hold patient’s hand); Care for behind screen • D = Distraction– Ask patient about school, work……… Chat about trivia / Tell a joke; Ask patient to try whistling – Afterwards: Compliment patient on bravery in going through with vaccination even when nervous; Review benefits of vaccination

17. Special Circumstances:Emergency Response - Fainting • Fainting:- Patient becomes pale or dizzy, especially upon rising from chair; may indicate that they are feeling “funny” • Action: - Help person to sit back securely, and support to prevent falling OR help person to lay on the floor and elevate feet • Notify supervisor immediately • The patient will typically recover within a few minutes, but should not be released to leave until checked by the clinic faculty or staff supervisor.

18. Special Circumstances: Emergency Response – Needle Stick • Needle Stick – injection of a used needle onto or below the skin of a person other than the individual just injected with the needle- Exposure to bloodborne pathogens is possible with any such exposure regardless of knowing the vaccinee, or the extent of exposure (volume or how deep under the skin) • Seek assistance of supervisor immediately with any such exposure • Next step will be to clean the area thoroughly with soap and water. Supervisor will direct further action.

19. Special Circumstances:Emergency Response - Anaphylaxis • Symptoms of concern may present as rapid onset itching, skin redness, swelling/hives; sneezing, hoarseness, wheezing, increasing breathing difficulty; passing out • Seek assistance of supervisor immediately • Epi Pen: An auto-injector used for the emergency injection of epinephrine, medicine used for life-threatening allergic reactions- Must always be available during clinic. Supervisor will direct on use, and on triggering of 911.

20. For more information go to: www.epipen.com

22. FluMist

23. Influenza Vaccines Two types of influenza vaccine: 1. Inactivated vaccine - Does not contain live virus components - Administered by injection • Live, attenuated vaccine - Contains weakened virus (quadrivalent) - Administered in a Nasal Spray. Available in Student Health—$20/dose

24. INACTIVATED INFLUENZA VACCINATION CONSENT FORM 2013-2014 Circle one 1. Is this the 1st flu vaccine you have received? YES NO 2. Are you under 19 years of age? YES NO 3. Do you have a fever or active infection today? YES NO Do you have a history of Guillain-Barre Syndrome YES NO (severe paralytic illness)? 5. Do you have a severe (life threatening) allergy to the following? A. Eggs or chicken? YES NO B. Thimerosal (mercury derivative)? YES NO 6. Have you had a severe allergic reaction to any vaccine? YES NO If yes, explain: ______________________________________________________ “I have had a chance to ask questions that were answered to my satisfaction. I believe that I understand the benefits and risks of the Fluvirin® vaccine and ask that the vaccine be given to me or to the person named below for whom I am authorized to make this request.” NET ID: ____________________________________ DATE OF BIRTH: ______/______/______ NAME: LAST FIRST MI Signature of person to receive vaccine or person authorized to make request (parent or guardian) X______________________________________ DATE: ______________ Lot: ________________ Exp: 5.31.2014 VIS: 07.26.2013 Injection site: L / R deltoid Administered By:_________________________________________________________________DATE:____________________ 08.2013 Student/Staff Student Health Services

25. Thank you! Questions? Please contact: Michelle Hancock MichelleHancock@creighton.edu Melissa Sanders MelissaSanders1@creighton.edu Dr. Ohri LindaOhri@creighton.edu Sue Weston sweston@creighton.edu