Immunization and OPD services

Immunization program :

1)Separate room for immunization close to Paediatric OP
2)Person assigned for immunization - trained staff only
3)Person for monitoring
4) Person responsible for lifting and transporting from vaccine storage centres
5)Display of National Immunization schedule outside Paediatric op and in PN,POP and Children wards, outside LR - in Tamil also
6)Register maintenance - vaccine inventory , immunization list , Birth dose administration for in borns
7)Temperature monitoring chart
8)Responsible person for maintenance of ILR and monitoring temperature
9)Fixed time schedule for immunization
10)AEFI management kit
11)Display of management of AEFI
12)Immunization card . In borns must be issued a card or record along with mother's discharge summary
13)Trainining in Cold chain maintenance and about Immunization and vaccines
14)Staff competency testing
15)preventive maintenance of cold chain equipment and calibration of thermometer
16)Power back up for ILR
17)Control chart - for temperature maIntenance
18)Staff should know to answer all questions on vaccines, storage,administration etc.
i)Which are the vaccine preventable diseases in children
ii) which are the Birth dose vaccines and when given
iii)what is the temperature maintained in ILR
iv)how are vaccines and diluents stored in ILR- a display of the storage essential
v)Vaccine sensitivities- Heat, Freeze and Light sensitivities
vi)what is VVM
vii)what is Shake test and how done
viii)How to monitor viability of vaccines
ix)what is Cold chain
x)cold chain equipments available in hospital
xi)Transport of vaccines from vaccine storage centre - carrier used ?
xii)AD syringes
xiii)Policy for Multiple dose vials
xiv)Site of vaccination and dose
xv)how long the vial can be used after re-constitution with diluent -time of reconstitution  should be written on the vial
xvi)which are the newer vaccines
xvii)what is AEFI and management and reporting
xviii)what is Conditioned ice packs
xix)maintenance of cold chain equipment and trouble shooting
xx)Disposal of expired , spoilt and unused vaccines - BMW management
xxi)Safe injection practice for vaccination - display can be done
xxii)how long temperature is maintained in ILR in case of electricity failure
xxiii)vaccine inventory management
xxiv)handling vaccines during immunization session

OP:

1)Examination room to be available
2)Display of OP services and directional signage s
3)National programs- separate clinics and responsible persons for each
Adolescent, elderly, tb,leprosy, ncd, family planning, IUCD, RBSK etc - timings, registers, protocols and IEC for all national programs must be available
4)Injection OP- check privacy , storage of injections , storage of adult vaccines in refrigerator , ppe usage , BMW management ,emergency drug tray, crash cart, equipments like suction, nebulizer etc., Standard precautions - handwash and asepsis, safe Injection practices
5)Dressing room- autoclave register, sterilized tray sets, suturing sets, register, BMW management
6)Counseling rooms for counselors in hiv, adolescent, family planning etc.
7)Stretcher and wheel chair bay in OP
8)OP registration counter-revolutionary separate ques for male, female and elderly .
9)OP in charge MO, staff