(TETOX) TETANUS TOXOID VACCINE

Type of Vaccine:

Weakened toxin

Form of Vaccine:

Liquid vaccine

Minimum Age at 1st Dose:

As early as possible during pregnancy

Number of Doses to Complete the Immunization:

5 doses ( TeTox 1 – TeTox 5 ) TeTox 2 is the minimum required immunization during pregnancy

Number of Doses per Ampule:

10 or 20

Dosage:

0.5 ml

Route of Administration:

Intramuscular

Site of Administration:

Outer upper arm

Storage Temperature:

2 C to 8 C ( in the body of refrigerator ) Note: (Never freeze).

Side Effect:

• Fever in the evening after receiving the injection.
• Soreness, woman may have pain, redness or swelling and warmth at the injection site.

Contraindication:

Anaphylactic reaction to previous dose

Health Teaching:

• NO MEDICATION FOR PREGNANT
• For Pain cold compress 24 hrs to warm compress

Giving Tetanus Toxoid ( TeTox ) Vaccine

• Shake the vial.
• Clean the skin with a cotton ball, moistened with water and let skin dry.
• Place your thumb and index finger on each side of the injection site and grasp the muscles slightly. The best injection site for a woman is outer side of the upper arm.
• Quickly push the needle, going deep in to the muscle.
• Slightly pull the needle back to be sure it is not into a vein.
• Inject the vaccine, withdraw the needle and press the injection spot quickly with a piece of cotton.

Role of A Nurse In Improving the Delivery of Immunization in the Community. As a nurse you need to:

• Actively master list infants eligible for vaccination in the community.
• Immunize infants following the recommended immunization schedule, route of administration, correct dosage and following the proper cold chain storage of vaccines.
• Observe aseptic technique on immunization and use one syringe and one needle per child. This reduces blood-borne diseases and promote safety injection practices.
• Dispose used syringes and needles properly by using collector box and disposing it in the septic vault to prevent health hazard.
• Inform, educate and communicate with the parents
• To create awareness and motivate to submit their child for vaccination.
• To provide health teachings on the importance and benefits of immunization, importance of follow up dose to avoid defaulters and normal course of vaccine.
• To inform immunization schedule as adopted by local units.
• Conduct health visits in the community to assess other health needs of the community and be able to provide package of health services to targets.
• Identify cases of EPI target diseases per standard case definition.
• Manage vaccines properly by following the recommended storage of vaccines.
• Record the children given with vaccination in the Target Client list and GECD/GMC or any standard recording form utilized.
• Submit report and record of children vaccinated, cases and deaths on EPI diseases, vaccine received and utilized and any other EPI related reports.
• Identify and actively search cases and deaths of EPI target diseases following standard case definition.