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Immunization Administration

  1. Perform hand hygiene.
  2. Verify the patient's identity using two patient identifiers in accordance with institutional policy.
  3. Provide the newborn with sucrose analgesia both pre- and post-procedure as required.
  4. Cleanse the top of the vial with antiseptic and draw ordered dose of vaccine into the syringe.
  5. Perform hand hygiene and apply clean gloves.
  6. Expose one of the newborn's legs from thigh to foot and identify the vastus lateralis muscle. Secure the leg under the thigh for support and cleanse the area with antiseptic.
  7. Pinch the skin gently around the selected injection site and insert the needle of syringe at a 90-degree angle.
  8. Aspirate gently to check for blood return. If no blood return, slowly inject the medication directly into the muscle. If blood is returned upon aspiration, remove the needle and discard medication, syringe, and needle in proper receptacle bins. Prepare a new syringe and begin again.
  9. Remove the needle and syringe slowly once medication has been administered, maintaining a 90-degree angle.
  10. Pull the needle guard over needle, if applicable, and immediately dispose of the needle in the appropriate sharps container.
  11. Apply 2×2 gauze and gentle pressure over the injection site. Apply adhesive bandage, if required.
  12. Remove gloves and discard with supplies in proper trash receptacles. Perform hand hygiene.
  13. Document the procedure in the patient's record.