Expanded Program on Immunizations

Expanded Program on Immunization (Approved by DOH) Vaccine | Minimum Age at 1st Dose | No. of Doses | Dose | Minimum Interval Between Doses | Route | Site | Reason | Reaction and Management | Nursing Roles and Responsibilities | Bacillus Calmette-Guérin (BCG) | Birth or anytime after birth | 1 dose | 0.05 mL | none | ID | Right deltoid region of the arm | BCG given at earliest possible age protects the possibility of TB meningitis and other TB infections in which infants are prone[3] | Pus formation in the injection site. Pain, swollen glands, aching bones and muscles and fever.Management: TSB | * Maintain a master list of eligible children for immunization. * Administer immunization following the protocols in right administration of vaccines (right dose, right route, right schedule and interval, and proper utilization of cold chain). * Infuse proper aseptic technique and infection control (one syringe: one child and proper disposal of syringes) * Provide health teachings regarding EPI i.e. scheduled immunization activity to enhance the awareness of community and motivate them to adhere with the campaigns. * Conduct visits in the community to assess their needs and to identify cases of EPI diseases. * Have an updated record of children who had received immunization and the like and report cases if there is. | Diphtheria-Pertussis-Tetanus Vaccine (DPT) | 6 weeks old | 3 doses | 0.5 mL | 4 weeks | IM | Upper outer portion of the thigh, Vastus Lateralis (L-R-L) | An early start with DPT reduces the chance of severe pertussis.[4] | Soreness at the site of vaccination, fever and tiredness sore musclesManagement:1st 8 hrs: Cold Compress2nd 8 hrs: Hot Compress | | Oral Polio Vaccine (OPV) | 6 weeks old | 3 doses | 2-3 drops | 4 weeks | Oral | Mouth | The extent of protection against polio is increased the earlier the OPV is given.
Keeps the Philippines polio-free.[5] | _ | | Anti Hepatitis B Vaccine (Hepa B) | At birth | 3 doses | 0.5 mL | 6