Providing vaccines is one of the most important health promotion activities that we do. However, it involves much more than just putting in the orders for the various vaccines. In this podcast episode, we will briefly review how vaccines work, the types of vaccines, what you need to do before the visit, what you should review with families before ordering the vaccines (including precautions and contraindications), and anticipatory guidance about vaccines. We will also talk a little bit about how to handle vaccine hesitancy.

List of pediatric vaccines
How vaccines work
Harmless piece of the pathogen that is enough to create immune response
Explaining how vaccines work to parents
Emphasis on protecting the community, not just one person
Analogy of vaccine being like a software update
Analogy of vaccine being like a flame retardant that stops a fire from spreading
Analogy of vaccine being like an insecticide that stops bugs from spreading




Types of vaccines
Live, attenuated vaccines – cannot be given to patients with immunocompromise
Vaccines without live, attenuated pathogen – includes mRNA vaccines
RSV vaccines
Vaccine for older adults and pregnant adults
Monoclonal antibody for infants




What you need to do before the visit
Review the vaccine record
Review the medical record for vaccine contraindications


What you should review with families before ordering the vaccines (including precautions and contraindications)
Current or recent illness
Allergies
Problems with vaccines in the past
Chronic disease
History of intussusception, seizures, neurological problems
History of blood transfusion, immunoglobulin or antiviral medications
Pregnancy


Anticipatory guidance about vaccines
Common side effects are a sign that vaccines are working
Treatment of fever


How to handle vaccine...

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