Risk Management & Mitigation Flashcards
7 cards from real APHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Management & Mitigation flashcards as text
Shoulder injury related to vaccine administration (SIRVA) is primarily caused by which error?
Answer: Injecting the vaccine too high on the deltoid, depositing it into the subdeltoid bursa
SIRVA occurs when vaccine is injected too high on the arm, entering the subdeltoid bursa rather than deltoid muscle, causing inflammatory shoulder injury.
A pharmacist is counseling staff on epinephrine use in anaphylaxis management. Which statement about epinephrine is CORRECT?
Answer: Epinephrine 1:1,000 administered IM into the anterolateral thigh is the first-line treatment for anaphylaxis
Epinephrine 1:1,000 (0.3–0.5 mg) administered IM into the outer thigh is the first and most critical treatment for anaphylaxis.
Which of the following represents a valid contraindication to ALL live attenuated vaccines?
Answer: Moderate-to-severe combined immunodeficiency (SCID)
Severe immunodeficiency, including SCID, is a contraindication to all live attenuated vaccines due to the risk of vaccine-strain infection.
What is the purpose of maintaining a vaccine temperature log, and how does it support risk management?
Answer: It provides documentation to identify excursions early, prevent use of compromised vaccines, and support insurance claims
Temperature logs detect excursions early so compromised vaccines can be discarded, preventing ineffective vaccination and supporting regulatory and insurance documentation.
A patient presents with a moderate acute illness and fever of 102°F. How should a pharmacist approach scheduled vaccination?
Answer: Defer non-urgent vaccines until the illness resolves to avoid masking adverse events and to respect precaution guidelines
Moderate-to-severe acute illness with fever is a precaution; non-urgent vaccines should be deferred until recovery to avoid confusing illness symptoms with adverse events.
Which element of informed consent is most critical to document before administering an immunization?
Answer: Patient's acknowledgment of risks, benefits, and alternatives after receiving the VIS
Informed consent requires that the patient receive and acknowledge the VIS, understand the risks, benefits, and alternatives, and agree to the vaccine before administration.
Which CDC program provides guidance on proper vaccine storage and handling to minimize risk of vaccine failure?
Answer: CDC's Vaccine Storage and Handling Toolkit
CDC's Vaccine Storage and Handling Toolkit provides comprehensive, evidence-based guidance on equipment, temperature monitoring, and best practices to prevent vaccine failure.