Question

An auxiliary nurse midwife has to conduct a vaccination camp in a village. She received 2 open vials, one of which is a pentavalent vaccine and the other is an MR vaccine. What can she do regarding the utilization of these vials? 

• A. Use MR vaccine and discard pentavalent vaccine
• B. Use both
• C. Use pentavalent vaccine and discard MR vaccine
• D. Discard both

Answer 1

The Correct Option is C

In the context of a vaccination camp, the utilization of vaccine vials is governed by certain guidelines to ensure safety and efficacy. The relevant guidelines for the auxiliary nurse midwife are:

1. Pentavalent Vaccine: This vaccine is typically stable when opened and can be used for a certain period, often up to 28 days, if proper cold chain is maintained and the vial is handled aseptically.
2. MR Vaccine: The Measles-Rubella (MR) vaccine is more sensitive and typically cannot be used after multi-dose vials are opened beyond the same day, as its efficacy is compromised once reconstituted.

Given these guidelines, the nurse should proceed as follows: Use the pentavalent vaccine while ensuring it is within the permissible usage period post-opening and stored correctly. On the other hand, discard the MR vaccine to prevent administering an ineffective or unsafe dose. This approach aligns with the safe vaccine practice to ensure maximal efficacy and patient safety.

Conclusion: Use the pentavalent vaccine and discard the MR vaccine.