Pemberian Imunisasi BCG - Video OSCE | HMKU FK Unud

Summary

In this video script, Dr. Eka explains the BCG vaccination process to a mother, Ibu Mega, for her one-month-old child, Tiara. The doctor outlines the purpose of the immunization, which aims to prevent severe forms of tuberculosis. The procedure involves a quick, intradermal injection into Tiara's upper arm, followed by information on potential side effects like redness or swelling. The mother is reassured that these are normal and temporary. The doctor provides a schedule for future vaccinations and updates Tiara's immunization record. The interaction concludes with gratitude and best wishes for Tiara's health.

Takeaways

• 😀 The conversation begins with a doctor introducing themselves and confirming the patient's identity (Tiara, a one-month-old child).
• 😀 The purpose of the visit is to administer the BCG vaccine, which is necessary for a one-month-old to prevent tuberculosis.
• 😀 The BCG vaccine aims to protect against severe forms of tuberculosis, like those affecting the brain and bones, but it doesn't guarantee complete immunity from the disease.
• 😀 The doctor reassures the mother that not vaccinating could leave Tiara vulnerable to serious tuberculosis-related health issues.
• 😀 Immunization is performed via an intradermal injection, specifically on the upper right arm of the baby.
• 😀 Before administering the vaccine, the doctor checks Tiara's vital signs, including temperature, respiration, and general physical condition, to ensure she's fit for the vaccine.
• 😀 A step-by-step preparation for the vaccination is carried out, including checking the expiration date of the vaccine and ensuring that all necessary materials are ready for use.
• 😀 Sterilization of the injection area is performed before the vaccine is injected, ensuring the process is safe and hygienic.
• 😀 After the vaccine is administered, the doctor explains potential side effects, such as swelling or redness at the injection site, which are normal.
• 😀 The mother is advised on possible post-vaccination side effects, including fever, headache, or swelling of lymph nodes, and reassured that any resulting lumps or pus from the injection site are usually normal and resolve over time.

Q & A

What is the purpose of the BCG vaccination mentioned in the script?

The purpose of the BCG vaccination is to build immunity against tuberculosis, particularly preventing severe forms such as those affecting the head or bones.

How does the doctor explain the effectiveness of the BCG vaccination?

The doctor explains that while the BCG vaccine does not guarantee complete prevention of tuberculosis, it is effective in preventing severe forms of the disease, such as those that affect the head or bones.

What are the potential side effects after receiving the BCG vaccine?

Potential side effects include mild fever, headaches, swollen lymph nodes, and redness or pain at the injection site. Serious side effects like abscesses or bone inflammation are rare.

How should the mother care for her child after the BCG vaccination?

The mother should avoid rubbing the injection site but can bathe her child normally. The doctor also notes that a white bump may appear at the injection site, which is a normal response.

What is the significance of the white bump that may form at the injection site?

The white bump that forms at the injection site is a normal reaction after the BCG vaccination and should not be worried about. It is part of the body’s immune response to the vaccine.

What should the mother do if her child develops an abscess or any unusual reaction after vaccination?

If the child develops an abscess or any unusual symptoms like a severe reaction, the mother is advised to seek medical attention promptly, but such severe reactions are rare.

What steps does the doctor take before administering the BCG vaccine?

Before administering the vaccine, the doctor checks the child’s vital signs, including temperature, respiration, and physical condition, to ensure the child is healthy enough for the vaccination.

How is the BCG vaccine administered to the child?

The BCG vaccine is administered via an intradermal injection into the upper right arm of the child.

What is the role of the vital signs check before giving the vaccine?

The vital signs check ensures that the child is in a suitable physical condition and does not have any issues that might prevent them from receiving the vaccine safely.

What should the mother do if she has any questions or concerns about the immunization schedule?

If the mother has any questions or concerns, she can refer to the immunization schedule provided by the doctor and can also return to the clinic at any time if issues arise.