young children we find that they are often taught that needles will
hurt. When we see families we first explain what needles we are
recommending and their cost. We then usually immunize the youngest
children first and adults last. We try to make the actual giving
of the needle quick and relatively painless. We remind parents that
modern vaccine needles are actually smaller and sharper than the
ones they remember from their childhood. Also with preloaded immunization
needles there is no longer a need to withdraw the plunger. This
means less manipulation of the needle in the muscle and less pain.
also tell our clients to relax their muscle tone. Having a well
relaxed arm makes for a less painful injection.
shoulder (deltoid muscle) is the preferred site for intramuscular
injections or the thigh muscle in small children. (The buttocks
or gluteal muscles are no longer used for any immunization injections
since it was discovered that this gave unreliable immunization coverage
because of the higher fat content in this muscle group)
the injection is given we ask our clients to put firm pressure at
the site. Local pressure will decrease capillary bleeding in the
muscle and will prevent bruising and muscle stiffness later.
ask our patients to stay in our clinic for 15 minutes after their
immunization. This is strongly recommended for yellow fever immunizations
in articular. When Japanese encephalitis vaccine is given it is
recommended to stay in the clinic for 30 minutes.
waiting in the clinic, we would still like our patients to continue
to learn. Our intention is not to just dispense immunizations without
counselling. In the time that patients are to wait in our clinic
we wish to use this time for good purpose.
children are often upset by their needle experience. By staying
in the clinic, surrounded by images of travel and in a non-threatening
position we wish these children to leave our clinic happy and not
traumatized by a bad needle experience.
the immunization we inform our patients that they may experience
mild aches and a slight fever for 1-2 days. We have an open policy
that anyone who believes they have a vaccine allergy or reaction
to contact us immediately. Although we believe that true adverse
effects are highly unlikely we want to address all concerns as soon
as possible. The only way to determine this may be to see each client
in person. Although we have to charge clients for immunization visits
any visit for a medical concern is covered by Manitoba Health so
we urge clients to contact us without reservation. Our medical and
nursing staff easily addresses vaccine allergies or infections following