POST SPLENECTOMY IMMUNIZATIONS		version 4/5/2024		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		
	☑	Nursing communication	Every visit	S	Until discont'd	
		Please continue to schedule subsequent infusion appointments manually as appropriate.		

Month 0 splenectomy vaccinations 	

	
	Interval	Defer Until	Duration	
	☐	pneumococcal conj. 20 valent (PREVNAR-20) vaccine (patients > 2 months,one dose series)	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released		
	☐	haemophilus b polysac/tetanus toxoid (ActHIB) 0.5 mL IM vaccine, MUST DILUTE	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	MIX THE TWO VIALS BEFORE ADMINISTRATION. Scan Vaccine. Do Not Scan DILUENT.
	To reconstitute, withdraw 0.6 mL of saline diluent and inject in ActHIB vaccine vial.  Shake well to ensure reconstitution.  Vaccine should be clear and colorless.  Withdraw 0.5 mL dose of the reconstituted vaccine and inject intraMUSCularly.  If not administered immediately after reconstitution, contact Pharmacy.

	☐	meningococcal a conjugate vaccine (Menveo) IM vaccine	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released

			
	☐	Meningococcal Group B vaccine (BEXSERO) 2-dose series	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	Administer BEXSERO as a 0.5 mL intramuscular injection into the deltoid muscle of the upper arm.
	Shake the syringe immediately before use to form a homogeneous suspension.		

Month 2 splenectomy vaccinations 	

	
	Interval	Defer Until	Duration	
	☐	meningococcal a conjugate vaccine (Menveo) IM vaccine	Once	S+30	1 treatment	
		0.5 mL, intramuscular, once, Starting when released

			

Q5 year booster splenectomy vaccinations 	

	
	Interval	Defer Until	Duration	
	☐	meningococcal a conjugate vaccine (Menveo) IM vaccine	Once	S	1 treatment	
		0.5 mL, intramuscular, once, Starting when released
	Re-administered every 5 years.