Overview

1. Hepatitis B vaccine
2. Abbreviated as Hb vaccine or HBV (not to be confused with HPV)

Nursing Points

General

1. Recommended by CDC to be given in first 12 hours of life
2. IM injection
3. If mother already has Hepatitis B, then Hep B immune globulin also needs to be given

Hepatitis B Nursing Considerations

When caring for patients with Hepatitis B, nurses play a crucial role in ensuring proper care and management. Here are some essential nursing considerations:

• Obtain Informed Consent: Before any intervention, it’s vital to obtain informed consent from the patient or their legal guardian.
• Administration of Hepatitis B Vaccine: The Hepatitis B vaccine (Hb vaccine or HBV) is recommended by the CDC to be given within the first 12 hours of life. It is administered via an intramuscular (IM) injection.
• Hepatitis B Immune Globulin (HBIG): If the mother already has Hepatitis B, Hep B immune globulin (HBIG) also needs to be administered to the infant.
• Injection Site: When giving the IM injection, target the lateral side of the middle third of the vastus lateralis muscle.
• Documentation: Proper documentation is essential. This typically includes documenting in the hospital chart and providing a record card to the parents for their reference.

These nursing considerations are crucial for the effective care and prevention of Hepatitis B in both newborns and individuals at risk. Following these guidelines ensures safe and efficient management of the condition.”

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1. Obtain consent
2. Give IM injection in lateral side of middle 3rd of vastus lateralis muscle
3. Document per policy
   1. Typically includes documenting in hospital chart and providing a card to the parents for their records

Patient Education

1. Educate importance and need
2. If they want to refuse; follow hospital policy and document appropriately