New to Peds, vaccines question

[maisyLPN]

I graduated from LPN school in March and started my job in a peds office 3 weeks ago. I have an 11 yr old who is coming into the office tomorrow to get Tdap, Menactra, Hep A, and Gardasil. This will be my first time giving so many shots to an older child. The CMA who works there was going to handle this appointment because she didn't want to overwhelm me but she's out sick. So here's my question: where should I give the shots? I spent the afternoon researching if it would be ok to administer them all in the deltoids (2 in the left, 2 in the right). I read that Gardasil can be given in the upper anterolateral thigh. I am not good with locating the ventrogluteal and would like to avoid it because I'd rather give it at a landmark I'm more familiar with. I was thinking the Menactra could be given in the Left, and the Tdap and Hep A in the right, and the Gardasil in the thigh. Would this be a problem as far as receiving the optimal level of protection?

P.S We really weren't taught much about vaccines in school. They prepared us for working in the hospital and always skipped over anything related to office work so all of this is a bit new to me.

[W, RN]

In my office, we would give those all in the deltoid. For an 11 year old, as long as they are an inch or greater apart, it should be fine. They will have more room to work with than you think.