While supervising a smallpox vaccination program, a nurse manager observes a nurse cleansing the arm of a client with an alcohol swab before giving the vaccination. what should the nurse manager's first reaction be?

The nurse manager's manager first reaction should be to stop the nurse from giving the vaccination. This is because, alcohol has the ability to deactivate the smallpox vaccine. The site of the vaccine injection should be dry before administering the vaccine. No solvent should be used to clean the site. If the site is very dirty, then it should be clean with water and then dry before the vaccination is given,