Cool Flu Vaccine Administration Record Template. Flu vaccine administration record if you are receiving your flu vaccine from an outside provider, please ask them to document all required information listed below. A list of coordinators can be found under common documents on the flu.
Childcare & School Vaccine Requirements SCDHEC from scdhec.gov
Complete all requested information for each vaccine administered. Flu vaccine administration record if you are receiving your flu vaccine from an outside provider, please ask them to document all required information listed below. We want to make certain that you have information about the vaccines or antibody product we administered so you can update your patient’s medical record.
(Pdf 1.52 Mb) (English And Spanish) (Updated October 2018) Vaccine Ordering, Storage And Handling.
Enter vaccine lot #, expiration date and site of administration, then scan the. Record the date of vaccination and the name/location of the administering clinic. Update demographic information and complete at each vaccine administration.
Flu Offline Vaccination Record Form1.
Before administering any vaccines, give the patient copies of all pertinent vaccine information statements (viss) and make sure he/she understands the risks and benefits of the vaccine(s). ⧠ continue with vaccine administration ⧠ vaccination not given (see. Record the generic abbreviation (e.g., tdap) or the trade name for each vaccine (see table at right).
Flu Vaccine Administration Record If You Are Receiving Your Flu Vaccine From An Outside Provider, Please Ask Them To Document All Required Information Listed Below.
Understand the benefits and risks of the vaccine and request that the vaccine indicated on this form be given to me or the person named on this health record for who i am authorized to. See page 2 to record influenza, hib, zoster, and other vaccines (e.g., travel vaccines). Update the patient’s record with any new allergy, health condition or primary care provider information.
This Vaccine Is Appropriate For This Patient Based On The Responses To The Screening Questions And Age Guidelines According To Acip.
Please contact us if you have. Complete all requested information for each vaccine administered. We want to make certain that you have information about the vaccines or antibody product we administered so you can update your patient’s medical record.
What Can You Do To Protect From The Flu?
To record influenza, pneumococcal, zoster, hib, and other vaccines (e.g., travel vaccines). Report your influenza immunization using the got my flu shot form on insite (ahs, apl, and recovery alberta) or compassionnet (covenant health). Health care providers who administer vaccines covered by the national vaccine injury compensation program (vicp) are required under the national childhood vaccine.
