Elegant Flu Vaccine Administration Record Template

Elegant Flu Vaccine Administration Record Template. This vaccine is appropriate for this patient based on the responses to the screening questions and age guidelines according to acip. To record influenza, pneumococcal, zoster, hib, and other vaccines (e.g., travel vaccines).

Childcare & School Vaccine Requirements SCDHEC
Childcare & School Vaccine Requirements SCDHEC from scdhec.gov

** please forward flu vaccine records to your member flu vaccination coordinator. Record the date of vaccination and the name/location of the administering clinic. Enter vaccine lot #, expiration date and site of administration, then scan the.

(Pdf 1.52 Mb) (English And Spanish) (Updated October 2018) Vaccine Ordering, Storage And Handling.


To record influenza, pneumococcal, zoster, hib, and other vaccines (e.g., travel vaccines). Please contact us if you have. ** please forward flu vaccine records to your member flu vaccination coordinator.

Health Care Providers Who Administer Vaccines Covered By The National Vaccine Injury Compensation Program (Vicp) Are Required Under The National Childhood Vaccine.


Information and screening question responses. Immunization information system (iis) or “registry”: See page 2 to record influenza, hib, zoster, and other vaccines (e.g., travel vaccines).

Record The Generic Abbreviation (E.g., Tdap) Or The Trade Name For Each Vaccine (See Table At Right).


Report your influenza immunization using the got my flu shot form on insite (ahs, apl, and recovery alberta) or compassionnet (covenant health). Update demographic information and complete at each vaccine administration. 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.


A list of coordinators can be found under common documents on the flu. Update the patient’s record with any new allergy, health condition or primary care provider information. 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).


What can you do to protect from the flu? This vaccine is appropriate for this patient based on the responses to the screening questions and age guidelines according to acip. 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.