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Documentation is for the correct beneficiary and date of service. Documentation includes physicians order for date(s) of service when medication(s) were administered, to include the medication name, dosage, frequency, and method of administration.
What should be documented after administering an injection?
Job Aid Date of administration. Vaccine manufacturer. Vaccine lot number. Name and title of the person who administered the vaccine and address of the facility where the permanent record will reside. Vaccine information statement (VIS) Date printed on the VIS. Date the VIS was given to the patient or parent/guardian.
What needs to be documented when giving a vaccine?
By law, the following information must be documented on the patients paper or electronic medical record (or on a permanent office log): The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered.
What are 8 details that must be documented when a vaccination is given?
Immunization providers are required by law to record what vaccine was given, the date the vaccine was given (month, day, year), the name of the manufacturer of the vaccine, the lot number, the signature and title of the person who gave the vaccine, and the address where the vaccine was given.
When documenting immunizations, the following should be included?
Obtain the Childs Personal Immunization Record The personal immunization record must: ✓ identify the student by name and date of birth ✓ show the date (month, day, and year) each required vaccine dose was received ✓ have the type of vaccine received ✓ include the name of the physician or agency who gave the vaccine.
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Guidance For Industry For the Evaluation of Combination
This guidance document represent the agencys current thinking regarding issues related to combination vaccines. It does not create or confer any rights for or
Use an immunization information system (IIS) to document vaccines administered, update patient vaccination records and provide a complete immunization history.
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