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The document is a Vaccine Administration Form from the Alabama Department of Public Health, which must be completed in full before receiving a flu shot. It includes sections for personal information, consent for vaccination, and payment authorization, as well as an area for office use to record vaccine details and income assessment.

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How do you document the administration of the flu vaccine?

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 is the mode of administration of the flu shot?

Inactivated influenza vaccine (IIV) 3 years and older 0.5 mL Intramuscular (IM) Administer vaccine in deltoid muscle or, alternatively, in anterolateral thigh muscle.

What is a flu vaccine administration consent form?

A flu vaccine consent form is a document that is signed by a person who is receiving a flu vaccine. It outlines the risks and benefits of the vaccine, the potential side effects, and the persons permission for the vaccine to be administered.

Do you need informed consent for vaccines?

Consent to Immunization There are no Federal or California State requirements for informed consent specifically relating to immunization. Federal law requires that healthcare staff provide a Vaccine information Statement to a patient, parent, or legal representative before each dose of certain vaccines.

What is the correct way to give a flu shot?

1 Use a needle long enough to reach deep into the muscle. Infants age 6 through 11 mos: 1; 1 through 10 yrs: 11, and children and adults 11 years and older: 11. 2 With your left hand*, bunch up the muscle. 3 With your right hand*, insert the needle at a 90 angle to the skin with a quick thrust.

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What documentation is required when administering vaccines?

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.

Can an employer require you to get a flu shot?

State Laws on Mandatory Vaccinations In California, for example, healthcare employers must offer flu vaccines to their employees. Oregon also requires healthcare employers to offer preventative vaccination, but prohibits employers from making them mandatory.

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How do you document the administration of the flu vaccine?

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