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EMI Hepatitis B Vaccination Patient Record Card 2016 free printable template

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Toolkit to eMI Guidelines - Appendix 12 Hepatitis B vaccination patient record card Patient Record Card Please keep safe and bring card with you for hospital appointments Patient MRN Patient Name Healthcare Facility Vaccine 1 Date Next vaccine dose due ItIs B VaCCInatIon hePatItIs B VaCCInatIon Hepatitis B vaccination nt reCord Card PatIent reCord Card patient record card - Appendix 12 Hepatitis B vaccination patient record card Return for Blood test on Post Vaccination Anti-HBs titre level...
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EMI Hepatitis B Vaccination Patient Record Card Form Versions

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How to fill out EMI Hepatitis B Vaccination Patient Record Card

01
Obtain the EMI Hepatitis B Vaccination Patient Record Card.
02
Insert the patient's full name at the top of the card.
03
Fill in the patient's date of birth.
04
Record the vaccination dates in the designated sections.
05
Document the vaccine batch number and manufacturer details.
06
Include the name and signature of the healthcare provider administering the vaccine.
07
Ensure all required fields are completed before finalizing.
08
Provide a copy of the completed card to the patient for their records.

Who needs EMI Hepatitis B Vaccination Patient Record Card?

01
Individuals at risk of Hepatitis B infection, including healthcare workers.
02
Patients undergoing dialysis or those with chronic liver disease.
03
Newborns of Hepatitis B positive mothers.
04
Travelers to areas with high rates of Hepatitis B.
05
Individuals receiving certain immunosuppressive therapies.
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People Also Ask about hepatitis b card template

If you're eligible, you can get the hepatitis B vaccine for free under the National Immunisation Program. Hepatitis B is a viral infection of the liver.
If anti-HBs titers are above 100 mIU/ml, you are considered immune against hepatitis B. You don't have to do anything further. But if titers are between 10-100 mIU/ml, you will need a booster shot of the hepatitis B vaccine.
Adults. All adults aged 19 through 59 years, and 60 years and older with risk factors for hepatitis B should get the hepatitis B vaccine. The vaccine is given in 3 doses. The second dose is given 1 month after the first dose, followed by a third dose 6 months after the second dose.
Prevention. WHO recommends that all infants receive the hepatitis B vaccine as soon as possible after birth, preferably within 24 hours, followed by 2 or 3 doses of hepatitis B vaccine at least 4 weeks apart to complete the vaccination series. Protection lasts at least 20 years and is probably lifelong.
The hepatitis B vaccine is recommended for all infants, all children or adolescents younger than 19 years of age who have not been vaccinated, all adults age 19 through 59 years, and adults age 60 years or older with risk factors for hepatitis B infection.
Are booster doses of hepatitis B vaccine recommended? Booster doses are not recommended for people with normal immune status who have been vaccinated (15, 21). Only certain people should receive a booster dose in specific situations.

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The EMI Hepatitis B Vaccination Patient Record Card is a document used to maintain a record of a patient's Hepatitis B vaccination status, including details such as the date of vaccination, type of vaccine administered, and patient identification.
Healthcare providers administering the Hepatitis B vaccine are required to file the EMI Hepatitis B Vaccination Patient Record Card for each patient receiving the vaccine to ensure proper tracking and documentation.
To fill out the EMI Hepatitis B Vaccination Patient Record Card, enter the patient's personal information (name, date of birth, etc.), details of the vaccination (dates, vaccine type, dosage), and any additional notes as required.
The purpose of the EMI Hepatitis B Vaccination Patient Record Card is to provide a systematic way to document and verify an individual's vaccination history, thereby promoting public health and continuous monitoring of vaccination status.
The information that must be reported includes the patient's name, date of birth, contact details, vaccination dates, vaccine brand and lot number, administering healthcare provider's information, and any adverse reactions observed.
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