MI Vaccine Administration Record for Children and Teens 2013 free printable template

Vaccine Administration Record for Children and TeensClinic Name/AddressPatient Name: Date of Birth: VaccineMCIR ID# Date Vaccine1 & Vaccine Info Statement (IS) Tintype of Vaccinate on Vaccine Many.

How to fill out MI Vaccine Administration Record for Children and

How to fill out MI Vaccine Administration Record for Children and Teens

1. Obtain the MI Vaccine Administration Record form from a healthcare provider or online.
2. Fill in the child's full name in the designated section.
3. Enter the date of birth and age of the child.
4. Provide the child's insurance information if available.
5. List the vaccination dates received, including the name of the vaccines.
6. Include the name of the healthcare provider administering the vaccine.
7. Sign and date the form to confirm the information is accurate.
8. Keep a copy for your records and provide the necessary copies to your child's school or daycare.

Who needs MI Vaccine Administration Record for Children and Teens?

1. Children and adolescents who are receiving vaccinations in Michigan.
2. Parents or guardians who need to document their child's vaccination history.
3. Schools and childcare facilities requiring proof of vaccination for enrollment.
4. Healthcare providers who administer vaccines to children and teens.

People Also Ask about

How do you pronounce immunization records?

0:06 1:01 How To Say Immunization - YouTube YouTube Start of suggested clip End of suggested clip Station station en mi decisión station en mi decisión en mi decisión.MoreStation station en mi decisión station en mi decisión en mi decisión.

What is the function of the Michigan Childhood Immunization Registry Mcir?

What is it? The MCIR (Michigan Care Improvement Registry) was created in 1998 to collect reliable immunization information for children. All Michigan health care providers who provide immunizations to children must record them in MCIR within 72 hours of administration.

What does MCIR stand for?

MCIR: Michigan Care Improvement Registry.

What is Michigan Care Improvement Registry?

The Michigan Care Improvement Registry (MCIR) is an immunization database that documents immunizations given to individuals receiving immunization care in Michigan.

What is the purpose of administering an immunization?

Immunization is the process whereby a person is made resistant to a disease, typically by the administration of a vaccine. Vaccines stimulate the body's own immune system to protect the person against subsequent infection or disease.

What should be documented when administering a vaccine?

The following information must be documented on the patient's 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. The name, office address, and title of the healthcare provider administering the vaccine.

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.

How to document injection administration?

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.

Which of the following information needs to be recorded in a child's vaccination history?

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.

What are the CDC guidelines for intramuscular injections?

Intramuscular injections are administered at a 90-degree angle to the skin, preferably into the anterolateral aspect of the thigh or the deltoid muscle of the upper arm, depending on the age of the patient (Table 6-2). The needle gauge for intramuscular injection is 22-25 gauge.

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What is MI Vaccine Administration Record for Children and Teens?

The MI Vaccine Administration Record for Children and Teens is a document used to keep track of vaccinations given to minors in Michigan. It records important details about the vaccine administration process.

Who is required to file MI Vaccine Administration Record for Children and Teens?

Healthcare providers who administer vaccines to children and teens in Michigan are required to file the MI Vaccine Administration Record.

How to fill out MI Vaccine Administration Record for Children and Teens?

To fill out the MI Vaccine Administration Record, providers should include information such as the child's name, date of birth, vaccine type, date administered, and the provider's name and signature.

What is the purpose of MI Vaccine Administration Record for Children and Teens?

The purpose of the MI Vaccine Administration Record is to maintain an accurate record of immunizations received by children and teens, ensuring that they are protected against vaccine-preventable diseases.

What information must be reported on MI Vaccine Administration Record for Children and Teens?

The information that must be reported includes the child's demographic information, vaccine type, date administered, dosage, route of administration, and details of the administering provider.