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This document outlines the immunization requirements for new hires at the University of Utah Health Care, including details about TB tests, MMR, varicella, hepatitis B, tetanus-diphtheria, and influenza
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How to fill out new hire immunization requirements

How to fill out New Hire Immunization REQUIREMENTS Documentation
01
Obtain the New Hire Immunization REQUIREMENTS Documentation form from your HR department.
02
Review the list of required immunizations specified on the form.
03
Gather your immunization records, including dates of vaccinations.
04
Complete the personal information section at the top of the form, including your name and date of birth.
05
Fill in the details of each required immunization in the corresponding sections of the form.
06
Attach any supporting documentation that proves your immunization status, such as copies of vaccination records.
07
Sign and date the form to certify that the information provided is accurate and complete.
08
Submit the completed documentation to your HR department by the specified deadline.
Who needs New Hire Immunization REQUIREMENTS Documentation?
01
All new hires at the organization including full-time, part-time, and temporary employees.
02
Interns and trainees who will be working in roles that require exposure to certain environments.
03
Volunteers who will be involved in healthcare or childcare settings.
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People Also Ask about
What documentation is required when administering vaccines?
It's Federal Law: You Must Give Your Patients Current VISs — IAC (PDF) Instructions for the Use of Vaccine Information Statements – CDC. Fact Sheet for Vaccine Information Statements – CDC. Wallet-size immunization record cards – IAC (Cards are available for children and teens, adults, and across the lifespan)
What do you need to document before giving an injection?
What information does federal law require us to document when we immunize a patient? 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 done prior to giving an injection?
To give an IM injection: Make sure you have the right amount of the right medicine in the syringe. Wash your hands well with soap and water. Carefully find the spot where you will give the injection. Clean the skin at that spot with an alcohol wipe. Take the cap off the needle.
What to document for an injection?
Procedure note documentation requirements include: Diagnosis or indication for injection. Site of injection, eye(s) treated. Medication name, how much was injected (in milligrams and volume in milliliters) and lot number. How much of a drug is wasted. Route of administration.
What are immunization notes?
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 after administering an injection?
Record the administration immediately after it has been given. Document the effect and any side effects as appropriate. Controlled drugs require two staff (one to act as a witness) when administering and documenting.
Which information 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 details must be documented when a vaccination is given?
The lot number of the vaccine. The date the vaccine is administered. The name, office address, title and signature (electronic is acceptable) of the person administering the vaccine. Initials of the vaccine administrator will suffice as long as the office keeps a record of the person to whom the initials refer.
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What is New Hire Immunization REQUIREMENTS Documentation?
New Hire Immunization REQUIREMENTS Documentation is a record that outlines the immunization status of newly hired employees, ensuring they meet the health and safety requirements of the workplace.
Who is required to file New Hire Immunization REQUIREMENTS Documentation?
Human Resources departments or hiring managers are typically required to file New Hire Immunization REQUIREMENTS Documentation for each new employee as part of the onboarding process.
How to fill out New Hire Immunization REQUIREMENTS Documentation?
To fill out New Hire Immunization REQUIREMENTS Documentation, gather the necessary immunization records from the employee, complete the documentation template by entering the required data, and then submit it to the designated health or HR department.
What is the purpose of New Hire Immunization REQUIREMENTS Documentation?
The purpose of New Hire Immunization REQUIREMENTS Documentation is to ensure that employees are vaccinated against certain preventable diseases, protecting both employee health and workplace safety.
What information must be reported on New Hire Immunization REQUIREMENTS Documentation?
The information that must be reported includes the employee's name, date of birth, job title, immunization history, dates of vaccinations received, and any exemptions or medical conditions affecting vaccination.
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