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Van Were County Health Department 1179 Westwood Drive, Suite 300 Van Were, OH 45891 14192380808 INFLUENZA VACCINE ADMINISTRATION RECORD ADULT Name (Last, First, Middle) PLEASE PRINT Status: S M W

How to fill out influenza vaccine administration record

How to fill out influenza vaccine administration record:

1. Begin by gathering all necessary information. This includes the patient's name, date of birth, and contact information, as well as their medical history and any allergies they may have.
2. Next, record the date and time of the vaccine administration. Make sure to accurately note the specific influenza vaccine that was administered, including the brand and lot number.
3. Document the route of administration, whether it was intramuscular or intranasal. If intramuscular, specify the injection site used, such as the deltoid muscle or the thigh.
4. Indicate the dosage given. This will depend on the patient's age and any specific medical conditions they may have. Be sure to follow the recommended guidelines for dosage.
5. Note the name and credentials of the healthcare professional who administered the vaccine.
6. Lastly, have the patient or their guardian sign and date the record to acknowledge that the vaccine was given.

Who needs influenza vaccine administration record:

1. Healthcare facilities and clinics administering influenza vaccines require the administration record to maintain accurate and up-to-date records of patients who have received the vaccine. This helps with monitoring vaccine coverage rates and ensuring appropriate follow-up.
2. Medical professionals, such as doctors, nurses, and pharmacists, who administer the influenza vaccine need the administration record to document the immunization and track the patient's vaccination history. This information can be useful for future vaccine planning and evaluating vaccine effectiveness.
3. Patients themselves may also benefit from having their own copy of the administration record. It serves as proof of vaccination and can be helpful for individuals who need to provide evidence of immunization for school, work, or travel purposes.

In summary, the influenza vaccine administration record is a crucial document that outlines the details of an individual's influenza vaccination. It is important for healthcare facilities, medical professionals, and patients to accurately fill out this record to ensure proper documentation and monitoring of influenza vaccine administration.

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What is influenza vaccine administration record?

Influenza vaccine administration record is a document that records the administration of influenza vaccine to individuals.

Who is required to file influenza vaccine administration record?

Healthcare providers, medical facilities, and employers are typically required to file influenza vaccine administration records.

How to fill out influenza vaccine administration record?

Influenza vaccine administration records are typically filled out by recording the individual's name, date of administration, vaccine type, lot number, and administering healthcare provider.

What is the purpose of influenza vaccine administration record?

The purpose of the influenza vaccine administration record is to document the administration of the influenza vaccine and track which individuals have received the vaccine.

What information must be reported on influenza vaccine administration record?

The information typically reported on an influenza vaccine administration record includes the individual's name, date of administration, vaccine type, lot number, and administering healthcare provider.