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Using Vaccine Information Statementing the Vaccine Information Statements: Cycle 1 MODEL FOR IMPROVEMENTTeam Name: ABC Pediatrician a Test of Changeable #: Start Date: End Date: Plan Describe the
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How to fill out using vaccine information statements

01
To fill out using vaccine information statements, follow these steps:
02
Start by reading the vaccine information statement (VIS) thoroughly.
03
Look for the patient's name and fill it out correctly.
04
Fill out the date of vaccination.
05
Check the appropriate vaccine being administered and mark it on the form.
06
Provide information on the vaccine lot number.
07
Record the administering healthcare professional's name and contact information.
08
Make sure to document any adverse reactions or side effects experienced by the patient.
09
Review the filled-out form for accuracy and completeness before submitting it.

Who needs using vaccine information statements?

01
Vaccine information statements are needed for individuals who are receiving vaccines. This includes:
02
- Infants and children who are being vaccinated as per recommended immunization schedules.
03
- Adolescents and teenagers who require vaccines for specific diseases.
04
- Adults who need vaccinations for various reasons such as travel, specific occupations, or medical conditions.
05
- Healthcare workers who administer vaccines to patients and need to provide accurate information to them.
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- Anyone who seeks vaccination and wants to have a clear understanding of the vaccine they are receiving and its potential side effects.
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Vaccine information statements are sheets of information produced by the Centers for Disease Control and Prevention (CDC) that explain the benefits and risks of a vaccine to vaccine recipients or their parents/guardians.
Healthcare providers are required to provide vaccine information statements to vaccine recipients or their parents/guardians before they receive a vaccine.
Vaccine information statements can be filled out by healthcare providers by checking off boxes to indicate the vaccine given and providing information on the date, provider, and vaccine lot number.
The purpose of vaccine information statements is to ensure that vaccine recipients or their parents/guardians have a clear understanding of the benefits and risks of the vaccine before it is administered.
Vaccine information statements must include the name of the vaccine, the reason for the vaccine, potential side effects, risks, and benefits of the vaccine, and where to find more information.
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