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Get the free Non-Reusable Vaccine Wastage Form - York Region

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Reusable Vaccine Wastage Form SECTION 1 INSTRUCTIONS FOR HEALTHCARE PROVIDER 1. Complete all mandatory fields (*). 2. York Region Public Health will only accept wastage of publicly funded vaccines
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How to fill out non-reusable vaccine wastage form

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How to fill out non-reusable vaccine wastage form

01
To fill out a non-reusable vaccine wastage form, follow these steps:
02
Start by entering the name of the vaccine
03
Provide the batch number or lot number of the vaccine
04
Specify the expiry date of the vaccine
05
Enter the quantity of the vaccine vials or doses that were wasted
06
Indicate the reason for the wastage
07
Include any additional notes or comments, if necessary
08
Finally, sign and date the form to certify its accuracy

Who needs non-reusable vaccine wastage form?

01
Healthcare providers or facilities administering vaccines need to fill out the non-reusable vaccine wastage form. This form helps in tracking and documenting any wastage of vaccines, ensuring proper record-keeping and accountability.
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Non-reusable vaccine wastage form is a document used to report any unused or expired vaccines that cannot be reused.
Healthcare providers and facilities that administer vaccines are required to file non-reusable vaccine wastage form.
To fill out the form, providers need to list the unused vaccines, specify the reason for wastage, document the storage conditions, and provide any other relevant information.
The purpose of the form is to track and report any wasted vaccines to ensure proper inventory management and to prevent misuse of vaccines.
Information such as vaccine type, lot number, expiration date, quantity wasted, reason for wastage, and storage conditions must be reported on the form.
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