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TRAP PLEASE PRINT: Patient LAST NAME FIRST NAME Male Female Date of Birth: Age: Phone Number: Address: City: State: Zip: Social Security #: Marital Status: Widowed Single Married Divorced Primary
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How to fill out t-dap
How to fill out t-dap
01
Wash your hands thoroughly with soap and water.
02
Ensure that you have a vial of t-dap vaccine.
03
Choose an appropriate injection site, such as the upper arm muscle.
04
Clean the injection site with an alcohol swab.
05
Remove the cap from the needle and hold the syringe with a firm grip.
06
Insert the needle into the injection site at a 90-degree angle.
07
Push the plunger down slowly to inject the vaccine.
08
Withdraw the needle from the injection site.
09
Dispose of the syringe and needle in an appropriate sharps container.
10
Record the date and location of the vaccination for future reference.
Who needs t-dap?
01
T-dap vaccine is recommended for adolescents and adults.
02
It is especially important for pregnant women, who need to receive the vaccine during each pregnancy.
03
Healthcare workers, childcare providers, and close contacts of infants are also advised to get the vaccine.
04
Additionally, individuals who haven't received a tetanus booster shot in the last 10 years should get a t-dap vaccine.
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What is t-dap?
T-DAP stands for Tetanus, Diphtheria, and Pertussis. It is a vaccination used to prevent these three diseases.
Who is required to file t-dap?
Individuals who are eligible for the T-DAP vaccination are required to receive it, especially pregnant women and individuals who have close contact with infants.
How to fill out t-dap?
T-DAP is administered by a healthcare provider through an injection.
What is the purpose of t-dap?
The purpose of t-dap is to prevent the diseases of Tetanus, Diphtheria, and Pertussis.
What information must be reported on t-dap?
Information such as the date of vaccination, dosage administered, and any adverse reactions must be reported on the T-DAP vaccination record.
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