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MONTGOMERY COUNTY OCCUPATIONAL MEDICAL SERVICES 255 Rockville Pike, Suite 125 Rockville, MD 20850 2407775118INFORMED CONSENT FOR ADMINISTRATION OF INACTIVATED INJECTABLE INFLUENZA VACCINE The influenza

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How to fill out inactivated injectable influenza

01

Wash your hands thoroughly with soap and water.

02

Check the expiration date of the influenza vaccine to ensure it is still valid.

03

Prepare the syringe and needle by removing any protective caps or packaging.

04

Draw up the appropriate amount of inactivated injectable influenza vaccine into the syringe according to the recommended dosage.

05

Choose an injection site, typically the upper arm or thigh, and clean the area with an alcohol wipe.

06

Using a quick motion, insert the needle into the chosen injection site at a 90-degree angle.

07

Slowly push the plunger of the syringe to administer the vaccine.

08

Once the vaccine has been injected, quickly remove the needle from the injection site.

09

Dispose of the syringe and needle in a proper sharps container.

10

Record the vaccination information, including the date, vaccine type, and dosage administered.

Who needs inactivated injectable influenza?

01

Inactivated injectable influenza vaccine is recommended for individuals aged 6 months and older.

02

It is particularly important for those at higher risk of developing complications from influenza, such as young children, the elderly, pregnant women, and individuals with certain medical conditions.

03

Healthcare workers and individuals who are in close contact with high-risk populations should also receive the vaccine to help prevent the spread of influenza.

04

It is recommended to consult with a healthcare provider to determine if inactivated injectable influenza vaccine is appropriate for an individual's specific circumstances.

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What is inactivated injectable influenza?

Inactivated injectable influenza is a vaccine that helps protect against the seasonal flu by using a killed version of the virus.

Who is required to file inactivated injectable influenza?

Healthcare providers and facilities that administer the vaccine are required to file records of inactivated injectable influenza.

How to fill out inactivated injectable influenza?

Healthcare providers can fill out the necessary information on inactivated injectable influenza forms provided by the CDC or local health departments.

What is the purpose of inactivated injectable influenza?

The purpose of inactivated injectable influenza is to prevent individuals from getting sick with the flu and reduce the spread of the virus.

What information must be reported on inactivated injectable influenza?

Information such as the date of administration, patient demographics, and lot number of the vaccine must be reported on inactivated injectable influenza forms.

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