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Get the free Influenza Vaccination Flu Mask Worksheet- June 2017

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NYS DEPARTMENT OF HEALTH Influenza Vaccination / Flu Mask Requirement Surveyor Worksheet (Updated June 2017)Hospice: ___ Survey Date: ___ Surveyor: ___1. Does the agency have a policy regarding Influenza
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How to fill out influenza vaccination flu mask

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How to fill out influenza vaccination flu mask

01
Wash your hands thoroughly with soap and water before starting.
02
Open the influenza vaccination flu mask package carefully without touching the inside of the mask.
03
Hold the mask by the ear loops and place it over your nose, mouth, and chin.
04
Adjust the mask to fit properly by pressing the nose bridge to conform to the shape of your nose and pulling the bottom of the mask to cover your chin.
05
Secure the mask by looping the ear loops behind your ears or tying the strings around your head.
06
Make sure the mask covers your nose and mouth completely, leaving no gaps.
07
Avoid touching the mask while wearing it. If you need to touch the mask, wash your hands or use hand sanitizer before and after.
08
When removing the mask, handle only the ear loops or ties. Do not touch the front of the mask.
09
Discard the used mask in a closed trash bin and wash your hands thoroughly afterwards.

Who needs influenza vaccination flu mask?

01
People with a higher risk of complications from influenza, such as the elderly, pregnant women, young children, and those with chronic medical conditions, should consider getting influenza vaccination and wearing flu masks.
02
Healthcare workers and caregivers who are in close contact with people who have influenza or other respiratory illnesses should wear flu masks to protect themselves and prevent the spread of the virus.
03
Influenza vaccination flu masks are also recommended for individuals who are in crowded settings or traveling to areas with a high prevalence of influenza.
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Influenza vaccination flu mask refers to a formal document or form utilized to report and track individuals who have received the influenza vaccine and may also include guidelines for using masks to prevent the spread of the virus.
Healthcare providers, organizations, and individuals responsible for administering the influenza vaccine may be required to file the influenza vaccination flu mask.
To fill out the influenza vaccination flu mask, you need to provide personal information, vaccination details including the date of administration, and any relevant health information as suggested by the health authorities.
The purpose of influenza vaccination flu mask is to monitor vaccination rates, ensure compliance with health regulations, and help in controlling the spread of influenza.
Information that must be reported includes the vaccine recipient's name, date of birth, vaccination date, type of vaccine administered, healthcare provider details, and any adverse reactions if applicable.
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