New Jersey Department of Health and Senior Services STANDARD SCHOOL / CHILD CARE CENTER IMMUNIZATION RECORD NAME OF CHILD (Last, First, MI) DATE OF BIRTH (Mo./Day/Yr.) NAME OF PARENT/GUARDIAN SEX
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Applause Music Applause Music Applause Music in this video I will describe how toaccurately document vaccines afteradministration best practice includesrecording immunizations in both themedical record and an immunizationinformation system if appropriatein addition give the parent patient orguardian a record of the vaccineadministered accurate documentation isnecessary to properly assess for neededvaccines and can help preventadministration errors it is importantthat immunization providers know thefederal requirements for documentationthe requirements are defined in theNational childhood vaccine injury Actthis applies to all routinelyrecommended childhood vaccines despitethe name of the Act the documentationrequirements also apply when documentingvaccines given to adults the followinginformation must be documented in thepatient's paper or electronic medicalrecord or in a permanent office log thedate the vaccine is administered thevaccine manufacturer and the lot numberof the vaccine the date the vaccineinformation statement or vis wasprovided to the parent patient orguardian the VIS Edition date located inthe lower right corner on the back ofthe VIS the name and title of the personwho administered the vaccine and theaddress of the facility where thepermanent record will residebest practice guidelines fordocumentation also include the vaccinesexpiration date the route and site ofadministration and the dosage or volumein addition vaccine should be recordedin an immunization information system ifappropriate your state or facility mayrequire additional documentation theNational childhood vaccine injury Actrequires that a vis must be given to aparent patient or guardian beforeadministering vaccine a vis must beprovided prior to every dose of vaccinenot just the first dose the vaccine MMRVor pro quad is the only combinationvaccine with its own v is the othercombination vaccines do not have theirown vis for example PD Rx is acombination vaccine containing DTaPpolio and hepatitis B vaccines there isnot a vis for pediatrics instead thevaccine information statements for DTaPpolio and hepatitis B should be givenand documenteda list of standardized vaccineabbreviations is available on theAdvisory Committee on ImmunizationPractices webpage these abbreviationsprovide a uniform approach to vaccinedocumentation and can help preventconfusion federal law does not require aparent patient or guardian to sign aconsent form in order to receive avaccine providing them with theappropriate vaccine informationstatements and an opportunity to ask andanswer their questions is sufficient itis also important to document whenrecommended vaccines are refused theAmerican Academy of Pediatrics has aforum available on their website thatcan be used to document when parentsrefuse vaccines this video is part of aseries demonstrating vaccineadministration skills and best practicesthe video is available on the vaccineadministration webpage on the CDCvaccines and immunizations...