Documentation

Question 1

Why do pts need documentation of vaccine

Answer 1

for work, school, child care or travel

Question 2

What types of documentation do HCP need for vaccines

Answer 2

• record of pt consent
• records of what was given + to whom: allows for FU if recall or cold chain breach
• record patient response to injection or management of AEs (liability purposes or FU)

Question 3

T or F: documentation of vaccine must be retrievable and part of medical record

Answer 3

T- consider scanning + adding to their profile

Question 4

T or F: pt must sign consent form before preparing injection

Answer 4

T must be done before prep and admin of injection

Question 5

What does the patient need to know in order to get informed consent

Answer 5

must know pros/cons
- make decision voluntarily + have time to ask questions

Question 6

T or F: once you a patients consent once for a vaccine, you don’t need to get their consent when giving the booster

Answer 6

F- need to get consent for each injection or visit

Question 7

What needs to be recorded about vaccine admin

Answer 7

Name, contact info of pt

Name of drug/vaccine

date of admin

site + RoA

dose

name of manufacturer

lot # and expiry of vaccine

name, title and contact of person doing the admin

Question 8

What documentation needs to be done for outcomes/ FU

Answer 8

• pt response, education given
• due date for next injection if applicable
• CI or precarious that apply to pt
• reasons for deferring vaccine if you do
• anything clinically relevant

Question 9

Importance of vaccine registries

Answer 9

allow for central recording of vaccines received by individuals to reduce the risk of duplication by different professions in different settings

— makes vaccination of a person more retrievable

Question 10

Till what age does region of Waterloo PH collect + update a pts immunization record

Answer 10

bw ages 4-18yrs in school or daycare