
298102 DHHS 4057 Adult Vaccine Admin Record PDF Form


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People also ask
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What should be documented when administering a vaccine?
The following information must be documented on the patient's paper or electronic medical record or on a permanent office log: The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered. The name, office address, and title of the healthcare provider administering the vaccine.
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What should be documented after administering an injection?
The location of all injection sites with the corresponding vaccine injected should be documented in each patient's medical record. Health-care practices should consider using a vaccination site map so that all persons administering vaccines routinely use a particular anatomic site for each particular vaccine.
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What information must be documented on a vaccination administration record form?
The date the vaccine is administered. The name, office address, title and signature (electronic is acceptable) of the person administering the vaccine. Initials of the vaccine administrator will suffice as long as the office keeps a record of the person to whom the initials refer.
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How do you document the administration of the flu vaccine?
The following information must be documented on the patient's paper or electronic medical record or on a permanent office log: The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered. The name, office address, and title of the healthcare provider administering the vaccine.
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How to bill for adult immunizations?
Providers bill CPT code 90471 (immunization administration; one vaccine) to Medi-Cal to be reimbursed for the administration of vaccines that are free to the provider through a source other than the VFC program, including doses purchased by public health departments.
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When administering immunizations which of the following should be documented?
The date the vaccine is administered. The name, office address, title and signature (electronic is acceptable) of the person administering the vaccine. Initials of the vaccine administrator will suffice as long as the office keeps a record of the person to whom the initials refer.
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What do you document when giving an injection?
Documentation includes physician's order for date(s) of service when medication(s) were administered, to include the medication name, dosage, frequency, and method of administration.
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What information is documented after giving an injection to a patient?
Proper documentation helps ensure patient safety. Document time, date, location, and type of medication injected.
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