Forum - Questions & Answers
RN documenting the H1N1 vaccination
Hello everyone,
Is there a documentation guideline regarding giving this vaccination by a RN to the patient? The pediatrician that asked this question wants to know if the vaccine sticker label with the RN signature and date it is enough documenation? My thoughts are that every vaccine given should be documented on the patient’s vaccine record with lot number, brand, location of shot, and RN signature... also the initials of the parent or guardian who authorized the shot.
Any suggestions?
Thank you!
documenting vaccines
The CDC website will probably have the definitive answer (to satisfy the physician) but my understanding is yes; you need the lot number, manufacturer name, dosage etc for the medical record.
And federal law requires that you give the patient the vaccine information sheet, which you also can print out from the CDC website.
Agree of course
be sure you give the VIS before the shot is given so they can opt out. The label from the syringe usually has lot, exp date on it so RN initials and location of shot are all you need. I think that a signed consent is not necessary- definitely not for adults, kids I'm not so sure.