Medical
Vaccine Administration Record
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Vaccine Administration Record

1
Gather Patient Information
2
Verification of Patient Identity
3
Determine Vaccine Appropriate to Patient Age
4
Examine Patient's Medical History
5
Assess Patient's Allergen History
6
Approval: Medical History Verification
7
Prepare Vaccine
8
Administer Vaccine to Patient
9
Monitor Patient for Immediate Side Effects
10
Document Vaccine Administration Date
11
Document Vaccine Lot Number
12
Document Site of Vaccine Administration
13
Record any Side Effects Noted
14
Advice Patient on Vaccine Side Effects
15
Approval: Vaccine Administration Record
16
Issue Vaccination Card to Patient
17
Schedule Next Vaccine Dose
18
Inform Patient of next Schedule
19
Secure Patient's Record in System
20
Patient Exit Procedure