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documentation required

Shade Posted Tue 30th of December, 2014 11:44:55 AM

please help with the right documentation by a nurse that gives vaccine without the present of a provider.i will appreciate you quick respone. thank you.

SuperCoder Answered Fri 02nd of January, 2015 02:12:25 AM

We are researching on it and will get back to you ASAP. Thanks !!

SuperCoder Answered Fri 02nd of January, 2015 02:12:25 AM
SuperCoder Answered Sat 03rd of January, 2015 00:07:29 AM

Thanks for your question. Documentation for vaccine administration should include the date of service, manufacturer, lot number, vaccine type, name and title of the person who administered the vaccine, vaccine information statement with printed dates as well as the route, dose, and site. The physician should have orders in the patient's chart whether the physician is in the office at the time of the administration or not. See attached link for CDC guidelines on vaccine administration.

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