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Page 1: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Documentation

Page 2: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Screening Questions

1. Is your child sick today?

2. Does your child have allergies to medications, food, or any vaccine?

3. Has the child had a serious reaction to a vaccine in the past?

4. Has the child had a seizure or a brain problem?

5. Does your child have cancer, leukemia, AIDS or any other immune system problem?

Page 3: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Screening Questions

6. Has the child received a transfusion of blood or blood products, or been given a medicine called immune (gamma) globulin in the past year?

7. Has your child taken cortisone, prednisone, other steroids or anticancer drugs or had x-ray treatments in the past 3 months?

8. Is the child/teen pregnant or is there a chance she could become pregnant during the next month.

9. Has the child received any vaccinations in the past 4 weeks?

10. Did you bring your child’s immunization record with you?

Page 4: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Documentation Requirements

• Federal requirements for vaccine documentation: • Type of vaccine• Date given• Route• Manufacturer• Lot number• Administration Site • Vaccine Information Statement publication date• Name and title of person administering vaccine• Office name, address, and phone number• Any exemptions must be documented in the

patients chart

Page 5: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Documentation Requirements

• VFC screening is required for state supplied vaccine• Includes screening for Medicaid, Alaska Native,

American Indian, no health insurance, or underinsured

• Patient screening questions also need to be documented at each visit

• If parent does not want their children immunized, have them sign an exemption form which is located on the IRIS main page

Page 6: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Clinic History Forms

Page 7: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Exemption Documentation

• Have the parent sign the exemption form for every separate antigen that the child will not be immunized for.

Page 8: Documentation. Screening Questions 1. 1.Is your child sick today? 2. 2.Does your child have allergies to medications, food, or any vaccine? 3. 3.Has the

Nurses Station Worksheet

Document all doses given on the nurses worksheet, including wasted doses

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Allergies and Child Care - WordPress.com · Allergies and Child Care Created by Pettengill Academy for use in our child care centers. Resource used was the CDC Voluntary Guidelines

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