Common use of Individual Records Clause in Contracts

Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address of administration, vaccine administered,

Appears in 6 contracts

Samples: info.genoahealthcare.com, info.genoahealthcare.com, info.genoahealthcare.com

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Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address vaccine given, manufacturer, lot number, expiration date, and signature of administration, vaccine administered,person administering vaccine.

Appears in 6 contracts

Samples: Collaborative Agreement, Protocol Agreement, Pharmaceutical Care Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address of administration, vaccine administered,, manufacturer, lot 7 8 NYCRR 63.9(b)(5)(i). 8 8 NYCRR 63.9(b)(5)(iv).

Appears in 1 contract

Samples: info.genoahealthcare.com

Individual Records. Pharmacy must maintain ensure that an individual record of administration is maintained including: individual name, date, address vaccine given, manufacturer, lot number, expiration date, and signature of administration, vaccine administered,person administering vaccine.

Appears in 1 contract

Samples: Collaborative Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address vaccine given, manufacturer, lot number, expiration date, and signature of administration, vaccine administered,person administering vaccine. Pharmacy must provide Authorizing Practitioner with each individual record created under this Agreement.4

Appears in 1 contract

Samples: Collaborative Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address vaccine given, manufacturer, lot number, expiration date, and signature of person administering vaccine. In addition, Pharmacy must provide the individual with a written certificate of administration, vaccine administered,or make an entry of the immunization on a certificate in the person’s possession.1

Appears in 1 contract

Samples: Collaborative Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address vaccine given, manufacturer, lot number, expiration date, and name and signature of administration, vaccine administered,person administering vaccine.

Appears in 1 contract

Samples: Collaborative Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual name, dateaddress, date of birth; date of administration and site of injection; name, dose, manufacturer, lot number, and expiration date of vaccine; name and address of administrationindividual’s primary care provider, vaccine administered,as identified by individual; and name or identifiable initials of Pharmacist or intern, if applicable.9

Appears in 1 contract

Samples: Protocol (Agreement

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Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address vaccine given, dose, manufacturer, lot number, site and route of administration, vaccine administered,VIS edition date and record of VIS given, and signature of person administering vaccine.

Appears in 1 contract

Samples: Standing Order Agreement

Individual Records. Pharmacy Pharmacist must maintain an individual record of administration including: individual name, date, address vaccine given, manufacturer, lot number, expiration date, signature of administrationperson administering vaccine, vaccine administered,and the informed consent form on file at the pharmacy.

Appears in 1 contract

Samples: Collaborative Drug Therapy Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual individual’s name, datedate of birth, and address; date vaccine administered and site of injection; name, dose, manufacturer, lot number, and beyond use date of the vaccine; name and address of administration, the individual’s primary health care provider named by the individual; name or unique identifier of Pharmacist; and which vaccine administered,information statement (VIS) was provided. Records must be maintained for five (5) years.6

Appears in 1 contract

Samples: Standing Order (Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual name, dateaddress, date of birth; date of administration; administration site; route of administration; name, manufacturer, lot number, and expiration date of vaccine; dose administered; name and address of administration, vaccine administered,individual’s primary care provider; and name or identifiable initials of Pharmacist.19

Appears in 1 contract

Samples: Protocol (Agreement

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