Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, vaccine given, manufacturer, lot number, expiration date, and signature of person administering vaccine.
Appears in 6 contracts
Samples: Collaborative Agreement, Collaborative Pharmacy Practice Agreement, Pharmaceutical Care Agreement
Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, address of administration, vaccine given, manufacturer, lot number, expiration date, and signature of person administering vaccine.administered,
Appears in 6 contracts
Samples: info.genoahealthcare.com, info.genoahealthcare.com, info.genoahealthcare.com
Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, 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, 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, vaccine given, dose, manufacturer, lot number, expiration datesite and route of administration, 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 must maintain an individual record of administration including: individual name, dateaddress, vaccine givendate of birth; date of administration and site of injection; name, dose, manufacturer, lot number, and expiration datedate of vaccine; name and address of individual’s primary care provider, as identified by individual; and signature name or identifiable initials of person administering vaccine.Pharmacist or intern, if applicable.9
Appears in 1 contract
Samples: Protocol (Agreement
Individual Records. Pharmacy must maintain an individual record of administration including: individual individual’s name, datedate of birth, and address; date vaccine givenadministered and site of injection; name, dose, manufacturer, lot number, expiration date, and signature beyond use date of person administering the vaccine.; name and address of the individual’s primary health care provider named by the individual; name or unique identifier of Pharmacist; and which vaccine 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, date, address of administration, vaccine givenadministered, manufacturer, lot number, expiration date, and signature of person administering vaccine7 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 Pharmacist must maintain an individual record of administration including: individual name, date, vaccine given, manufacturer, lot number, expiration date, and signature of person administering vaccine, 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 name, date, vaccine given, manufacturer, lot number, expiration date, and signature of 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, dateaddress, vaccine givendate of birth; date of administration; administration site; route of administration; name, manufacturer, lot number, and expiration date, date of vaccine; dose administered; name and signature address of person administering vaccine.individual’s primary care provider; and name or identifiable initials of Pharmacist.19
Appears in 1 contract
Samples: Protocol (Agreement
Individual Records. Pharmacy must maintain ensure that an individual record of administration is maintained including: individual name, date, vaccine given, manufacturer, lot number, expiration date, and signature of person administering vaccine.
Appears in 1 contract
Samples: Collaborative Agreement
Individual Records. Pharmacy must maintain an individual record of administration including: individual name, date, vaccine given, manufacturer, lot number, expiration date, and name and signature of person administering vaccine.
Appears in 1 contract
Samples: Collaborative Agreement