Transcription of DAILY USAGE LOG PRIVATE VACCINE Date: …
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Example: dental hygienist
DAILY USAGE LOG PRIVATE VACCINE Date: …
DAILY USAGE LOG. PRIVATE VACCINE Date: Ordering Period: __/__/__ to __/__/__. INSTRUCTIONS: Keep this log where you store vaccines. Fill in patient info and add a check mark for each VACCINE you remove and administer today. At the end of the day, add the number of checks for each VACCINE for your DAILY Total. When you are ready to order VACCINE , add all the DAILY Totals for the Order Period Total and fill in as doses administered on your VACCINE order. Keep logs for your own records. FROZEN. DTaP DTaP- DTaP- DTaP- HepA HepB Hib Hib- HPV IPV MCV4 MenB PCV13 PPSV23 RV Td Tdap MMR MMRV VAR. HepB- IPV IPV/Hib MenCY. IPV. Patient Name Date of Dap- Pediarix Kinrix Penta- VAQTA Engerix-B ActHIB Menhi- Garda- IPOL Menac- Bexsero Prevnar Pneu- Rotarix Tenivac Adacel MMR-II Pro- Varivax (or medical Birth tacel Quadra- cel Havrix Recom- Pedvax- brix sil 9 tra Tru- 13 movax RotaTeq Td Boostrix Quad record) Infanrix cel bivax HB HIB Menveo menba 23 VACCINE (Grifols).
DAILY USAGE LOG PRIVATE VACCINE INSTRUCTIONS: Keep this log where you store vaccines. Fill in patient info and add a check mark for each vaccine you remove and administer today.
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