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: Non Patient Specific Order, Non Patient Specific Order, Non Patient Specific Order

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Individual Records. Pharmacy must maintain an individual record of administration including: individual individual’s name, address, telephone number, date of birth, allergies and gender; vaccine administered, the manufacturer, expiration date, address lot number, site of administration, vaccine and dose administered,; date of original order and the date of administration(s); name and address of Authorizing physician, and the name and address of Pharmacist administering the dose, and

Appears in 6 contracts

Samples: Standing Order for Pharmacist Administered Vaccines, Standing Order for Pharmacist Administered Vaccines, Standing Order for Pharmacist Administered Vaccines

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, Pharmaceutical Care Agreement, Collaborative Pharmacy Practice Agreement

Individual Records. Pharmacy must maintain an individual record of administration including: individual individual’s name, address, telephone number, date of birth, allergies and gender; vaccine administered, the manufacturer, expiration date, address lot number, site of administration, vaccine administered,and

Appears in 1 contract

Samples: Standing Order for Pharmacist Administered Vaccines

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.

Appears in 1 contract

Samples: Standing Order for Pharmacist Administered Vaccines

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 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 for Pharmacist Administered Vaccines

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

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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 of administration, vaccine administered,, manufacturer, lot

Appears in 1 contract

Samples: Non Patient Specific Order

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, 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

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