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N,C. Department of Environment, Health, and Natural ReSources <br /> Divhion of General Services <br /> <br />CONTRACT ADDENDUM <br /> <br />Page ,'3 of 3 <br />FY 1993 <br /> <br />Immunization Branch <br /> <br />Office, Section, or Branc~ <br /> <br /> Cabarrus County Health Department <br /> <br />4524 <br /> <br />Con~a~ Number <br /> <br /> Immunization <br /> <br />Ac~ivit~ <br /> <br />6) <br /> <br />7) <br /> <br />Immunizations should be provided on demand and without <br />prerequisites such as county residence, a physical exam, <br />well child check, or a note from a physician. However, <br />children seen for "immunizations only" visits can be <br />referred for appropriate well child care, and if possible or <br />appropriate, seen by the EPSDT, CSC, or other care <br />coordinator while in the health department. <br /> <br />Each health department should have signed standing orders <br />for appropriate immunizations and physician referrals when <br />contraindications exist. The standing orders should not <br />contain inappropriate contraindications such as mild <br />illnesses or treatment with antibiotics. The standing <br />orders should_comply with the-immunization schedule <br />recommended by the Immunization Bran6h-and should require <br />simultaneous administration of needed vaccines. <br /> <br />8) <br /> <br />9) <br /> <br />All v~cci~':~ ~d~f: ~stra+~cr: should be documented in the <br />patient's permanent medical record, including vaccine type, <br />date, dose, manuiactu~er and lot nun. bet. Vaccine doses <br />administered should be entered into the computer database <br />and reported monthly to the Immunization Branch. <br /> <br />Adverse events should be recorded and submitted to the <br />Immunization Branch. <br /> <br />s0) <br /> <br />Each health department should maintain a system to track <br />immunizations and conduct follow-ups to remind patients of <br />scheduled and/or missed vaccinations. Immunization records <br />should be promptly shared with other providers upon request. <br /> <br />Each health department should present each patient or <br />guardian a Parent/Patient Notification Statement (PPN) each <br />time the patient presents for Immunization with any vaccine <br />covered by the National Vaccine Injury Act. <br /> <br />iapadd, nc <br /> <br />DEHNR 3300 (Revi~ecl 2/90) <br />General Services Division (Review 1/95) <br /> <br />Reviewed by <br /> <br />'Initials Date <br /> <br /> <br />