p7010pdf 149Supervisor ReviewPatientParent Ox006600660069ce Protocolsneeds toimproveneeds toimproveplan of actionmeets orexceedsmeets orexceedsSelfAssessmentSkills Checklist for Vaccine Administrati ID: 896329
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1 clinical skills, techniques, and procedu
clinical skills, techniques, and procedures special needs of patient/parents to help make them feel comfortable 4. patient/parents 5. Screens p7010.pdf • Supervisor Review Patient/Parent O�ce Protocols needs toimproveneeds toimproveplan of actionmeets orexceedsmeets orexceeds Self-Assessment Skills Checklist for Vaccine Administration(continued) pa Supervisor Review clinical skills, techniques, and procedures 2. 4. Prepares and draws up vaccines in a designated clean medication area that 5. and/or weight, site, and recommended injection technique. 7. 8. Prepares a new sterile syringe and sterile needle
2 for each injection. Checks 9. Labels 1.
for each injection. Checks 9. Labels 1. Veri�esRechecksprovider’s 2. hygienepolicy, 4. Positionsand/orparent’s 5. Correctly 6. Locateslandmarks center to a 2" to 3" circle. Allows alcohol to dry. VaccinePreparation DAdministeringImmunizations needs toimproveneeds toimproveplan of actionmeets orexceedsmeets orexceeds Self-Assessment continued on the next page Immuniztion Action Coaition SaintPaul, Minnesota • 651-647-9009 • www.immunize.org • www.vaccineinformation.org p7010.pdf •7010 (2/21) Skills Checklist for Vaccine Administration(continued) pa Supervisor Review clinical skills, techni
3 ques, and procedures 9. 1. name/ini
ques, and procedures 9. 1. name/initials. 2. state/local 3. DAdministeringImmunizations(continued) RecordsProceduresPlan of Action needs toimproveneeds toimproveplan of actionmeets orexceedsmeets orexceeds Self-Assessment a. Watchavailable at www.cdc.gov/vaccines/hcp/admin/resource-library.html. b. Review other guides (e.g., Key Vaccination Resources www.immunize.org/catg.d/p2005.pdf) f. Observe h. Vaccine i. j. courses/training. m. Renewsteps and write in the agreed deadline for completion, as well as date for the follow-up File the Skills Checklist in the employee’s personnel folder. employee signature datesupervisor signature date plan of action deadlinedate of next performance review p7010.pdf •7010 (2/21)