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    HBV (Hepatitis B Vaccine) Tetanus Vaccine: Name of Employee Department Date of Joining Designation

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    Mangesh Virkar
    This document contains a decision matrix for hepatitis B vaccination of employees based on their antibody titre levels. It records the employee's name, department, date of joining, designation, and vaccination history. Based on the antibody test results, it determines whether vaccination is required, sufficient antibodies are present, or if another antibody test is needed. It also includes spaces to record the vaccine name, remarks on previous vaccination, and details of doses administered including date, name and signature of the person administering it.

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    HBV (Hepatitis B Vaccine) Tetanus Vaccine: Name of Employee Department Date of Joining Designation

    Uploaded by

    Mangesh Virkar
    38 views1 page
    This document contains a decision matrix for hepatitis B vaccination of employees based on their antibody titre levels. It records the employee's name, department, date of joining, designation, and vaccination history. Based on the antibody test results, it determines whether vaccination is required, sufficient antibodies are present, or if another antibody test is needed. It also includes spaces to record the vaccine name, remarks on previous vaccination, and details of doses administered including date, name and signature of the person administering it.

    Original Description:

    Hospital Need to demonstrate compliance to vaccination policy under safety

    Original Title

    Vaccination Chart51

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    This document contains a decision matrix for hepatitis B vaccination of employees based on their antibody titre levels. It records the employee's name, department, date of joining, designation, and vaccination history. Based on the antibody test results, it determines whether vaccination is required, sufficient antibodies are present, or if another antibody test is needed. It also includes spaces to record the vaccine name, remarks on previous vaccination, and details of doses administered including date, name and signature of the person administering it.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    38 views1 page

    HBV (Hepatitis B Vaccine) Tetanus Vaccine: Name of Employee Department Date of Joining Designation

    Uploaded by

    Mangesh Virkar
    This document contains a decision matrix for hepatitis B vaccination of employees based on their antibody titre levels. It records the employee's name, department, date of joining, designation, and vaccination history. Based on the antibody test results, it determines whether vaccination is required, sufficient antibodies are present, or if another antibody test is needed. It also includes spaces to record the vaccine name, remarks on previous vaccination, and details of doses administered including date, name and signature of the person administering it.

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    © All Rights Reserved
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    Ameya Clinic

    DAILY OBSERVATION
    A Unit of Vartak Health Services Pvt Ltd

    Name of Employee Department


    Date of Joining Designation

    No Vaccination
    Enough Antibodies
    Required
    Decision Matrix (HBV Inadequate
    Vaccination) Yes Antibody Titre
    Antibodies
    Start Vaccination
    History of
    Vaccination Inderminate Repeat Antibody
    No Start Vaccination
    Antibidies test

    Remark of Previous Vaccination


    Name of Vaccine Remark Recorded By (Name, Sign / Date)
    HBV (Hepatitis B
    Vaccine)
    Tetanus Vaccine

    Schedule (Utilise
    Name of Antibody Titre Date of Dose Given by (Name,
    Insert to Mention the
    Vaccine (If Applicable) Dose Sign / Date)
    Schedule)
    Name:
    First Dose: Qualification:

    (__________) Sign:
    Date:
    Name:
    Second Dose:
    HBV (Hepatitis B Qualification:
    Vaccine) (__________) Sign:
    Date:
    Name:
    Third Dose: Qualification:

    (__________) Sign:
    Date:

    Tetanus Vaccine

    Version SRKH/001 Document Number SRKH/SOP/DPT/001


    Effective Date 4 Sept 2018 Revision Date 3 Sept 2018

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