Welcome to the Adding/ Editing New Immunizations

1. Welcome to the Adding/ Editing New Immunizations lesson for the North Carolina Immunization Registry.

2. Once you have located your client’s record, to document new immunizations begin by Clicking on History/Recommend.

3. The NCIR makes vaccine recommendations based on 4 criteria 4. Any client comments Always check and see what is recommended to be given. Ask yourself if this is correct. **The NCIR is not meant to supersede your clinical judgment. 3. History already entered 1. Age of the Client 2. ACIP Recommendations

4. There are 2 ways to enter a new immunization from inventory. By clicking New Immunization Entry Both options will take you to the same entry screen, the only difference is that Add Selected makes the green check marks for you and New Immunization Entry does not (you select the vaccines manually) By clicking Add Selected

5. When you’re finished, click OK Choose the Site under Organization Site Make sure the vaccine is selected Choose your Ordering Authority Choose who administered the shot Choose the date the shot was administered Either by typing it in or clicking on the calendar When you click on the calendar it will pop up and default to the current day. Click OK

6. You must first verify the patient’s Eligibility by selecting from the drop down box. You will not be able to progress past this screen without completing this step. The choices in the drop down box are the same choices that were available on the VAL forms. Click OK when finished Choose your Trade Name- Lot Numbers by clicking on the drop down arrow. **State supplied vaccine is in blue and Private supply vaccine is in black Choose your Body Site the same way- click on the drop down box and choose your site. Notice that as you choose vaccines, the VIS Publication Date will display at the bottom with the most current date. You can choose the date of the actual copy that the patient received by clicking on the drop down box.

7. You will see the shots appear under the History section

8. From the Edit screen you can change the following information for a live vaccine that your facility has administered: • Date Provided • Ordering Authority • Administered By • Body Site • Administered Route • Eligibility as reported by Responsible Person • You are also able to add Reactions to IMMUNIZATION on this page by selecting the corresponding reaction at the bottom of the screen.

9. This concludes the Adding/ Editing New Immunizations lesson. If you have any questions please feel free to contact your Regional Consultant or the Immunization Branch Help Desk