Is medication reconciliation necessary for flu vaccinations given to enrolled veterans or employees? Is it required to have a physician order for flu vaccine in each individual’s record?
It is The Joint Commission’s position that medication reconciliation is required whenever the live vaccine (LAIV intranasal spray) is used, but it is left to the provider organization to decide whether to gather a list of the patient’s (employee’s) current medications and review prior to administering inactivated flu vaccine (flu vaccine injection/shot). If the organization’s decision is not to do this, then each person receiving the flu vaccine must be provided information about the risks of vaccination and encouraged to share any relevant information prior to receiving the flu vaccine. Note that Federal law requires that a CDC Vaccine Information Statement (VIS) be provided to the person prior to administering a dose of the flu vaccine. For more information on this requirement, please visit http://www.cdc.gov/nip/publications/vis/vis-facts.htm* The rationale for requiring medication reconciliation for the live flu vaccination (LAIV) is the potential for drug interactions with the liv
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