Influenza Vaccination Standing Orders - NHSN
Form Template
This Influenza Vaccination Standing Orders form can be used as part of an inpatient medical record to assist with data collection.
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It also provides a document that will allow for the capture of needed data elements to complete the vaccination module. The minimum requirement to participate in this module is one month during the influenza season(September through April), but maximal benefit is obtained by completing the module for each month of the entire influenza season.
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