Section Ph 1809.05 - Recordkeeping An advanced pharmacy technician who engages in the administration of vaccines shall, for a minimum of 4 years, keep a patient consent form that includes the:
(a) Name and date of birth of the patient;(b) Name of the vaccine, manufacturer, lot number, and expiration date of the vaccine;(c) Description of the risks and possible side effects of the vaccine;(d) Date of administration;(e) Supervising pharmacist's name;(f) Administering licensed pharmacy technician's name; and(g) Signature of the patient.N.H. Admin. Code § Ph 1809.05
Derived from Volume XLII Number 45, Filed November 10, 2022, Proposed by #13463, Effective 10/18/2022, Expires 10/18/2032