From the EHR Workflow Appointments Inbox, double-click the patient receiving the flu shot.

The 5-Point Check is as follows:

1. Confirm that you have the Correct Patient.
2. Verify that you have the Correct Location (DOHC ORS PS, DOHC ORS IN, Etc.)
3. Correct Provider (Hoffing, Marc MD)
4. Correct Encounter.
5. Correct Provider name on the Encounter.

To access the Intake MG template from the Patient History panel,

1. Select the Template Module  icon.
2. Select Intake MG from the menu.
3. Click OK

After opening the Intake MG template, perform the following steps:

1. Verify that Internal Medicine is selected as the Specialty.
2. Select Nurse Visit as the Visit Type.

On the Reason for Visit panel,

1. Click the Do not launch HPI check box.
2. Select flu shot from the default list of reasons.

Proceed to the Vital Signs panel then click the Add button just below the Vital Signs grid.

Document the patient's temperature by performing the following steps:

1. Free text the patient's temperature in the Temperature fields.
2. Record the Site. (options available: axillary, ear, oral, rectal, and temp strip)
3. Click Save
4. Click Close

The Immunizations Template can be accessed by selecting Immunizations from the left Navigation bar.

Click the CAIR Consent active text link to proceed with documenting the patient's consent to send a copy of the records to the California Immunization Registry (CAIR).

1. Select Consent: Yes, No or Unknown.
2. Click to Enter date consent recorded.
3. Click Disclosure to print consent form. (English or Spanish)
4. Click Save & Close.

Ask the patient to be vaccinated if they have ever had Guillain-Barre syndrome. Based on patient's response, select Yes or No.

Click the New Order button on the Immunization Orders toolbar to begin ordering the Influenza vaccine.

Select the indicated vaccine, by clicking on the check box located next to the appropriate Influenza description.

Review patient's allergies in the Review Allergies pop-up. If the patient has no pertinent allergies, click the No To All Allergies check box, then Save.

To complete the order, click on the Vaccine Details tab located on the bottom left corner of the Immunization Order screen.

Click Document As Given at the bottom of the Print VIS window to proceed to the Vaccine Details screen.

To complete the Vaccine Details for the Influenza Vaccine, click the drop down arrow next to Lot#.

The following fields will need to be completed by person completing the order:

1. Site
2. Consent was given from. (i.e. Self, Father, Mother, etc.)
3. Any Comments/Notes. (i.e. Patient tolerated well, No adverse reaction, etc.)
4. Click Print/Give VIS then click on Print.
5. Click Save

After saving vaccine, select SOAP from the left Navigation bar.

Scroll down to the bottom of the SOAP template and perform the following steps:

1. Click Generate Note
2. Select Master Document from the menu.
3. Click OK to generate document.