Name of the Procedure:

Shingrix Vaccine Non-Administration
Technical Term: M1065 - Documentation of Reason for Not Administering Shingrix Vaccine

Summary

This document records the healthcare provider's reasons for not administering the Shingrix vaccine. This may include medical issues such as allergies, patient-specific reasons like refusal, or logistical problems like vaccine unavailability.

Purpose

This procedure aims to ensure proper documentation for cases where the Shingrix vaccine is not administered, maintaining accurate medical records and helping in future medical decision-making.

Indications

• The patient received a different vaccine
• The patient has an allergy to the Shingrix vaccine
• Other medical reasons as evaluated by the clinician
• Patient declined the vaccine
• The vaccine was unavailable
• Other system or logistical reasons

Preparation

• Discussion between the clinician and the patient
• Review of patient medical history and current conditions
• Potential diagnostic tests or assessments to determine the appropriateness of the Shingrix vaccine

Procedure Description

1. The clinician evaluates the patient's medical history and current condition.
2. The clinician discusses with the patient the reasons for not administering the Shingrix vaccine.
3. Documentation is made in the patient's medical records specifying the reason for non-administration.
4. Alternate plans or follow-up actions are decided and documented, if necessary.

Duration

Approximately 15-30 minutes, depending on the complexity of the discussion and documentation required.

Setting

Typically performed in outpatient settings such as clinics or physician's offices.

Personnel

• Primary Care Physician or Specialist
• Nurse or Medical Assistant, if applicable

Risks and Complications

There are no direct risks or complications from the documentation process itself. However, not receiving the Shingrix vaccine can potentially result in a greater risk of shingles, depending on the patient's health and exposure.

Benefits

• Ensures transparency and accuracy in patient medical records
• Facilitates informed decision-making for future care
• Reduces potential for miscommunication between healthcare providers and patients

Recovery

No recovery time is required for the documentation process. Follow-up actions or plans will be discussed if necessary.

Alternatives

Alternatives may include:

• Receiving a different vaccine if suitable
• Monitoring and reassessment for vaccine administration in the future
• Implementing other preventive measures or treatments for shingles

Pros: Ensures patient safety, accurate medical records, informed healthcare decisions.

Cons: Deferred vaccination may leave patient temporarily unprotected against shingles.

Patient Experience

The patient will not undergo any physical procedure. The interaction involves a discussion with their healthcare provider about the reasons for not receiving the Shingrix vaccine and understanding the next steps. The patient may experience relief or disappointment depending on their perspective but should expect comprehensive information and support from their clinician.