Page 57 - Covid-19 Vaccine Clinic

o Post vaccination, all persons are to check out, schedule their second dose appointment
(if applicable i.e. patient has received 1 dose of 2) and obtain a copy of their
immunization record. Documentation will include; Vaccine trade name, dosage, route,
site, date, manufacturer, lot number, expiry date, name of person administering the
vaccine.
Available Emergency equipment on-site:
• Epinephrine/anaphylaxis kit is located at all Corporate Health, Safety and Wellness onsite
locations, COVID-19 Vaccination Clinics or travelling carts.
• In the event of a Cardiac/Respiratory Arrest/Medical Emergency within the main Unity Health
sites (SJHC, SMH, PHC) call a Code Blue.
• In the event of a Cardiac/Respiratory Arrest/Medical Emergency at any offsite location call 9-
911.
• The regulated health professional who will implementing this Directive will review the consent
with the client in person and document the findings on the Ministry of Health COVID-19 Vaccine
Consent Form (paper document) or electronically using the Ministry of Health database known
as COVax.

Adverse events are to be reported to local Public Health Unity using the Ministry of Health’s Report of
Adverse Event Following Immunization (AEFI) Form.

Appendix Attached: Yes X No Title: Order Table: COVID-19 Vaccine Medical Directive
Vaccination and Medication Table

5.0 CONTRAINDICATIONS
• No consent from patient or substitute decision maker.
• COVID-19 vaccination is contraindicated in persons with:
o Symptoms of COVID-19
o History of anaphylaxis reaction to any vaccine or any components of a COVID-19 vaccine
o Allergy to polyethylene glycol
o Bleeding disorder (Note: vaccine may be administered if the benefit outweighs the risk)
o Immunocompromised due to a disease, treatment or autoimmune disorder
o Vaccination with another vaccine in the past 14 days

Appendix Attached: Yes X No Title: Order Table: COVID-19 Vaccine Medical Directive
Vaccination and Medication Table

6.0 CONSENT:

Any person or substitute decision maker receiving a COVID-19 vaccination is required to
sign consent.

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