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9/18/19 rabies vaccine - paperwork required for all new orders!
September 18, 2019

From: "Becky Ginn" <becky.ginn@hhsys.org>
To: "Pharmacy" <grp_pharmacy@hhsys.org>
Sent: Wednesday, September 18, 2019 1:35:01 PM
Subject: rabies vaccine - paperwork required for all new orders!

https://docushare.hhsys.org/dsweb/Get/Document-81604/Imovax%20Post%20Exposure%20Certification-1.pdf

IMPORTANT WE MUST INSTITUTE THESE REQUIREMENTS
This includes all 3 hospitals:

Due to a national backorder of rabies vaccine, the attached form is REQUIRED in order to dispense rabies vaccine (IMOVAX).

Jeremy Ray & Kenny Boley (HHM ED), Chris Strickland (Madison Hosp), and Maggee Kyle (HHWC ED) can, if needed, assist pharmacists with the process when they are here. The dispensing pharmacist will need to collect the appropriate information when rabies vaccine is ordered regardless of the location of the patient. Do NOT loan rabies vaccine to other hospitals. They will need to follow the same procedure that we are following.

NOTE: Madison Hospital and HHWC do NOT have an account with Sanofi Pasteur (only HH Main has the account). All paperwork will have to be sent through HH Main to receive stock.

Pharmacists: Please attempt to get the provider's signature on the form when the rabies vaccine is ordered. If you are NOT able to get the provider's signature on the form, make sure to leave the form, along with the patient's information, for Jeremy/Kenny or Maggee (if the patient is an ED patient) or management so they can follow up. Wade Williams or the "OPM" pharmacist position will be following up on the OutPatient Medical patients requiring rabies vaccine. OR---You may leave the paperwork on Keith's door, and we will forward to the appropriate person.

With regard to the attached form please note:
1. A physician's printed name and signature/date is required.
2. Multiple patients can be requested on each form....the body weight of each patient must be used to calculate the total number of units/doses need for Post-Exposure Prophylaxis. You will need to assure all of this information is gathered properly.
3. You need to fax or email this form (for the purchase order number use the date you're sending the form plus Keith's initials....for example, if I sent this form today the purchase order would be 091819KM).
4. Once all of this is completed give this form to Keith Moss (or fax it to him at 5-6337).

If you have questions, ask your supervisor or manager.

Thanks, Becky

--

Becky Ginn, Pharm.D.
Huntsville Hospital
Pharmacy Manager - Central Operations
(256) 265-2542
becky.ginn@hhsys.org