OAR 818-012-0007: Procedures, Record Keeping and Reporting of Vaccines

(1) Prior to administering a vaccine to a patient of record, the dentist must follow the “Model Standing Orders” approved by the Oregon Health Authority (OHA) for administration of vaccines and the treatment of severe adverse events following administration of a vaccine. (2) The dentist must maintain written policies and procedures for handling and disposal of used or contaminated equipment and supplies. (3) The dentist or designated staff must give the appropriate Vaccine Information Statement (VIS) to the patient or legal representative with each dose of vaccine covered by these forms. The dentist or designated staff must ensure that the patient or legal representative is available and has read, or has had read to them, the information provided and has had their questions answered prior to the dentist administering the vaccine. The VIS given to the patient must be the most current statement. (4) The dentist or designated staff must document in the patient record: (a) The date and site of the administration of the vaccine; (b) The brand name, or NDC number, or other acceptable standardized vaccine code set, dose, manufacturer, lot number, and expiration date of the vaccine; (c) The name or identifiable initials of the administering dentist; (d) The address of the office where the vaccine(s) was administered unless automatically embedded in the electronic report provided to the OHA ALERT Immunization System; (e) The date of publication of the VIS; and (f) The date the VIS was provided and the date when the VIS was published. (5) If providing state or federal vaccines, the vaccine eligibility code as specified by the OHA must be reported to the ALERT system. (6) A dentist who administers any vaccine must report, the elements of Section (3), and Section (4) of this rule if applicable, to the OHA ALERT Immunization System within 14 days of administration. (7) The dentist must report adverse events as required by the Vaccine Adverse Events Reporting System (VAERS), to the Oregon Board of Dentistry within 10 business days and to the primary care provider as identified by the patient. (8) A dentist who administers any vaccine will follow storage and handling guidance from the vaccine manufacturer and the Centers for Disease Control and Prevention (CDC). (9) Dentists who do not follow this rule can be subject to discipline for failure to adhere to these requirements.