Symptomtext
Client came into the clinic for vaccinations on 6/8/22 with his guardian. This nurse reviewed the available record to determine what vaccines the child was to receive, per protocol. According to the only records available, after reviewing records multiple times, it was determined that that child needed Tdap, IPV, MMR, Varicella, Hep A, MenB, flu, and HPV. The client tolerated well the injections with no complications. Once the client left the office, this nurse had a conversation with the clinic support supervisor and the immunization supervisor and it was communicated at that time that the child had multiple records prior to this appointment. The clinic support supervisor had called records, rather than fill out a petition change form, to have the records merged and the result was an incorrect merge of the duplicate records. When the records were merged there were many vaccines that did not transfer over. Therefore, the "updated" record showed that he was incomplete with Tdap, IPV, MMR, Varicella, Hep A, MenB, flu, and HPV. With no documentation that this merge had occurred in the chart, the only records this nurse had to evaluate to determine what the child was due for was the "updated" record and the chart. Because of this, the child received Tdap, IPV, MMR, Varicella, Hep A, MenB, flu, and HPV. Now that the records have been corrected, it shows that the child received additional doses of MMR, Varicella, MenB, flu, and HPV that he did not need. Child's guardian was notified. No adverse events were reported. Child tolerated well.