MINISTRY OF
HEALTH
--------
|
THE SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
---------------
|
No. 5785/QD-BYT
|
Hanoi, December
21, 2021
|
DECISION
INTERIM
GUIDELINES ON COVID-19 IMMUNIZATION SCREENING FOR PEOPLE AGED 18 OR MORE
THE MINISTER OF HEALTH
Pursuant to Government's Decree No.
75/2017/ND-CP dated June 20, 2017 on functions, tasks, powers and
organizational structure of the Ministry of Health;
Pursuant to Resolution No. 86/NQ-CP dated August
6, 2021 of the Government on urgent solutions for COVID-19 prevention and
control to implement Resolution NO. 30/2021/QH15 dated July 28, 2021 of the
15th National Assembly;
At the request of the Specialized Council for
development of guidelines for COVID-19 immunization screening;
At request of Director General of Vietnam
Administration of Medical Services.
HEREBY DECIDES:
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Article 2. The “Interim guidelines on COVID-19 immunization screening
for people aged 18 or more” apply to all public and private medical examination
and treatment establishments and immunization facilities nationwide.
Article 3. This Decision comes into effect from the day of signing.
Annul Decision No. 4355/QD-BYT dated September 10, 2021 of Minister of Health
on Interim guidelines on COVID-19 immunization screening.
Article 4. Director of Department of Medical Examination and Treatment,
Chief of the Ministry Office, Chief Ministry Inspector, directors of
departments and agencies affiliated to Ministry of Health; directors of medical
establishments affiliated to Ministry of Health; Directors of Departments of
Health of provinces and central-affiliated cities, heads of relevant entities;
heads of medical sector of ministries are responsible for implementation of
this Decision./.
PP. MINISTER
DEPUTY MINISTER
Nguyen Truong Son
INTERIM GUIDANCE
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
I. Purpose of screening
Detect and classify individuals eligible for
COVID-19 immunization to ensure safety.
II. Immunization beneficiary
classification
1. Individuals
eligible for immunization
Individuals within the age for immunization as per
recommendation under use instruction of manufacturers and not too sensitive to
active ingredients or any excipients of the vaccine.
2. Individuals
that require attention in immunization
The following individuals must be screened
carefully and thoroughly:
- Individuals who
previously had allergic reactions to other allergens.
- Individuals who
have underlying medical conditions or chronic diseases.
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
- Individuals who
used to suffer from thrombocytopenia and/or coagulation disorders.
- Pregnant women ≥
13 weeks.
- Individuals
having irregular vital signs:
+ Temperature < 35,5oC and > 37,5oC.
+ Pulse: < 60 times/minute or > 100
times/minute.
+ Minimum blood pressure < 60 mmHg or > 90
mmHg and/or maximum blood pressure < 90 mmHg or > 140 mmHg or 30 mmHg
more than daily blood pressure (for individuals with hypertension receiving
treatment and having medical records).
+ Respiratory rate > 25 times/minute.
3. Individuals
whose immunization must be delayed
- Having chronic
diseases.
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
4. Contraindications
- Previously
having allergic reactions with the same COVID-19 vaccine.
- Having any
contraindication as per publication of manufacturers.
III. Immunization
screening
1. Asking
about medical history
1.1. Current health conditions
Examine health for fever, any chronic disease, and
any acute disease that are in progress, especially if the conditions suggest
COVID-19.
1.2. History of COVID-19 immunization
Request information about the type of COVID-19
vaccine and time of vaccination.
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
- Previously had
allergic reactions to any allergen.
- Have history of
severe allergic reactions, including anaphylaxis.
- Have history of
allergic reactions with vaccine or any component of vaccine.
1.4. History of COVID-19 infection.
1.5. History of severe immunodeficiency, terminal
cancer, receiving chemotherapy or radiotherapy.
1.6. History of coagulation disorders/hemostasis
disorders or currently taking anticoagulant drugs.
1.7. Pregnant women (if any) or breastfeeding
women:
- Pregnant women: Inquire about age of pregnancy. Explain risk/benefits, only consider COVID-19
immunization for pregnant women with ≥ 13 weeks of pregnancy when potential
benefits are greater than any potential risks for mothers and children.
- Pregnant women
(if any) or breastfeeding women: check with the instructions for use of the
vaccine to indicate the type of vaccine permitted for use.
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
2.1. Detect any irregularity in vital signs:
- Measure body
temperature of everyone arrives for immunization.
- Measure blood
pressure of individuals having history of hypertension/hypotension, individuals
having underlying medical conditions related to cardiovascular diseases, and
individuals older than 65 years of age.
- Measure pulse,
count respiratory rate of individuals having history of heart failure or having
any irregularity such as chest pain, dyspnea, etc.
2.2. Observe general appearance
- Assess level of
senses by asking questions about the individuals arriving for immunization. Pay attention to individuals having severe
underlying medical conditions that cause them to be bed ridden, lose senses, or
lose behavioral capacity.
- Record any
visual irregular symptoms in individuals arriving for vaccination in order to
inquire about health record.
IV. Screening
conclusion
- Recommend
immunization for cases eligible for immunization.
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
- Transfer to
medical facilities capable of providing emergency care for allergic shock for
cases with history of level 3 allergic shock regardless of causes.
- Pregnant women
with ≥ 13 weeks of pregnancy after receiving explanation regarding
risks/benefits and agreeing to be vaccinated should be transported for
immunization in medical facilities capable of providing medical care in obstetrics.
- Do not recommend
immunization for individuals who have contraindications for immunization.
V. Implementation
1. Screening
personnel
Screening personnel must receive training regarding
COVID-19 immunization screening and dealing with allergic shock as per Circular
No. 51/2017/TT-BYT of Ministry of Health.
2. Equipment
- Thermometer,
stethoscope, blood pressure meter.
- COVID-19
immunization screening schedule (attached under Annex).
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
- Prepare 1
Adrenaline 1 mg/1 ml syringe.
3. Recording
of screening and documents
- Immunization beneficiaries
shall receive physical examination, be advised, and sign immunization
commitment.
- Record and store
immunization data of beneficiaries, including cases of contraindications on
software for managing population health record on http//hssk.kcb.vn as per
applicable laws.
- Immunization
screening form and immunization commitment shall be stored in immunization
entities. Storage period shall be 15 days.
Other contents require compliance with immunization
guidelines of Ministry of Health./.
APPENDIX
(Attached
to Decision No. 5785/QD-BYT dated December 21, 2021)
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
THE SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
---------------
COVID-19 IMMUNIZATION SCREENING FORM FOR PEOPLE AGED
18 OR MORE
Full name:
.................................................. Date of
birth: /............
/........... Male □ Female □
Citizen identity card/Passport (if
any):......................................... No……Phone
number:…………………
Address: ....................................................................................................................
Received COVID-19 vaccine:
□ Not receive yet
□ Received the 1st
dose, type of vaccine: ………………..………… Date of
immunization:.................................
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
□ Received the 3rd
dose, type of vaccine: ………………..………… Date of
immunization:.................................
I. Screening
1. History of
previous instances of allergic shock with COVID-19 vaccine or components of
COVID-19 vaccine.
No □
Yes □
2. Having
chronic diseases
No □
Yes □
3. Pregnant
womena:
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
3a. Pregnant
women < 13 weeks
No □
Yes □
3b. Pregnant
women ≥ 13 weeksb.
No □
Yes □
4. Level 3
allergic reactions or higher for any allergen (if any, allergen: …………………)
No □
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
5. History of
severe immunodeficiency, terminal cancer, receiving chemotherapy or
radiotherapy
No □
Yes □
6. Previous
allergic reactions to any allergen
No □
Yes □
7. History of
coagulation disorder/hemostasis disorder
No □
Yes □
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
No □
Yes □
9. Irregular
vital signs (if any, clarify …………………………………)
• Temperature:
oC • Pulsec:
times/minute
• Blood pressured: mmHg
• Respiratory ratec:
times/minute
No □
Yes □
10. Contraindication/Delayed
immunizatione (if any, clarify)
....................................................................................................
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Yes □
II. Conclusion:
- Eligible for
immediate immunization: NO irregularity
and NO contraindication against the vaccine in the instructions for use
of the manufacturer
- Contraindication
against the same vaccine: In case of ANY
irregularity in section
1 □
- Delayed
immunization: In case of ANY
irregularity under sections 2,
3a □
- Immunization
provided by medical facilities eligible for providing medical care for allergic
shock: In case of ANY irregularity in
section 4 □
- Caution in
vaccination: In case of ANY
irregularity under sections 3b, 5, 6, 7, 8,
9 □
Reason:
.........................................................................................................................
...
...
...
Bạn phải
đăng nhập hoặc
đăng ký Thành Viên
TVPL Pro để sử dụng được đầy đủ các tiện ích gia tăng liên quan đến nội dung TCVN.
Mọi chi tiết xin liên hệ:
ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Duration:
.... (Time and date)
Screening personnel
(signature and full name)
______________________________________
a Pregnant women (if any) or
breastfeeding women: check with the instructions for use of the vaccine to
indicate the type of vaccine permitted for use.
b For pregnant women with ≥ 13 weeks of
pregnancy: Explain risk/benefits, require
COVID-19 immunization commitment, and transfer to medical facilities providing
obstetric care for vaccination.
c Measure pulse, count respiratory rate
of individuals having history of heart failure or having any irregularity such
as chest pain, dyspnea, etc.
d Measure blood pressure of individuals
having history of hypertension/hypotension, individuals having underlying
medical conditions related to cardiovascular diseases, and individuals older
than 65 years of age.
e Contraindication or delayed
immunization as recommended by the manufacturer against the vaccine or any
irregularity