Immunization Administration by Pharmacists

Questions and Answers

What is a requirement for a pharmacist to administer immunization agents?

The pharmacist must be a certified nurse practitioner.

The pharmacist must have a certificate of administration issued by the department. (correct)

The pharmacist must have a practice site outside of New York State.

The pharmacist must be licensed in a state other than New York.

Who can prescribe or order immunization agents for non-patient specific orders?

A New York State licensed and registered pharmacist

A New York State licensed and registered physician or certified nurse practitioner (correct)

A certified nurse practitioner with a practice site outside of New York State

A physician with a practice site outside of New York State

Under what circumstances can the commissioner of health issue a non-patient specific regimen applicable statewide?

When a physician orders a non-patient specific regimen.

When there is an outbreak of disease in a specific region.

When there is the imminent threat of an outbreak of disease. (correct)

When a pharmacist meets the requirements for a certificate of administration.

What is required for a pharmacist to administer immunization agents to patients?

The pharmacist must have a certificate of administration and the order and protocol must meet the requirements set forth in paragraph (5) of this subdivision. Signup and view all the answers

What is a requirement for non-patient specific orders?

The order must be prescribed or ordered by a New York State licensed and registered physician or certified nurse practitioner. Signup and view all the answers

What is authorized under section 6801 of the Education Law?

A pharmacist to administer immunization agents to patients with a certificate of administration. Signup and view all the answers

What is the age requirement for a certified pharmacist to administer immunizing agents to prevent influenza?

2-18 years of age Signup and view all the answers

What is required for a licensed pharmacist to administer immunizing agents?

A certificate of administration issued by the Department Signup and view all the answers

What is a condition for administering an immunization recommended by the advisory committee on immunization practices?

The patient lacks documentation of the immunization Signup and view all the answers

Under what circumstances can a certified pharmacist delegate the administration of immunizations to another person?

A certified pharmacy intern, who has completed the necessary training and is working under the immediate personal supervision of the certified pharmacist. Signup and view all the answers

What is included in the training course for administering immunizations?

Techniques for screening patients and obtaining informed consents Signup and view all the answers

What are the requirements for a pharmacist to administer immunizations in New York State if they hold a current certificate of administration issued by another jurisdiction?

All of the above. Signup and view all the answers

What is the timeframe for completing the training course in immunization administration?

Within the last 3 years Signup and view all the answers

Before administering an immunization, a certified pharmacist must ensure which of the following?

The recipient has been informed of the potential side effects and adverse reactions and has consented to the immunization. Signup and view all the answers

What is a requirement for a Doctor of Pharmacy degree program to meet the training requirement?

All of the above Signup and view all the answers

Which of the following is NOT a requirement for a certified pharmacist administering an immunization agent?

Confirming the recipient is at least 18 years of age before administering the immunization. Signup and view all the answers

What is a condition for administering an immunization recommended by the advisory committee on immunization practices?

The patient meets the age requirements Signup and view all the answers

What are the requirements for a certified pharmacy intern to administer immunizations?

They must be working under the immediate personal supervision of a certified pharmacist. Signup and view all the answers

What is included in the areas of instruction in the training course?

Techniques in the administration of immunizing agents, including the injection of a harmless, non-medicinal saline solution Signup and view all the answers

What is required for a certified pharmacist to administer other immunizations?

A certificate of administration and a patient specific or non-patient specific order Signup and view all the answers

When can a certified pharmacist administer an immunization without a patient-specific prescription?

When the immunization is administered according to a non-patient-specific order and protocol. Signup and view all the answers

What is the purpose of the training course in immunization administration?

To prepare pharmacists to administer immunizations safely and effectively Signup and view all the answers

According to the regulations, who is responsible for ensuring that emergency anaphylaxis treatment agents are available at the location where immunizations are administered?

The certified pharmacist administering the immunizations. Signup and view all the answers

Which of the following statements about informed consent for immunization is correct?

The recipient, or their legally responsible representative, must be informed that a pharmacy intern will be administering the immunization and consent to this arrangement. Signup and view all the answers

What is the significance of the advisory committee for immunization practices (ACIP) recommendations in the context of immunization administration by pharmacists?

The ACIP recommendations provide guidance on the most current practices and protocols for administering immunizations, but pharmacists may deviate from them if they have a good reason. Signup and view all the answers

Which of the following is true about the administration of immunizations by a certified pharmacy intern?

Both c and d. Signup and view all the answers

Under what circumstances can a certified pharmacist include individually identifiable health information in a report? (Select all that apply)

When the information is required by law. Signup and view all the answers

What specific information must a certified pharmacist provide to recipients regarding primary healthcare practitioners?

The importance of having a primary healthcare practitioner, in a form or format developed by the Commissioner of Health. Signup and view all the answers

What information must a certified pharmacist provide to a recipient, or their legally responsible person, prior to administering an immunization?

The total cost of the immunization, subtracting any health insurance subsidization. Signup and view all the answers

If an immunization is not covered by health insurance, what information is a certified pharmacist required to provide to the recipient, or their legally responsible person?

Information that the immunization may be covered when administered by a primary care physician or healthcare practitioner. Signup and view all the answers

How must a certified pharmacist report the administration of an immunizing agent?

By electronic transmission or facsimile to the patient's attending primary healthcare practitioner. Signup and view all the answers

If a patient is unable to communicate the identity of their primary healthcare practitioner, what must a certified pharmacist do?

Report the administration to the statewide or citywide immunization registry, as applicable. Signup and view all the answers

What kind of order must a certified pharmacist maintain to administer immunizations?

An order from a licensed physician or certified nurse practitioner, either patient-specific or non-patient specific. Signup and view all the answers

What information must be included in a non-patient specific order?

The specific immunization agents that the pharmacist is permitted to administer. Signup and view all the answers

How must a certified pharmacist maintain a record of each patient who receives an immunization?

On a separate form retained by the pharmacist who administered the immunization, in a retrievable format available to the Department and the patient. Signup and view all the answers

What information must be included in all patient-specific and non-patient specific orders authorizing a certified pharmacist to administer immunizations?

The name, license number, and signature of the licensed physician or nurse practitioner who has issued the order. Signup and view all the answers

Which of the following statements accurately reflects the requirements for maintaining records of anaphylaxis treatment administration by a certified pharmacist?

Records must be maintained in a patient medication profile if one exists, otherwise on a separate form retained by the administering pharmacist. Signup and view all the answers

A non-patient specific order for anaphylaxis treatment must include which of the following?

The period of time that the order is effective. Signup and view all the answers

According to the content, who is authorized to prescribe a non-patient specific order for anaphylaxis treatment?

Licensed physicians or certified nurse practitioners. Signup and view all the answers

If a non-patient specific order for anaphylaxis treatment does not name specific certified pharmacists, what criteria must be met for a certified pharmacist to administer the treatment?

The pharmacist must be employed by or under contract with the entity named in the order. Signup and view all the answers

Which of the following statements accurately reflects the relationship between the order and protocol for anaphylaxis treatment?

The protocol is incorporated into the order. Signup and view all the answers

A certified pharmacist is authorized to administer anaphylaxis treatment agents in accordance with a non-patient specific order under which of the following circumstances?

Only if the patient is experiencing symptoms consistent with anaphylaxis. Signup and view all the answers

What is the minimum age requirement for patients who can receive anaphylaxis treatment administered by a certified pharmacist under a non-patient specific order?

2 years old. Signup and view all the answers

Which of the following is NOT a requirement for a non-patient specific order for anaphylaxis treatment?

The specific dosage of the anaphylaxis treatment agent to be administered. Signup and view all the answers

If a certified pharmacist administers anaphylaxis treatment under a non-patient specific order, what information must be included in the patient's record?

The specific anaphylaxis treatment agent administered. Signup and view all the answers

In instances where a non-patient specific order does not name individual certified pharmacists, but identifies an entity that employs or contracts with pharmacists, which of the following statements is true?

Certified pharmacists employed by or under contract with that entity are only authorized to administer anaphylaxis treatment within the scope of their employment or contract. Signup and view all the answers

What is required for non-patient specific orders regarding pharmacists administering immunizations?

Authorization for certified pharmacists to administer specified immunization agents. Signup and view all the answers

In what situation can certified pharmacists who are not named in a non-patient specific order administer immunizations?

If they are working under an entity authorized to employ pharmacists. Signup and view all the answers

What essential information must be recorded by a pharmacist after administering an anaphylaxis treatment agent?

The recipient's name, date, and details of the treatment administered. Signup and view all the answers

What must a certified pharmacist do in the event of administering an anaphylaxis treatment agent?

Contact local emergency medical services following administration. Signup and view all the answers

What is NOT a requirement listed for non-patient specific orders?

A description of the financial arrangements with the entity. Signup and view all the answers

What must a protocol for administering immunizations incorporate?

Standards, procedures, and reporting requirements. Signup and view all the answers

How long must the period of effectiveness be stated in a non-patient specific order?

With specific beginning and ending dates. Signup and view all the answers

What should pharmacists ensure when maintaining records of anaphylaxis treatment administration?

All records must comply with specific confidentiality regulations. Signup and view all the answers

Which of the following is not included in the reporting requirement after an anaphylactic treatment administration?

Follow-up arrangements established with the patient. Signup and view all the answers

Which statement is true regarding the employment of pharmacists under non-patient specific orders?

Pharmacists can only administer immunizations as part of their employment with authorized entities. Signup and view all the answers

What is required from a certified pharmacist regarding patients incapable of consenting to immunization?

The pharmacist shall provide a signed certificate of immunization. Signup and view all the answers

Which document must a certified pharmacist provide to the recipient before administering an immunization?

Vaccine information statement. Signup and view all the answers

What action must a certified pharmacist take if adverse outcomes are reported after immunization?

Report them according to federal law. Signup and view all the answers

What specific information must be included in the signed certificate of immunization?

Date of immunization and administering pharmacist. Signup and view all the answers

Which reference materials must a pharmacist provide regarding immunizations?

Education materials on influenza vaccines for children. Signup and view all the answers

What role does the Centers for Disease Control play in the immunization process managed by pharmacists?

They issue vaccine information statements. Signup and view all the answers

What should a certified pharmacist ensure regarding the record of immunizations?

Records must be recorded and maintained as per specific regulations. Signup and view all the answers

What must a pharmacist do if the recipient refuses to consent to immunization by a pharmacy intern?

Provide an alternative immunization option from a pharmacist. Signup and view all the answers

What must a pharmacist do prior to administering any immunization?

Offer current immunization schedules and educate the patient. Signup and view all the answers

To whom must a pharmacist communicate the immunization information after administration?

The recipient's primary health care practitioner, if available. Signup and view all the answers

Study Notes

Immunization Administration by Pharmacists

Licensed pharmacists with a certificate of administration can administer specified immunization agents to patients under certain conditions.
Requirements for certification include completion of a relevant training course and maintaining patient records.
Non-patient specific orders for immunizations must be prescribed by a New York State licensed physician or certified nurse practitioner.
In emergency situations, the Commissioner of Health can issue statewide non-patient specific regimens during disease outbreaks.

Authorized Immunization Agents

Pharmacists can administer immunizations for individuals aged 18 or older, including influenza, COVID-19, and other diseases.
For patients aged 2 to 18 years, pharmacists may administer influenza vaccinations with required orders.
Additional immunizations can be given based on advisory committee recommendations, provided age and documentation requirements are met.

Certificate of Administration Requirements

A pharmacist must hold a certificate issued by the Department of Education to administer immunizations.
Certification requires completion of an immunization training course, Doctor of Pharmacy degree, or a current certificate from another jurisdiction.
Continuous practice and ongoing retraining in immunization administration are requisite.

Standards and Procedures for Administration

Prior to administering immunizations, pharmacists must assess patients for contraindications.
Emergency treatment agents for anaphylaxis should be available at immunization sites.
Recipients must be informed of potential side effects and must provide consent prior to receiving immunizations.
Certified pharmacy interns may administer immunizations only under direct supervision.

Patient and Reporting Requirements

Pharmacists are responsible for maintaining detailed records of immunizations administered, including patient information and vaccine details.
Written instructions about adverse reactions must be given to recipients after immunization.
Communication with the recipient's primary health care provider is required within a month of vaccine administration.
Adverse events must be reported through the Vaccine Adverse Event Reporting System.

Non-Patient Specific Orders and Protocols

Each pharmacist must retain non-patient specific orders which authorize immunization administration and comply with outlined protocols.
These orders must specify immunization details, prescribing practitioner information, and a defined effective period.
Pharmacists must ensure proper documentation regarding the administration of immunization agents is maintained.

Emergency Anaphylaxis Treatment

Certified pharmacists can administer medications for emergency anaphylaxis to patients aged 2 years and older.
Records of anaphylaxis treatment administration must be maintained.
Emergency medical services must be notified post-administration, ensuring follow-up care is provided.
Certified pharmacists must communicate treatment details to the patient's primary health care provider when possible.### Patient Records for Anaphylaxis Treatment
A record must be maintained for each patient receiving an anaphylaxis treatment agent.
Records can be kept in a patient medication profile, if available, or on a separate form retained by the administering pharmacist.
These records are required to be retrievable for both the Department and the patient.

Non-Patient Specific Orders

Non-patient specific orders allow certified pharmacists to administer specified anaphylaxis treatment agents.
Orders must specify the named pharmacists or a group identified by their employment or contractual relationship with a legally authorized entity.
Certified pharmacists not individually named in the order are restricted to administering treatments only within the scope of their employment or contract.

Order Requirements

Orders must include:
- List of anaphylaxis treatment agents the pharmacists can administer.
- Effective period with clear beginning and end dates.
- Name and license number of authorized pharmacists or the name of the employing entity.
- A statement limiting pharmacists to administration of treatments only within their employment or contract.
- Name, license number, and signature of the issuing licensed physician or certified nurse practitioner.

Protocol Requirements

The incorporated protocol in the order must comply with established requirements.
Protocol details are necessary for ensuring proper administration of treatment agents.

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Description

This quiz covers the guidelines and requirements for immunization administration by licensed pharmacists. It includes information about certification, patient record maintenance, and the necessity of non-patient specific orders. Test your knowledge on the pharmacological regulations related to immunizations.