Immunization Administration by Pharmacists
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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?

    <p>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.</p> Signup and view all the answers

    What is a requirement for non-patient specific orders?

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

    What is authorized under section 6801 of the Education Law?

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

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

    <p>2-18 years of age</p> Signup and view all the answers

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

    <p>A certificate of administration issued by the Department</p> Signup and view all the answers

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

    <p>The patient lacks documentation of the immunization</p> Signup and view all the answers

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

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

    What is included in the training course for administering immunizations?

    <p>Techniques for screening patients and obtaining informed consents</p> 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?

    <p>All of the above.</p> Signup and view all the answers

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

    <p>Within the last 3 years</p> Signup and view all the answers

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

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

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

    <p>All of the above</p> Signup and view all the answers

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

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

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

    <p>The patient meets the age requirements</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

    <p>To prepare pharmacists to administer immunizations safely and effectively</p> 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?

    <p>The certified pharmacist administering the immunizations.</p> Signup and view all the answers

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

    <p>The recipient, or their legally responsible representative, must be informed that a pharmacy intern will be administering the immunization and consent to this arrangement.</p> 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?

    <p>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.</p> Signup and view all the answers

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

    <p>Both c and d.</p> 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)

    <p>When the information is required by law.</p> Signup and view all the answers

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

    <p>The importance of having a primary healthcare practitioner, in a form or format developed by the Commissioner of Health.</p> 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?

    <p>The total cost of the immunization, subtracting any health insurance subsidization.</p> 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?

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

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

    <p>By electronic transmission or facsimile to the patient's attending primary healthcare practitioner.</p> 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?

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

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

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

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

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

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

    <p>On a separate form retained by the pharmacist who administered the immunization, in a retrievable format available to the Department and the patient.</p> 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?

    <p>The name, license number, and signature of the licensed physician or nurse practitioner who has issued the order.</p> 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?

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

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

    <p>The period of time that the order is effective.</p> Signup and view all the answers

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

    <p>Licensed physicians or certified nurse practitioners.</p> 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?

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

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

    <p>The protocol is incorporated into the order.</p> 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?

    <p>Only if the patient is experiencing symptoms consistent with anaphylaxis.</p> 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?

    <p>2 years old.</p> Signup and view all the answers

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

    <p>The specific dosage of the anaphylaxis treatment agent to be administered.</p> 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?

    <p>The specific anaphylaxis treatment agent administered.</p> 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?

    <p>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.</p> Signup and view all the answers

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

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

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

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

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

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

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

    <p>Contact local emergency medical services following administration.</p> Signup and view all the answers

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

    <p>A description of the financial arrangements with the entity.</p> Signup and view all the answers

    What must a protocol for administering immunizations incorporate?

    <p>Standards, procedures, and reporting requirements.</p> Signup and view all the answers

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

    <p>With specific beginning and ending dates.</p> Signup and view all the answers

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

    <p>All records must comply with specific confidentiality regulations.</p> Signup and view all the answers

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

    <p>Follow-up arrangements established with the patient.</p> Signup and view all the answers

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

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

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

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

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

    <p>Vaccine information statement.</p> Signup and view all the answers

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

    <p>Report them according to federal law.</p> Signup and view all the answers

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

    <p>Date of immunization and administering pharmacist.</p> Signup and view all the answers

    Which reference materials must a pharmacist provide regarding immunizations?

    <p>Education materials on influenza vaccines for children.</p> Signup and view all the answers

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

    <p>They issue vaccine information statements.</p> Signup and view all the answers

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

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

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

    <p>Provide an alternative immunization option from a pharmacist.</p> Signup and view all the answers

    What must a pharmacist do prior to administering any immunization?

    <p>Offer current immunization schedules and educate the patient.</p> Signup and view all the answers

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

    <p>The recipient's primary health care practitioner, if available.</p> 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.

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