Pharmacy-Based Cardiovascular Disease Risk Management-
Delivering MTM Services-
Pharmacy-Based Immunization- June 15
April 8, 2017- Columbia
April 29- Florence
SCPhA Annual Convention
June 15-18, 2017
Marriott Resort & Spa
Hilton Head Island, SC
Family Care Specialty Pharmacy
Pharmacist and Pharmacist Intern Requirements under the New South Carolina
THIS IS NOT A SUBSITUTE FOR THE FULL OFFICIAL VERSION OF THE VACCINE PROTOCOL!
1.) Qualifications: (Section III)
2.) Limitations on Pharmacy-based Vaccinations: (Section IV)
3.) Protocol Facility and Equipment: (Section V & Appendix B)
i. Current copy of this protocol;
ii. Supply of the most current federal VIS for vaccines being administered, or electronic access to these statements;
iii. Aqueous epinephrine USP (1:1000), in ampules, vials of solution, or prefilled devices (i.e., EpiPen). If EpiPens used, at least three (3) adult, single dose of 0.3 mg/0.3 ml) available;
iv. Diphenhydramine (Benadryl) injectable solution (50 mg per mL) and oral 25 – or 50-mg tablets;
v. Syringes 1-mL and 3-mL, 22g and 25g, 1-inch, and 1 ½ -inch needles for epinephrine and diphenhydramine;
vi. Alcohol swabs and bandages;
vii. Blood pressure monitoring device or stethoscope and sphygmomanometer (with pediatric, adult and extra-large cuffs);
viii. Adult and pediatric size pocket masks with one way valve;
ix. Flashlight with extra batteries (for examination of mouth and throat;
x. Time keeping device with ability to count seconds;
xi. Telephone access;
xii. Equipment to enable the vaccinee to sit or lie down if he/she experiences an adverse reaction to the vaccine, such as a yoga mat or reclining chair.
4.) Informed Consent: (Section VI)
5.) Post –Administration Records and Requirements: (Sections VII and VIII)
i. 10 years for those vaccinees 18 years and older;
ii. 13 years for those vaccinees at least 13 years old but less than 18 years old.
i. Personal Immunization Record (PIR): Pharmacists/Interns MUST encourage all vaccinees to carry a personal immunization record card provided by the pharmacist. Pharmacist/Intern MUST record the date of the vaccination on the PIR.
ii. Medical Home Notification: Pharmacists/Interns MUST inform the vaccinee of the importance of having a medical home and receiving other preventive medical services. All vaccines shall be reported to the vaccinee’s designated primary care provider using the reporting form located in Appendix F of this protocol;
iii. Immunization Registry: All vaccines administered under protocol SHALL BE REPORTED starting immediately to the South Carolina Immunization Registry in compliance with the regulations established by Department of Health and Environmental Control (DHEC) regardless of the phase-in schedule provided in Regulation 61-120.
iv. Adverse Event Reporting: Pharmacists SHALL report all ‘clinically significant’ adverse events (death, hypersensitivity reactions, and contraindications as reported in manufacturer’s package inserts), regardless even if it is not certain that the vaccine caused the event, to the Vaccine Adverse Event Reporting System (VAERS).
6.) Vaccination Safety: (Section IX)
i. Pharmacists/Interns MUST follow all appropriate precautions to minimize risk for spread of disease;
i. Pharmacists/Interns MUST dispose of needles immediately after use in a labeled, puncture-proof container located in the same room where vaccine is administered;
ii. DO NOT recap needles prior to placing in container;
iii. Safety needles or needle-free injection devise should be used to reduce the risk of injuries.
i. ALL Pharmacists/Interns administering vaccines SHALL be vaccinated for Hepatitis B unless;
7.) Management of Adverse Events: (See Section X)
8.) Supply Considerations: (See Section XI)
9.) Vaccines (Section XII)
i. Haemophilus Influenzae
ii. Hepatitis A
iii. Hepatitis B
iv. Human Papillomavirus
v. Influenza (12 and older)
vi. Measles, Mumps, Rubella
vii. Meningococcal (MCV4 and MenB)
viii. Pneumococcal (PPSV23 and PCV13)
ix. Tetanus and diphtheria/Tetanus, diphtheria, and pertussis (Td/Tdap)
PLEASE REFER TO THE ENTIRE PROTOCOL AND ITS APPENDICES FOR FULL GUIDANCE UNDER SOUTH CAROLINA’S NEW PHARMACIST/INTERN VACCINE ADMINSITRATION PROTOCOL