1. (A)

   1. (1) The Board of Medical Examiners shall issue a written protocol for the administration of influenza vaccines by pharmacists without an order of a practitioner. The administration of influenza vaccines as authorized in this section must not be to persons under the age of eighteen years.
   2. (2) The written protocol must further authorize pharmacists to administer without an order of a practitioner those medications necessary in the treatment of adverse events. These medications must be used only in the treatment of adverse events and must be limited to those delineated within the written protocol.
   3. (3) The written protocol must be issued no later than January 1, 2011.

2. (B) The written protocol must provide that:

   1. (1) A pharmacist seeking authorization to administer influenza vaccines as authorized in this section shall successfully complete a course of training accredited by the Accreditation Council for Pharmacy Education or a similar health authority or professional body approved by the Board of Pharmacy and the Board of Medical Examiners. Training must comply with current Centers for Disease Control guidelines and must include study materials, hands on training, and techniques for administering influenza vaccines and must provide instruction and experiential training in the following content areas:

      1. (a) mechanisms of action for influenza vaccines, contraindications, drug interactions, and monitoring after vaccine administration;
      2. (b) standards for adult immunization practices;
      3. (c) basic immunology and vaccine protection;
      4. (d) vaccine preventable diseases;
      5. (e) recommended immunization schedules;
      6. (f) vaccine storage management;
      7. (g) biohazard waste disposal and sterile techniques;
      8. (h) informed consent;
      9. (i) physiology and techniques for vaccine administration;
      10. (j) prevaccine and postvaccine assessment and counseling;
      11. (k) immunization record management;
      12. (l) management of adverse events, including identification, appropriate response, emergency procedures, documentation, and reporting;
      13. (m) understanding of vaccine coverage by federal, state, and local entities;
      14. (n) needle stick management.

   2. (2) A pharmacist administering an influenza vaccine without an order of a practitioner pursuant to this section shall:

      1. (a) obtain the signed written consent of the person being vaccinated or that person's guardian;
      2. (b) maintain a copy of the vaccine administration in that person's record and provide a copy to the person or the person's guardian;
      3. (c) notify that person's designated physician or primary care provider of any influenza vaccine administered;
      4. (d) report administration of an influenza vaccine to any statewide immunization registry established by the Department of Health and Environmental Control as the department may require;
      5. (e) maintain a current copy of the written protocol at each location at which a pharmacist administers an influenza vaccine pursuant to this section.
   3. (3) A pharmacist may not delegate the administration of influenza vaccines to a pharmacy technician as defined in Section 40 43 30 or any other person who is not a pharmacist.
   4. (4) A pharmacist administering influenza vaccines shall, as part of the current continuing education requirements pursuant to Section 40 43 130, complete no less than one hour of continuing education each license year regarding administration of influenza vaccines.
3. (C) Informed consent must be documented in accordance with the written protocol for influenza vaccine administration issued pursuant to this section.
4. (D) All records required by this section must be maintained in the pharmacy for a period of at least six years.

HISTORY: 2010 Act No. 224, Section 1, eff July 1, 2010.