Current through Register Vol. 63, No. 3, March 1, 2024
(1) In accordance
with ORS 689.645 and ORS
689.655, a Pharmacist may
administer a vaccine, drug or device as specified in this rule. The Pharmacist
must be acting:
(a) Under the direction of or
pursuant to a lawful prescription or order issued by a licensed practitioner
acting within the scope of the practitioner's practice; or
(b) In accordance with a statewide drug
therapy management protocol per OAR 855-115-0345; or
(c) In accordance with a clinical pharmacy
agreement or collaborative drug therapy management agreement per OAR
855-115-0315.
(2) A
Pharmacist who administers a vaccine, drug or device must:
(a) Prior to administration of an injectable
drug or device, receive practical training on the injection site and
administration technique that is utilized. For orally administered drugs,
training is not required.
(b) Hold
active CPR certification issued by the American Heart Association or the
American Red Cross or any other equivalent program intended for a healthcare
provider that is specific to the age and population receiving the vaccine, drug
or device, contains a hands-on training component, and is valid for not more
than three years. The most current CPR certification record must be retained
according to OAR 855-104-0055;
(c)
Ensure that any drug administered to a patient was stored in accordance with
the drug storage rules for pharmacies in ORS 855-041-1036;
(d) Observe, monitor, report, and otherwise
take appropriate action regarding desired effect, side effect, interaction, and
contraindication associated with administering the vaccine, drug or
device;
(e) Ensure that vaccine,
drug or device administration is documented in the patient's permanent record;
and
(f) Ensure records and
documents are retained according to OAR 855-104-0055. Records of administration
must include but are not limited to:
(A)
Patient identifier;
(B) Vaccine,
drug or device and strength;
(C)
Route and site of administration;
(D) Date and time of administration;
and
(E) Pharmacist
identifier.
(3) For vaccines only, the requirements in
(2) and the following apply, and the Pharmacist who administers or supervises
each administration of a vaccine to a patient must:
(a) Complete training that includes hands-on
injection technique, clinical evaluation of indications and contraindications
of vaccines, and the recognition and treatment of emergency reactions to
vaccines. The training may include programs approved by the ACPE,
curriculum-based programs from an ACPE-accredited college or school of
pharmacy, state or local health department programs, training by an
appropriately qualified practitioner, or programs approved by the board;
and
(b) Make vaccine
recommendations;
(c) Select each
vaccine to be administered;
(d)
Ensure compliance with (1);
(e)
Ensure the appropriate Vaccine Information Statement (VIS) is provided to the
patient or patient's agent prior to each dose of vaccine.
(f) Perform verification prior to
administration that includes but is not limited to:
(A) Prescription order accuracy verification;
and
(B) Vaccine product accuracy
review;
(g) Advise or
counsel on therapeutic values, content, hazards and use of each
vaccine;
(h) Manage adverse
events;
(i) Report adverse events
as required by the Vaccine Adverse Events Reporting System (VAERS) and to the
primary care provider as identified by the patient;
(j) Verify accuracy and completeness of
documentation for vaccine administration;
(k) Ensure all persons administering vaccines
under their supervision are appropriately trained and qualified;
(l) Follow the guidance in the Centers for
Disease Control and Prevention (CDC) Vaccine Storage and Handling Toolkit (v.
4/12/2022); and
(m) Have access to
a current edition of the CDC reference, "Epidemiology and Prevention of
Vaccine-Preventable Diseases" (v. 8/2021);
(4) The Pharmacist may administer a drug or
device in conjunction with training the patient or the patient's agent on how
to administer or self-administer the drug or device.
(5) Records and documents must be retained
according to OAR 855-104-0055.
(6)
An appropriately trained and qualified Pharmacist may permit an appropriately
trained and qualified:
(a) Intern to perform
the same duties as a Pharmacist except as prohibited in OAR
855-120-0150.
(b) Certified Oregon
Pharmacy Technician or Pharmacy Technician to conduct the physical act of
administering a vaccine in accordance with OAR 855-125-0305.
(7) The appropriately trained and
qualified Pharmacist who is supervising an Intern, Certified Oregon Pharmacy
Technician or Pharmacy Technician in administering a vaccine must be
immediately available to the vaccinator to respond in the case of an adverse
reaction and any other issue that may arise.
Statutory/Other Authority: ORS
689.205, 2023 HB 2486, 2023 HB
2278
Statutes/Other Implemented: ORS
689.655, 2023 HB 2486, 2023 HB
2278
