Mont. Admin. r. 24.174.503 - ADMINISTRATION OF VACCINES BY PHARMACISTS, INTERNS, AND PHARMACY TECHNICIANS
(1) An
immunization-certified pharmacist may prescribe and administer those
immunizations listed in
37-7-105,
MCA, without a collaborative practice agreement in place, as required by the
statute.
(2) An
immunization-certified pharmacist must have a collaborative practice agreement
with a practitioner authorized to prescribe drugs to administer immunizations
not listed in
37-7-105,
MCA, to persons seven years of age or older, as provided in the most recent
guidelines by vaccine and age group published by the U.S. Centers for Disease
Control and Prevention (CDC) and as determined within a collaborative practice
agreement; or, in the case of a public health emergency, a directive from the
State Medical Officer of the Montana Department of Public Health and Human
Services.
(3) An
immunization-certified pharmacist, as defined in
37-7-101,
MCA, shall:
(a) provide a copy of the
immunization certificate and current basic cardiopulmonary resuscitation (CPR)
certification to the board for initial endorsement on license; and
(b) maintain documentation of immunization
endorsement and current CPR certification on file at the practice
site.
(4) In order to
administer immunizations, with or without a collaborative practice agreement,
an immunization-certified pharmacist must meet the requirements of
37-7-105,
MCA, and:
(a) administer vaccinations in
accordance with established protocol that includes site-specific emergency
measures;
(b) have access to a
current edition of the CDC reference "Epidemiology and Prevention of
Vaccine-Preventable Diseases";
(c)
maintain the following:
(i) written policies
and procedures for the types of immunizations administered;
(ii) specific description of the procedures,
methods, and decision criteria to follow for administering the
immunization;
(iii) a detailed
description of the procedures and patient activities to follow in the course of
administering immunizations;
(iv)
training for staff procedures and record keeping requirements; and
(v) disposal of used or contaminated
supplies; and
(d)
maintain the following information in the patient's medical records as required
by
37-7-105,
MCA, which shall be considered confidential information:
(i) the patient's name, address, allergies,
and date of birth;
(ii) the
product's name, dose, manufacturer, lot number, and expiration date;
(iii) the date of administration;
(iv) the site and route of administration;
and
(v) the administering
pharmacist's name or identifiable initials and the pharmacy's
address.
(5)
An immunization-certified pharmacist may delegate the administration of
immunizations to a pharmacy intern or a pharmacy technician under the direct
supervision of the pharmacist upon meeting the immunization certification
requirements listed in 37-7-105, MCA, and this rule. The board shall issue an
immunization endorsement on the license of an intern or pharmacy technician
upon receipt of qualifications being met.
(6) The board shall randomly select renewal
notice forms of immunization-certified pharmacists and pharmacy technicians for
audit and verification of the requirements listed in this rule.
Notes
AUTH: 37-7-201, MCA; IMP: 37-7-101, 37-7-105, 37-7-201, MCA
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