N.J. Admin. Code § 13:35-6.26

Current through Register Vol. 56, No. 17, September 3, 2024

Section 13:35-6.26 - Procedures for physician ordered immunizations performed by licensed pharmacists

(a) A New Jersey licensed physician may participate in an immunization program with a licensed pharmacist pursuant to N.J.S.A. 45:14-63 of the Pharmacy Practice Act, provided that the pharmacist is authorized to engage in such activities by the Board of Pharmacy pursuant to N.J.A.C. 13:39-4.21 and 4.21A, and provided the pharmacist administers vaccines and related emergency medications, which shall be limited to diphenhydramine and epinephrine, pursuant to:

1. A prescription for the vaccine, related emergency medications, and pharmacist administration of the vaccine that is patient specific; and/or

2. A physician's standing order for the vaccine, related emergency medications above, and administration instructions that are not patient specific.

(b) A physician shall supervise a licensed pharmacist who is participating in an immunization program implemented pursuant to the physician's standing order. Supervision by the delegating physician shall be deemed adequate if the delegating physician:

1. Is responsible for formulating or approving a standing order, which shall include compliance with Centers for Disease Control and Prevention (CDC) guidelines for vaccine administrations, set forth in 13th edition, 2015. The CDC vaccine administration guidelines are incorporated herein by reference, as amended and supplemented, and can be found at the CDC website, www.cdc.gov, specifically, http://www.cdc.gov/vaccines/pubs/pinkbook/appendix/index.html. The standing order shall also include compliance with the American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care ( 2010). The AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (2010) are incorporated herein by reference, as amended and supplemented, and can be found at the AHA website, www.americanheart.org, specifically, http://circ.ahajournals.org/content/122/16_suppl_2/S250. The order shall also include procedures that shall be followed for the reporting of adverse events, which shall include a requirement that adverse events are reported to the physician within 24 hours of notice of the event. The delegating physician shall annually review the order and the services provided to patients under the order;

2. Is geographically located to be easily accessible to the pharmacy practice site and, if applicable, to the immunization location.

3. Is available through direct telecommunication for consultation, assistance, and direction; and

4. Receives annual status reports on the immunization program as administered by the pharmacist.

N.J. Admin. Code § 13:35-6.26

Amended by 50 N.J.R. 1285(a), effective 5/21/2018