Administration of Injections Immunizations
Policies and Procedures
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HPA Bylaws Schedule F Part IV – Certified Practice Injection drug Administration
Section 6 states “Develop, maintain and review at least annually, a policy and procedure
manual including but not limited to: emergency procedure protocol, emergency
treatment protocol including … minimum equipment or supplies, precautions required
for patients with latex allergies”.
Contents
Introduction .................................................................................................................................... 3
Contacts and Information ............................................................................................................... 4
Record of Pharmacists with Injection Authorization* .................................................................... 6
Pharmacy Support Staff* ................................................................. Error! Bookmark not defined.
Administration of Injection Information Updates ........................... Error! Bookmark not defined.
Vaccines – Types and Sources.......................................................... Error! Bookmark not defined.
Equipment and Supplies for Provision of Injection Services ........... Error! Bookmark not defined.
Maintenance of Cold Chain.............................................................. Error! Bookmark not defined.
Refrigerator and Freezer Setup ....................................................... Error! Bookmark not defined.
Cold Chain Break Incident Procedures............................................. Error! Bookmark not defined.
Reviewing Immunization History ..................................................... Error! Bookmark not defined.
Patient Eligibility Criteria for Publicly Funded Vaccines .................. Error! Bookmark not defined.
Obtaining Informed Consent ........................................................... Error! Bookmark not defined.
Latex Allergy Precautions................................................................. Error! Bookmark not defined.
Administrations of Injections Process ............................................. Error! Bookmark not defined.
Documentation ................................................................................ Error! Bookmark not defined.
Vasovagal Symptoms Protocol......................................................... Error! Bookmark not defined.
Emergency Treatment Equipment and Supplies ............................. Error! Bookmark not defined.
Emergency Anaphylaxis Protocol..................................................... Error! Bookmark not defined.
Post – Exposure Protocol ................................................................. Error! Bookmark not defined.
Adverse Events Following Immunization (AEFI) Protocol ................ Error! Bookmark not defined.
Procedures for Off-Site Immunization Clinics .................................. Error! Bookmark not defined.
Submitting Vaccine Administration Claims ...................................... Error! Bookmark not defined.
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Introduction
The BCPhA has developed Policy and Procedure Manuals to support pharmacies in
documenting policy and procedures that ensure operational activities are compliant with the
regulatory framework governing pharmacy practice.
Each section includes open field description boxes to be completed with your practice’s
policies/procedures or checkboxes meant to act as an acknowledgement that the statement
that follows applies to your practice.
Description fields and check boxes are marked in grey so that they are easily identified.
Description fields are simple to use, just click and type into the space. Checkboxes require a
double-click followed by selecting “Checked”.
You may choose to print this booklet out upon completion to have a copy available for your
staff that need to refer to this guide while keeping the electronic copy saved when updates
need to be applied.
BCPhA has no objection if you add your organization’s logo or otherwise customize the
template. If you do so, please retain the footer crediting BCPhA.
BCPhA has made its best effort to develop this template to assist members.
The user is solely responsible for its obligations.
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Contacts and Information
Policy
The pharmacy should keep an information sheet with all of the contacts and information
pertaining to the administration of injections with their policies and procedures.
Purpose
To ensure that all pharmacy staff can access contact numbers and information about injection
administration in a quick and concise manner.
Procedures
What are the hours where an authorized immunizer is available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Additional notes
Where do injections occurs at your pharmacy?
Local health unit information
Name of local health unit
Phone number
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Sharps disposal company information
Sharps Disposal Providers (BCPhA login required)
Name of company
Phone number
Administration of injections supplier(s) information
Name of supplier #1
Phone number
Name of supplier #2
Phone number
Name of supplier #3
Phone number
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Record of Pharmacists with Injection Authorization
Policy
The pharmacy must keep on record pertinent information pertaining to the pharmacists
authorized to administer injections who practice at their pharmacy site.
Purpose
To ensure that all pharmacists administering injections at the pharmacy are authorized to
administer injections. To assist pharmacists with coordinating their renewal dates for first aid
certification and other related CE events.
Procedures
Pharmacist
Hepatitis B
Immunization
Offered*
Certification date
CPR certification
expiration date
*An employer must offer vaccination against hepatitis B virus to all workers who are at risk
of occupational exposure to that virus. (WorksafeBC)
Pharmacists administering injections are eligible for publicly funded Hepatitis B
Vaccination
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Sign up today as a Pharmacy (Corporate) member to gain access
to the full version of this Policy & Procedures Manual and enjoy many
other Pharmacy member benefits. Please contact Linda Tinnion at 604269-2864 or by email at linda.tinnion@bcpharmacy.ca to sign up or
learn more.
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