4729:2-3-03. Immunization administration by pharmacy interns
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(A) Pharmacy interns working under the direct supervision of a pharmacist may administer immunizations listed in paragraph (C) of this rule if an intern complies with the following:
(1) Successfully completes a course in the administration of immunizations that meets the requirements set forth in rule 4729:1-3-02 of the Administrative Code.
(2) Practices in accordance with a definitive set of treatment guidelines specified in a protocol established by a physician that complies with the requirements of rule 4729:1-3-02 of the Administrative Code.
(3) Receives and maintains certification to perform basic life-support procedures by successfully completing a basic life-support training course certified by the American red cross, American heart association or other training course approved by the board. Certification shall be obtained and maintained through courses that are conducted in-person or, at a minimum, offer an in-person training component.
(4) The supervising pharmacist has completed all of the training necessary to administer immunizations in accordance with rule 4729:1-3-02 of the Administrative Code.
(B)
(1) Pharmacy interns working under the direct supervision of a pharmacist seeking to administer any immunization listed in paragraph (C) of this rule that was added after the completion of an initial immunization course approved pursuant to rule 4729:1-3-02 of the Administrative Code shall, at a minimum, conduct a review of appropriate clinical resources to familiarize themselves with all the following prior to the administration of the immunization:
(a) Disease states associated with the immunization;
(b) Type or nature of activity of the immunization;
(c) Administration schedules;
(d) Routes of administration;
(e) Injection sites;
(f) Dosages;
(g) Monitoring and treatment of the patient for adverse reactions;
(h) Patient populations;
(i) Precautions and contraindications; and
(j) Proper storage requirements for the immunization.
(2) Failure to adhere to the standard of care for administration of an immunization shall be considered a violation of this rule and may subject a pharmacy intern to discipline in accordance with rule 4729:2-4-01 of the Administrative Code.
(C) A pharmacy intern working under the direct supervision of a pharmacist may administer the same immunizations authorized for pharmacist administration listed in paragraph (G) of rule 4729:1-3-02 of the Administrative Code.
(D) A pharmacy intern shall obtain informed consent pursuant to rule 4729:5-5-04 of the
Administrative Code to administer an immunization.
(E) A pharmacy intern shall comply with the vaccine information statement requirements of the National Vaccine Childhood Injury Act, 42 USC Section 300aa-26 (12/14/1993).
(F) An immunization specified in this rule shall not be administered to any individual who is less than thirteen years of age, except in the following situations:
(1) The immunization for influenza is administered to individuals who are seven years of age or older; or
(2) Pursuant to a prescription from a licensed prescriber, an immunization or vaccine is administered to individuals who are seven years of age or older but not more than thirteen years of age.
(G) For each immunization administered to an individual by a pharmacy intern, other than an immunization for influenza administered to an individual eighteen years of age or older, the pharmacy intern shall notify the individual's family physician or, if the individual has no family physician, the board of health of the health district in which the individual resides or the authority having the duties of a board of health for that district under section 3709.05 of the Revised Code. The notice shall be given not later than thirty days after the immunization is administered. Notification shall be conducted using one of the following methods that is capable of confirming delivery of the required notification:
(1) Electronic mail;
(2) Interoperable electronic medical records system;
(3) Facsimile;
(4) Electronic prescribing system;
(5) Electronic pharmacy record system;
(6) Documented verbal communication; or
(7) Any other method of notification that might reasonably be expected to allow for the confirmed transmission of the required notification.
(H) A pharmacy intern shall maintain the following records on file at the location(s) where the pharmacy intern administers immunizations in accordance with this rule:
(1) Proof of successful completion of a training course specified in paragraph (A)(1) of this rule; and
(2) Proof of maintenance of certification to perform basic life-support procedures in accordance with paragraph (A)(3) of this rule.