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Compliance Blog - R.J. Hedges & Associates Pharmacists are becoming increasingly involved as healthcare providers. Every pharmacist in the United States can provide some type of immunization given that they are properly licensed. States have finally started recognizing pharmacists as key members of the immunization community. A large part of implementing a successful immunization program is understanding all the components needed in order to offer the best services to your patients, while protecting your pharmacy. However, we have found that some pharmacists do not want to offer immunizations because it can be overwhelming when getting started. In this post we break down a big part of running an immunization business... understanding standing orders. Written Prescriptions A written prescription is the easiest type of order when administering a vaccine. The patient will bring in a prescription for a vaccine and give it to the pharmacist. The pharmacy may administer the vaccine from the written order to the patient and it allows you to immediately let you take care of the patient. Standing Orders A standing order is like a blanket order. These documents are a baseline template started at the Centers for Disease Control (CDC) and work in conjunction with the Immunization Action Coalition (IAC) in St. Paul Minnesota. The IAC creates the template for all the standing orders. These documents can be amended but it is recommended that you stay with the standards. Standing Orders are signed by a local physician within your state. Once signed it then gives you permission to inoculate anyone with that particular vaccine. Pharmacist tend to assume that the standing orders they have signed should be good for years. However, vaccines change and so does the treatment, take note of these two simple recommendations: It is best that you get your standing orders renewed annually Talk to the physician and create a good working relationship There are currently eight states in which State Legislators and State Board of Pharmacy have granted pharmacists the ability to sign their own standing orders. Pharmacists are finally being recognized as a vital part of the healthcare structure. Emergency Protocols Another document you need to have in place is an emergency protocol. This document is used when a patient has an adverse reaction to a vaccine. An adverse reaction can vary from something minor to anaphylactic shock. In any case, you need to have emergency protocols in place and get them signed by a doctor. (If you are in a state that does not require a doctor to sign a standing order it is still highly recommended that a physician signs your emergency protocols). Having a physician date and sign the protocol gives the pharmacist more protection. However, an emergency protocol is an ever-changing treatment procedure for a patient who has gone into distress from a vaccine. It is extremely important that you have this procedure in play and that you are prepared for an adverse reaction. Adverse reactions do happen, and the more vaccines you administer the higher the