Submit a copy of the physician substitute job description or statement of responsibilities. The substitute's functions must be limited to manual pheresis procedures on healthy donors. Of a physician substitute will be responsible for the administration of tetanus toxoid, a 6 week training period which includes a specific component dealing with the procedures and hazards related to immunization of donors with tetanus toxoid is required. The physician should evaluate and review all immunization records at least weekly. At the present time, substitutes for physicians are not acceptable in any immunization program except tetanus.
All procedures related to donor immunization are under review, and future changes are anticipated.
To facilitate evaluation of specific programs, we recommend keeping records of all adverse reactions related to immunization in a format that permits easy retrieval and analysis.