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| To amend section 4729.41 of the Revised Code to | 1 |
| decrease the minimum age for which a pharmacy | 2 |
| intern may administer an influenza vaccination. | 3 |
| Section 1. That section 4729.41 of the Revised Code be | 4 |
| amended to read as follows: | 5 |
| Sec. 4729.41. (A)(1) A pharmacist licensed under this chapter | 6 |
| who meets the requirements of division (B) of this section may do | 7 |
| any of the following: | 8 |
| (a) Administer immunizations for influenza to individuals | 9 |
| fourteen years of age or older; | 10 |
| (b) Administer immunizations to individuals eighteen years of | 11 |
| age or older for any of the following: | 12 |
| (i) Pneumonia; | 13 |
| (ii) Tetanus; | 14 |
| (iii) Hepatitis A; | 15 |
| (iv) Hepatitis B; | 16 |
| (v) Meningitis; | 17 |
| (vi) Diphtheria; | 18 |
| (vii) Pertussis. | 19 |
| (c) Administer to individuals eighteen years of age or older | 20 |
| any other immunization listed in the rule adopted under division | 21 |
| (E)(1)(d) of this section. | 22 |
| (2) A pharmacy intern licensed under this chapter who meets | 23 |
| the requirements of division (B) of this section and is working | 24 |
| under the direct supervision of a pharmacist who meets the | 25 |
| requirements of that division may administer immunizations for | 26 |
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influenza to individuals | 27 |
| (3) As part of engaging in the administration of | 28 |
| immunizations or supervising a pharmacy intern's administration of | 29 |
| immunizations, a pharmacist may administer epinephrine or | 30 |
| diphenhydramine, or both, to individuals in emergency situations | 31 |
| resulting from adverse reactions to the immunizations administered | 32 |
| by the pharmacist or pharmacy intern. | 33 |
| (B) For a pharmacist or pharmacy intern to be authorized to | 34 |
| engage in the administration of immunizations as specified in | 35 |
| division (A) of this section, the pharmacist or pharmacy intern | 36 |
| shall do all of the following: | 37 |
| (1) Successfully complete a course in the administration of | 38 |
| immunizations that has been approved by the state board of | 39 |
| pharmacy as meeting the standards established for such courses by | 40 |
| the centers for disease control and prevention in the public | 41 |
| health service of the United States department of health and human | 42 |
| services; | 43 |
| (2) Receive and maintain certification to perform basic | 44 |
| life-support procedures by successfully completing a basic | 45 |
| life-support training course certified by the American red cross | 46 |
| or American heart association; | 47 |
| (3) Practice in accordance with a definitive set of treatment | 48 |
| guidelines specified in a protocol established by a physician and | 49 |
| approved by the state board of pharmacy. | 50 |
| (C) The protocol required by division (B)(3) of this section | 51 |
| shall include provisions for implementation of the following | 52 |
| requirements: | 53 |
| (1) The pharmacist or pharmacy intern who administers an | 54 |
| immunization shall observe the individual who receives the | 55 |
| immunization to determine whether the individual has an adverse | 56 |
| reaction to the immunization. The length of time and location of | 57 |
| the observation shall comply with the standards specified in rules | 58 |
| adopted by the state board of pharmacy under division (E) of this | 59 |
| section for the approval of protocols. The protocol shall specify | 60 |
| procedures to be followed by a pharmacist when administering | 61 |
| epinephrine, diphenhydramine, or both, to an individual who has an | 62 |
| adverse reaction to an immunization administered by the pharmacist | 63 |
| or a pharmacy intern. | 64 |
| (2) For each immunization administered to an individual by a | 65 |
| pharmacist or pharmacy intern, other than an immunization for | 66 |
| influenza administered to an individual eighteen years of age or | 67 |
| older, the pharmacist or pharmacy intern shall notify the | 68 |
| individual's family physician or, if the individual has no family | 69 |
| physician, the board of health of the health district in which the | 70 |
| individual resides or the authority having the duties of a board | 71 |
| of health for that district under section 3709.05 of the Revised | 72 |
| Code. The notice shall be given not later than thirty days after | 73 |
| the immunization is administered. | 74 |
| (3) For each immunization for influenza administered by a | 75 |
| pharmacist or pharmacy intern to an individual who is fourteen | 76 |
| years of age or older but younger than eighteen years of age, the | 77 |
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pharmacist or | 78 |
| individual's parent or legal guardian in accordance with the | 79 |
| procedures specified in rules adopted under division (E) of this | 80 |
| section. | 81 |
| (D)(1) No pharmacist shall do either of the following: | 82 |
| (a) Engage in the administration of immunizations unless the | 83 |
| requirements of division (B) of this section have been met; | 84 |
| (b) Delegate to any person the pharmacist's authority to | 85 |
| engage in or supervise the administration of immunizations. | 86 |
| (2) No pharmacy intern shall engage in the administration of | 87 |
| immunizations for influenza unless the requirements of division | 88 |
| (B) of this section have been met. | 89 |
| (E)(1) The state board of pharmacy shall adopt rules to | 90 |
| implement this section. The rules shall be adopted in accordance | 91 |
| with Chapter 119. of the Revised Code and shall include the | 92 |
| following: | 93 |
| (a) Provisions for approval of courses in administration of | 94 |
| immunizations; | 95 |
| (b) Provisions for approval of protocols to be followed by | 96 |
| pharmacists and pharmacy interns in engaging in the administration | 97 |
| of immunizations, including protocols that contain provisions | 98 |
| specifying the locations at which a pharmacist or pharmacy intern | 99 |
| may engage in the administration of immunizations; | 100 |
| (c) Procedures to be followed by pharmacists and pharmacy | 101 |
| interns in obtaining from the individual's parent or legal | 102 |
| guardian permission to administer influenza immunizations to an | 103 |
| individual younger than eighteen years of age pursuant to division | 104 |
| (A)(1)(a) of this section; | 105 |
| (d) A list of immunizations that may be administered under | 106 |
| division (A)(1)(c) of this section. | 107 |
| (2) Prior to adopting rules regarding approval of protocols | 108 |
| to be followed by pharmacists and pharmacy interns in engaging in | 109 |
| the administration of immunizations, the state board of pharmacy | 110 |
| shall consult with the state medical board and the board of | 111 |
| nursing. | 112 |
| (3) Prior to adopting a rule listing immunizations that may | 113 |
| be administered under division (A)(1)(c) of this section, the | 114 |
| state board of pharmacy shall consult with the state medical | 115 |
| board. | 116 |
| Section 2. That existing section 4729.41 of the Revised Code | 117 |
| is hereby repealed. | 118 |