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General

What are the changes in the updated NSW Pharmacist Vaccination Standards published as of 14 September 2023?

From September 2023,

  • The age range that pharmacist immunisers can administer some vaccines previously included in the NSW Pharmacist Vaccination Standards has been lowered. Pharmacist immunisers can now administer vaccines protecting against diphtheria, measles, meningococcal ACWY, mumps, pertussis, rubella and tetanus to people aged 5 years and over, and administer human papillomavirus (HPV) vaccine to people aged 9 years and over.
  • Meningococcal B vaccine, haemophilus influenzae type b vaccine (known as haemophilus influenzae vaccine in the National Poisons Standard) and varicella vaccine have been added to the updated NSW Pharmacist Vaccination Standards. These can be administered to people aged 5 years and over.
  • Diphtheria-tetanus-acellular pertussis combination vaccine and measles-mumps-rubella combination vaccine have been removed from the updated NSW Pharmacist Vaccination Standards and replaced with the following individual vaccines. Pharmacist immunisers can now administer vaccines containing the following components to people aged 5 years and over:
    • diphtheria toxoid;
    • tetanus toxoid;
    • pertussis antigen;
    • measles vaccine;
    • mumps vaccine;
    • rubella vaccine.

Can an intern pharmacist administer vaccines under supervision?

Intern pharmacists who hold a certificate confirming competency to vaccinate following completion of an accredited training program and has completed any additional training requirements, is only able to administer a vaccine under the direct supervision of a pharmacist immuniser who holds certification to vaccinate.

Which patients should be referred to their GP?

Pharmacist immunisers must not supply or administer a vaccine and must refer persons to a medical practitioner if:

  • the person is not able to consent to vaccination on their own behalf and do not have with them, a parent/guardian that is authorised to provide consent
  • the pharmacist is unsure that the person understands the information provided to them
  • the person has questions or concerns that the pharmacist cannot confidently and completely address
  • the patient has a contraindication to the vaccine as per the latest information and advice from the digital Australia Immunisation Handbook, Australian Technical Advisory Group on Immunisation (ATAGI) and the Therapeutic Goods Administration (TGA). Pharmacist Immuniser's must ensure they remain up to date on any new requirements for the vaccine being administered
  • the person has experienced a serious adverse event after the administration of a previous dose of the vaccine or an ingredient of the vaccine.

Where can I find more information on contraindications and precautions for vaccines?

Information on contraindications and precautions are provided by:

  • the Australian Immunisation Handbook
  • the Australian Technical Advisory Group on Immunisation (ATAGI)
  • the Product Information approved by Therapeutic Goods Administration (TGA).

All pharmacist immunisers must have access to these resources at all times when conducting vaccination clinics.

Can I administer subsequent doses of a vaccine if the patient had a serious adverse reaction to a previous dose?

Pharmacists should refer any patients with a previous history of a serious adverse reaction or severe allergic reaction to a previous dose of a vaccine or one of its ingredients to their general practitioner for assessment to determine whether it will be safe to receive subsequent vaccination.

Can I administer combination vaccines that contain the antigens included in the NSW Pharmacist Vaccination Standards?

Pharmacist immunisers can administer combination vaccines provided that they only contain the antigens included in the NSW Pharmacist Vaccination Standards. These vaccines must only be administered to people in the authorised age range and in accordance with the recommendations of the Australian Immunisation Handbook.

Why can't I administer vaccines to children under 5 years of age?

Vaccinating children under 5 years of age can be more complex than adults as they often require a number of vaccines at the same time. Most vaccines that are required by children are free through either a stated funded program or the National Immunisation Program (NIP). These vaccines are available from GPs, some council or community health clinics, and Aboriginal Medical Services. Children will also likely receive medical assessment appropriate to their development milestones.

When should I upload information to the Australian Immunisation Register (AIR)?

It is a requirement under the NSW Pharmacist Vaccination Standards to report all vaccines administered to the Australian Immunisation Register and for pharmacist immunisers to check a patient's immunisation history in AIR prior to administering any vaccine.

It is also mandatory under the Australian Immunisation Register Act 2015 to report all National Immunisation Program (NIP) and COVID-19 vaccination encounters to the Australian Immunisation Register (AIR).

Vaccination encounters should be uploaded into AIR preferably within 24 hours from vaccine administration but must be within 10 business days.

How do I report adverse events to vaccination?

Where a patient experiences an adverse event following the administration of a vaccine, these must be reported. All uncommon, unexpected or serious adverse events following immunisation (AEFI) or any event considered by the clinician to be significant following immunisation must be notified by medical practitioners, pharmacists or other health professionals to the local Public Health Unit (PHU) on 1300 066 055 using the National Adverse Events Following Immunisation (AEFI) reporting form. Additional advice is available on Adverse events following immunisation (AEFI).

COVID-19

Do I need to do additional training before I can administer the COVID-19 vaccines?

Pharmacist immunisers must have completed a training course that complies with the Australian Pharmacy Council 'Standards for the Accreditation of Programs to Support Pharmacist Administration of Vaccines' (current version). The training course must be conducted by an Australian Pharmacy Council accredited pharmacy education program provider.

The pharmacist immuniser must ensure that they have completed training for all authorised vaccines that they intend to administer.

To administer COVID-19 vaccines, a pharmacist immuniser, in addition to the above requirements, must also successfully complete:

  • core COVID-19 training modules from the COVID-19 Vaccination Training Program developed by the Commonwealth Department of Health in partnership with the Australian College of Nursing
  • to administer a specific COVID-19 vaccine, the relevant vaccine specific additional COVID-19 training modules from the COVID-19 Vaccination Training Program developed by the Commonwealth Department of Health in partnership with the Australian College of Nursing for all vaccines that the pharmacist immuniser is administering.

The pharmacist immuniser must review all relevant training modules when notification of updates are received.

Refer to Section C of the NSW Pharmacist Vaccination Standards for further requirements.

Where can I find the COVID-19 vaccine consent form?

See the COVID-19 vaccine consent form.

Where can I find COVID-19 vaccination information in languages other than English?

COVID-19 information is available on the Australian Department of Health website.

A translating and interpreting service (TIS National) is available for people who do not speak English and for agencies and businesses that need to communicate with their non-English speaking clients. Phone: 131 450

Can I charge for the COVID-19 vaccine or its administration?

COVID-19 vaccinations must be provided free of charge. The Australian Government is committed to offering every person in Australia access to safe and effective COVID-19 vaccines at no cost. Vaccination providers cannot charge to administer the COVID-19 vaccine. The vaccine is free and the consult appointment for patients to receive the vaccination is also free. Charging a patient any costs associated with the administration of the COVID-19 vaccination (including booking fees) is a breach of the requirements under the program.

What interval is required between the influenza and COVID-19 vaccination?

The Australian Technical Advisory Group on Immunisation (ATAGI) advises that COVID-19 vaccines can be co-administered (i.e. on the same day) with an influenza vaccine.

Can a pharmacist immuniser administer COVID-19 vaccine to women who are pregnant or breastfeeding?

Yes. Pregnant women without a medical contraindication or other precaution may receive the Comirnaty (Pfizer) COVID-19 vaccine or Spikevax (Moderna) COVID-19 vaccine at any stage of pregnancy. A woman with any medical contraindication or other precaution should be referred to a medical practitioner for vaccination. mRNA vaccines are preferred for women who are pregnant due to the amount of safety data available.

Refer to Pregnancy, breastfeeding and COVID-19 vaccines.


Current as at: Thursday 7 September 2023
Contact page owner: Immunisation