During the COVID-19 pandemic, it is particularly important to maintain high vaccination coverage levels to prevent outbreaks of vaccine preventable diseases in the community. This guidance is of relevance to the initiation and administration of vaccines by NSW Hospital pharmacists.

Hospital Pharmacist initiation and administration of vaccines

The NSW Poisons and Therapeutic Goods Regulation 2008 (clause 48A) authorises appropriately trained pharmacists in NSW to administer influenza vaccine, diphtheria-tetanus-pertussis (dTpa) and measles-mumps-rubella (MMR) vaccine to selected patients. More information is available on the NSW pharmacist vaccination program web page.

A registered pharmacist employed at a public hospital who initiates and administers vaccines must comply with the following three components of clause 48A of the NSW Poisons and Therapeutic Goods Regulation 2008 which prescribes rules for:

  • completing an accredited vaccination training course
  • conducting vaccinations under the NSW Pharmacist Vaccination Standards
  • recording each vaccination.

The vaccinations must be conducted under a program approved by the public health facility’s chief executive which may be at:

  • a general medical practice 
  • an Aboriginal Medical Service 
  • a local council clinic
  • a private hospital 
  • a public hospital or health service 
  • a community health centre 
  • an aged care facility 
  • a staff occupational health clinic
  • a retail pharmacy

Note pharmacists are not authorised to write an order for the administration of a vaccine by another practitioner (such as on a medication chart). 

Document information

Developed by

Judith Mackson, Chief Pharmacist and Director, Chief Pharmacist Unit, NSW Ministry of Health


NSW Directors of Pharmacy Network, Health Protection NSW

Endorsed by

Dr Nigel Lyons, Deputy Secretary, Health System Strategy and Planning

For use by

Local Health Districts, Speciality Networks, Affiliated Health Organisations, NSW Health Pillars

Current as at: Friday 10 July 2020
Contact page owner: Health Protection NSW