Florida Senate - 2011                        COMMITTEE AMENDMENT
       Bill No. SB 1268
       
       
       
       
       
       
                                Barcode 577252                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                   Comm: WD            .                                
                  04/04/2011           .                                
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       The Committee on Health Regulation (Garcia) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 23 - 104
    4  and insert:
    5         (1) A pharmacist Pharmacists may administer, influenza
    6  virus immunizations to adults within the framework of an
    7  established protocol under a supervising supervisory
    8  practitioner who is a physician licensed under chapter 458 or
    9  chapter 459, the following:
   10         (a) Influenza vaccine to an adult 18 years of age or older.
   11         (b) Varicella zoster vaccine to an adult 60 years of age or
   12  older.
   13         (c) Pneumococcal vaccine to an adult 65 years of age or
   14  older.
   15         (d) Epinephrine using an autoinjector delivery system to an
   16  adult 18 years of age or older who is suffering an anaphylactic
   17  reaction.
   18  
   19  The Each protocol must shall contain specific procedures for
   20  addressing any unforeseen adverse allergic reaction to the
   21  vaccine or epinephrine autoinjection influenza virus
   22  immunizations.
   23         (2) A pharmacist may not enter into a protocol unless he or
   24  she maintains at least $200,000 of professional liability
   25  insurance and has completed training on the vaccines and
   26  epinephrine autoinjection in influenza virus immunizations as
   27  provided in this section.
   28         (3) A pharmacist who administers a vaccine or epinephrine
   29  autoinjection must administering influenza virus immunizations
   30  shall maintain and make available patient records using the same
   31  standards for confidentiality and maintenance of such records as
   32  those that are imposed on health care practitioners under s.
   33  456.057. These records must shall be maintained for a minimum of
   34  5 years.
   35         (4) The decision by a supervising physician supervisory
   36  practitioner to enter into a protocol under this section is a
   37  professional decision on the part of the physician practitioner,
   38  and a person may not interfere with a supervising physician’s
   39  supervisory practitioner’s decision to enter as to entering into
   40  such a protocol. A pharmacist may not enter into a protocol that
   41  is to be performed while acting as an employee without the
   42  written approval of the owner of the pharmacy. Pharmacists shall
   43  forward immunization records to the department for inclusion in
   44  the state registry of immunization information.
   45         (5) Any pharmacist seeking to administer a vaccine or
   46  epinephrine autoinjection influenza virus immunizations to
   47  adults under this section must be certified to administer the
   48  vaccine or epinephrine autoinjection influenza virus
   49  immunizations pursuant to a certification program approved by
   50  the Board of Pharmacy in consultation with the Board of Medicine
   51  and the Board of Osteopathic Medicine. The certification program
   52  shall, at a minimum, require that the pharmacist attend at least
   53  20 hours of continuing education classes approved by the board.
   54  The program shall have a curriculum of instruction concerning
   55  the safe and effective administration of the vaccines listed in
   56  subsection (1) and epinephrine autoinjection influenza virus
   57  immunizations, including, but not limited to, potential adverse
   58  allergic reactions to the vaccines or epinephrine autoinjection
   59  influenza virus immunizations.
   60         (6) The written protocol between the pharmacist and
   61  supervising physician must include particular terms and
   62  conditions imposed by the supervising physician upon the
   63  pharmacist relating to the administration of a vaccine or
   64  epinephrine autoinjection influenza virus immunizations by the
   65  pharmacist. The written protocol must shall include, at a
   66  minimum, specific categories and conditions among patients for
   67  whom the supervising physician authorizes the pharmacist to
   68  administer a vaccine or epinephrine autoinjection influenza
   69  virus immunizations. The terms, scope, and conditions set forth
   70  in the written protocol between the pharmacist and the
   71  supervising physician must be appropriate to the pharmacist’s
   72  training and certification for the vaccine or epinephrine
   73  autoinjection immunization. A pharmacist Pharmacists who is have
   74  been delegated the authority to administer a vaccine or
   75  epinephrine autoinjection influenza virus immunizations by the
   76  supervising physician must shall provide evidence of current
   77  certification by the Board of Pharmacy to the supervising
   78  physician. A supervising physician must physicians shall review
   79  the administration of the vaccine or epinephrine autoinjection
   80  influenza virus immunizations by the pharmacist pharmacists
   81  under such physician’s
   82  
   83  
   84  ================= T I T L E  A M E N D M E N T ================
   85         And the title is amended as follows:
   86         Delete lines 4 - 7
   87  and insert:
   88         are authorized to administer; authorizing pharmacists to
   89  administer an epinephrine autoinjection
   90