Pharmacy-Based Immunization Delivery

Current open-enrollment offerings

Pharmacy-Based Immunization Delivery is an innovative and interactive training program that teaches pharmacists the skills necessary to become a primary source for vaccine information and administration. The program teaches the basics of immunology and focuses on practice implementation and legal/regulatory issues.

There are three components to the certificate training program:

• 12 hour (1.2 CEU) self-study modules with case studies and assessment exam
• 8.0 hour (0.80 CEU) live seminar with final exam
• Hands-on assessment of intramuscular and subcutaneous injection technique
• Additional self-study resources (password required; password included in printed course materials)

The goals of the certificate training program are to:

• Provide comprehensive immunization education and training
• Provide pharmacists with the knowledge, skills, and resources necessary to establish and promote a successful immunization service
• Teach pharmacists to identify at-risk patient populations needing immunizations
• Teach pharmacists to administer immunizations in compliance with legal and regulatory standards

Self-Study Modules Description and Learning Objectives

The self-study learning activity is designed to ensure that all participants have an understanding of vaccine-preventable diseases and the role of pharmacists as vaccine advocates and administrators.  There are five learning modules that present in-depth information on immunology, practice implementation, and legal and regulatory issues as noted below, with appropriate references to the Centers for Disease Control and Prevention (CDC) resource publication, Epidemiology and Prevention of Vaccine-Preventable Disease.  The self-study program includes a self-assessment test and real-life case studies that are designed to help reinforce and evaluate participants' understanding of key information and concepts.

Module 1. Pharmacists as Vaccine Advocates

After completing this module, participants will be able to:

• Describe the current status of vaccine-preventable diseases in the United States and the effects of immunizations on morbidity and mortality rates
• Identify potential opportunities for community, health-system, and consultant pharmacists to become involved in immunization delivery
• Describe the advantages of pharmacy-based immunization programs and the impact of pharmacists on immunization delivery
• List key resources available for immunization providers and educators
• Compare electronic resources of immunization information and identify resources of particular value to the pharmacist's own practice site.

Module 2. Immunology

After completing this module, participants will be able to:

• Explain the basic concepts of immunology
• Explain the differences between active and passive immunity
• Describe how vaccines elicit an immune response
• Describe the differences between live and inactivated vaccines 
• Distinguish vaccines available on the U.S. market as live attenuated or inactivated 

Module 3. Vaccine-Preventable Diseases

After completing this module, participants will be able to:

• Describe the clinical features and potential complications of vaccine-preventable diseases
• Identify vaccines available on the U.S. market for each vaccine-preventable disease
• Identify the contraindications and precautions for the use of each vaccine.
• List the target groups for vaccination based on the Advisory Committee for Immunization Practices (ACIP) recommendations.
• Identify vaccination needs for various types of patients based on the current ACIP recommendations.
• Outline an appropriate vaccination regimen for various types of patients, including the dose, route of administration, and follow-up schedules.
• Counsel patients about the potential health benefits of immunization and possible adverse reactions following receipt of vaccines

Module 4. Implementing an Immunization Practice

After completing this module, participants will be able to:

• Explain the legal, regulatory, and liability issues involved in offering a pharmacy-based immunization program
• Describe the federal Vaccine Injury Compensation Program and recall the requirements of this program
• Describe Occupational Safety and Health Administration (OSHA) regulations designed to prevent employees' exposure to blood borne pathogens and needle stick injury at worksites where immunizations are given
• Explain the principles and procedures for vaccine storage and handling
• Identify marketing strategies that can be used to promote a pharmacy-based immunization service

Module 5. Vaccine Administration

After completing this module, participants will be able to:

• List methods to identify patients who are at highest risk of vaccine-preventable illness
• Review a patient case and identify that patient's vaccine needs using the immunization schedules
• Recall recommended patient screening questions for vaccination and identify valid contraindications for vaccinations
• List five key factors that influence patients when making vaccination decisions
• Describe the requirements for providing vaccine information statements to patients
• Identify common myths about vaccines and outline the facts that dispel these myths
• Discuss the rationale for timing and spacing of vaccines, including vaccine-vaccine spacing and vaccine-antibody spacing
• Explain appropriate techniques for administration of vaccines by the intramuscular, subcutaneous, and intranasal routes
• Describe the signs and symptoms of adverse reactions to vaccines and the emergency procedures that immunizing pharmacists should follow in the event of an adverse reaction

Live Training Seminar Description and Learning Objectives

The second part of the certificate training program is an active learning seminar focusing on pharmacy practice implementation.  The live training seminar is based on the experience of practitioners involved in immunization advocacy and administration.  The training seminar reinforces and expands on the self-study program and addresses areas such as immunization needs, legal and regulatory issues, and injection-technique training.  Participants will be expected to practice giving intramuscular and subcutaneous injections.

After completing the live seminar, participants will be able to:

• Identify opportunities for pharmacists to become involved in immunization delivery
  Describe how vaccines evoke an immune response and provide immunity
• Identify the available vaccines for each vaccine-preventable disease and classify each vaccine as live attenuated or inactivated
• Outline the target groups for vaccination based on the Advisory Committee for Immunization Practices recommendations
• Analyze patient cases and formulate vaccine recommendations based on current immunization schedules
• Explain the answers to frequently asked questions encountered in immunization practice
• Outline the steps involved in establishing a pharmacy-based immunization delivery program
• Address the legal, regulatory, and liability issues involved with pharmacy-based immunization programs
• Describe the signs and symptoms of adverse reactions that can occur after vaccination and the emergency procedures that immunizing pharmacists should follow in the event of an adverse reaction
• Describe appropriate intranasal administration technique for the live attenuated influenza vaccine
• Demonstrate appropriate intramuscular and subcutaneous injection technique for adult immunization

All participants are strongly encouraged to obtain CPR or BCLS certification.  However, certification is not a prerequisite of the program.  A Certificate of Achievement is awarded to participants who successfully complete all program requirements.  The Certificate of Achievement is invalid, however, without written proof of current CPR or BCLS certification.

The American Pharmacists Association and the American Society of Consultant Pharmacists are accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy education.

The self-study learning portion of the Pharmacy-Based Immunization Delivery certificate training program is approved for 12 hours (1.2 CEU) of continuing pharmacy education credit (UAN: 202-000-09-002-H01-P). The live training seminar is approved for 8 hours (0.8 CEU) of continuing pharmacy education credit (UAN: 202-000-09-001-L01-P). 

CPN: 202-0014: Expiration Date: 12/31/10

Completion Information: A Certificate of Achievement is awarded to participants who successfully complete all activity requirements, which include the self-study component, live training seminar, and the injection technique assessment.  Successful completion is defined as a score of 70% or better on both the self-study and live seminar assessments.  

For more information on the program curriculum or agenda, contact the Certificate Training Department by e-mailing ctp@aphanet.org or calling 202-429-7512.

If your company or organization is interested in offering this certificate program to its pharmacists or student pharmacists, please contact our certificate training department ctp@aphanet.org.

Pharmacy-Based Immunization Delivery: A Certificate Program for Pharmacists was developed by APhA and is supported in part by an educational grant from VaxServe.