Vaccine standing order drug template
DOC 77 KB
In South Australia, a registered nurse/midwife who is authorised can administer vaccines in accordance with the Vaccine Administration Code (the Code) and is no longer required to work under a medical order. Registered nurses administering vaccines without a medical order can only do so if the administration is in accordance with the Code published by the South Australian Department for Health and Ageing and provided that all the other requirements of regulation 18(3) are met. These registered nurses are referred to as authorised registered nurses.
To be authorised the registered nurse must have successfully completed an approved training program. Authorised registered nurses must only administer the vaccines:
The Immunisation Section has a low cost online approved training programs widely used to enable registered nurses to meet the legislated training requirements under the Code. For enhanced professional practice as well as logistical reasons, registered nurses delivering immunisation services are generally now authorised.
The registered nurse/midwife who is not authorised can only administer vaccines under a medical order. SDOs provide an organisation delivering immunisation programs the mechanism to enable nurses (not authorised) to administer vaccines (Schedule 4 drugs) without an individually prescribed medication order by a medical officer.
It is recommended a vaccine SDO is in place within every organisation that provides an immunisation service where vaccines are administered by nurses who are not authorised.
The registered nurse/midwife who is not authorised and works under SDOs cannot initiate and administer vaccines (Schedule 4 drugs) until each relevant SDO has been endorsed.
The Drug and Therapeutics Committee of the Local Health Network (or equivalent standing medication order committee) is responsible for providing governance for standing medications orders and nurse/midwife initiated medicines.
A model vaccine SDOs provides a template for a specific medication and indication for use which must be adapted based on local governance processes or procedure to meet the specific needs at specific sites.
It is recommended the endorsement committee comprises of a:
In some circumstances a pharmacist may also be included; however, the pharmacist cannot replace the medical officer.
Responsibilities of the endorsement committee must include:
For the vaccine SDO to be considered valid it must contain the signature, name and title of each member of the endorsement committee.
SDOs for each vaccine should be specific to the Local Health Network (or equivalent standing medication order committee) and the information contained within these must be adapted from the template (DOC 80KB) of the generic Vaccine Standing Drug Order template provided. Once endorsed the SDOs must be used in conjunction with the current edition of the Australian Immunisation Handbook.