Injection Services

This course will walk you through our procedure for Flu Shots & other injection services we provide

Flu Shots

Flu season is very busy for us but now that we have injecting pharmacists at all times and because it can be done quickly no appointment is required to get a flu shot.

Step 1: Patient presents for a flu shot

Provide patient with correct double sided consent form

A form can be provided at any end of our counter as it will not be billed until after the shot is given.  Note that the bottom of the form has some pre-filled information about the injection

Instruct the patient to fill out the front of the form and also to write doctors name, their name and MSI number on the back of the form.

Review form for missing information

Ensure the form is complete including Full Name, MSI number, DOB and signed.  See below for form and hotspot items.

There is no way to automatically print a double sided form.  One side must be printed and then placed back in the printer to print the back side.  Place forms in with the TOP facing up and the writing should be upside down from your point of view.

Where to find injection paperwork

Look under patient profiles:

Last name: FILE  First name: INJECTIONS

* Forms are under patient documents

Step 2: Getting ready to vaccinate

Place form in the hands of the injecting pharmacist

The form should go directly to the pharmacist so they are aware the patient is ready.  It also prevents potential confusion and medication errors

Advise patient to have seat in the waiting area

Give the patient an idea of how long they will be waiting for the injection and that the pharmacist has been given their form.

PHARMACIST: Review form and prepare vaccine

The vaccine should be prepared on the back pill pack counter.  All prep should be done here and required supplies collected and placed on the metal tray. The counselling room should be clear of supplies and clutter

Step 3: After injection is given the pharmacist must immediately fill out the bottom portion of the form completely including a date and signature.

Step 4: Fill out the back (Drug Admin Notice) of the form and fax to family physician using Kroll Fax Rx.

Provincial Requirements for Notification

Standards dictate that we must notify the primary care physician for the patient within 48 hours.  Our mandate will be notify on the same day as the injection is given.

Reminder about Kroll Fax Rx

The doctor fax populates as you type the doctor name so there is no need to fill out the fax number portion of the drug administration notice.

Completed forms on both sides are to be placed in the RED "Flu shots to bill" folder.

Step 5: Bill the flu shot when time permits

Option One:

Bill the injection and scan each side as the Rx image and then file the form with regular prescriptions for that day.

Shred the label that is produced

IDEAL IF BILLING NEXT TO A SCANNER

Option Two:

Bill the injection without scanning a Rx image.  When a label is produced affix the hardcopy to either side of the form and scan "double sided" using the import utility (same way we scan hardcopies in at the end of the night)

IDEAL IF NOT BILLING NEXT TO A SCANNER

Complete the following questions about flu shot procedures

  • Forms completed by patient can be given to the injecting pharmacist OR placed on the back counter where the injection will be prepared
  • Patients are to wait the customary wait time for the flu shot
  • We require appointments for more than 2 people and young children
  • The best way to notify the physician is using Kroll FAX Rx

Please choose any answer which is the correct procedure

  • The flu shot may be billed before administration if time permits or patient is at the drop off window
  • Forms may be placed in the TO BILL folder if they have not been faxed so long as they have a note indicating this has not been done
  • Our policy will be to fax a family doctor the drug admin form on the same day the injection is given
  • The flu shot and all supplies needed for injection are prepared outside the counselling room
  • The correct from can be found on the patient filed named Pharmacy Services

Other Injection Services

Step 1: Patient presents for the injection

Provide patient with correct double sided consent form

Instruct the patient to fill out the front of the form and also to write doctors name, their name and MSI number on the back of the form.

Pick the correct form!  Do not confuse with the pre filled flu shot forms


Review form for missing information

Ensure the form is complete including Full Name, MSI number, DOB and signed.


Step 2: Bill the injection service while you are billing the injection the patient will be getting.

Service Drug File

Type PHARMACIST for the drug name and you will find the correct service.  The DOCTOR for the service will be the injecting pharmacist.  Advise patient our injection fee is $12.  Remember that the service label will print once billed.  The drug/vaccine label will only print when it is being packaged.  Collect the label and give to the packager as an FYI.

Step 3: Getting ready to vaccinate.  Follow the exact same procedures as a flu shot

Step 4: After injection is given the pharmacist must immediately fill out the bottom portion of the form completely including a date and signature.

Step 5: Fill out the back (Drug Admin Notice) of the form and fax to family physician using Kroll Fax Rx.

Step 6: Place the document in the "Documents to scan" slot directly right of data entry.  Form must have been faxed before putting in this slot.  Scan both sides to the injection service as the Rx image.

Chose which statements are correct

  • You may place an incomplete form in the documents to scan slot. It will be filled out by the person who scans the document in
  • Once the patient has completed the consent form place it basket with the Rx in process
  • The completed consent form and drug administration notice should be scanned as an Rx image on the billed medication/vaccine