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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

49 Pa. Code § 21.16. Immunizations.

§ 21.16. Immunizations.

 (a)  Immunization and skin testing is a proper function of a registered nurse and is a function regulated by this section, and the function may not be performed unless all of the following conditions are met:

   (1)  A written order has been issued by a licensed physician. The order may be a standing order applicable to individuals or groups.

   (2)  The policies and procedures under which the registered nurse may administer immunizing agents and do skin testing have been established by a committee representing the nurses, the physicians and the administration of the agency or institution. These written policies and procedures shall be available to the nurse. The committee shall also perform the following functions:

     (i)   Identify the immunizing and skin testing agents which the nurse may administer.

     (ii)   Determine contraindications for the administration of specific immunizing and skin testing agents.

     (iii)   Outline medical principles governing the treatment of possible anaphylactic reactions.

     (iv)   Establish instruction and supervised practice required to insure competency in administering immunizing and skin testing agents.

 (b)  Following skin testing, the size of the induration or its absence may be observed and recorded by the properly instructed registered nurse.


   The provisions of this §  21.16 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2677. Immediately preceding text appears at serial page (9692).

Cross References

   This section cited in 49 Pa. Code §  21.803 (relating to applicability of rules relating to professional nurses).

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