Vaccinator Authorisation Process

Authorisation as an Independent Approved Vaccinator

Note: Toi Te Ora Public Health can only authorise nurses working within Bay of Plenty and Lakes districts.

The authorisation of vaccinators to give immunisations from the New Zealand Ministry of Health Immunisation Schedule is covered by the 1984, clause 44A (2), Medicines Regulations act, (see section A4.1.1 of the Ministry of Health Immunisation Handbook 2020 for further details).

This authorisation enables approved vaccinators to give vaccines from the New Zealand Ministry of Health schedule without direct supervision from a medical practitioners.

It is the responsibility of the person wishing to become a vaccinator or maintain their vaccination certificate to ensure they have adhered to the New Zealand Ministry of Health authorisation process.

Each public health unit around the country has Medical Officers of Health who will oversee this national process for their area and will be guided by the act as outlined in the New Zealand Immunisation Handbook 2020.

Information on the process for Pharmacist vaccinators found in the Immunisation Handbook 2020 Appendix 4. Pharmacists are not required to apply to a Medical Officer of Health for authorised vaccinator status.

Toi Te Ora Public Health, which covers the Bay of Plenty and the Lakes area, uses the following steps to implement this process.

This process covers:

  • authorising of vaccinators
  • reauthorising of vaccinators
  • local authorising of NZ vaccinators from outside the region
  • reauthorising of vaccinators whose vaccinators certificate has expired for more than one month
  • authorising local immunisation programmes

It also covers the roles of:

  • Nurse
  • Administration Support Officer
  • Medical Officer of Health
  • Local Immunisation Facilitator - Cold Chain Accreditation and details

Authorising of vaccinators

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The process within Toi Te Ora Public Health for authorising an initial certified vaccinator

The nurse will complete the vaccinators authorisation application form and send the following evidence:

  • Proof of Current Annual Practicing Certificate (must include NCNZ number and expiry date)
  • Proof of dated Indemnity Insurance Cover Letter (this can be requested by ringing the NZNO on 0800 283848)
  • Certificate of successful completion of IMAC Vaccinator Training Course (within the last 12 months). To find out about these courses visit: www.immune.org.nz
  • Clinical assessment by an Immunisation Facilitator or approved assessor (within 12 months of attending a Vaccinator Training Course)
  • Current CPR certificate - Core Immediate - airway and oxygen management

Applications should be completed electronically and submitted by email to enquiries@toiteora.govt.nz 

The Medical Officer of Health will review the evidence. If all evidence is present and correct a certificate for two years practice will be issued.  If any evidence is missing you will be advised and asked to provide this.

NB: Your certificate can not be issued until all the correct information has been received.

Reauthorising of vaccinators

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The process within Toi Te Ora Public Health for reauthorising an approved vaccinator

Six weeks prior to vaccination certificate expiring please complete the vaccinators reauthorisation application form and send the following evidence:

  • Proof of current annual practicing certificate (including NCNZ number and expiry date)

  • Proof of dated indemnity insurance – this must be a currently dated letter from your provider confirming your membership/insurance i.e. NZNO. 

  • Evidence of peer review process within last 3 months

  • Attendance certificate from your most recent vaccinator update course (must be within the last 2 years.)

  • Current CPR certificate - Core Immediate - airway and oxygen management

  • Summary of vaccinator practice within the previous 12 months

Applications should be completed electronically and submitted by email to enquiries@toiteora.govt.nz 

The Medical Officer of Health will review the evidence. If all evidence is present and correct a certificate for two years practice will be issued. If any evidence is missing you will be advised and asked to provide this.

NB: Your certificate can not be issued until all the correct information has been received.

Local authorising of vaccinators from outside the region

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The process within Toi Te Ora Public Health for the local authorising of vaccinators from outside the region

Please complete the application form vaccinator out of region and send the following evidence:

  • current annual practicing certificate

  • indemnity insurance – this must be a currently dated letter from your provider confirming your membership/insurance i.e. NZNO. 

  • your current vaccinator certificate

  • attendance certificate from your most recent Vaccinator Update Course (must be within the last 2 years).

  • successful completion of the peer review process

  • current CPR certificate - Core Immediate - airway and oxygen management

  • details of proposed work in the district

Applications should be completed electronically and submitted by email to enquiries@toiteora.govt.nz 

The Medical Officer of Health will review the evidence. If all evidence is present and correct a certificate for two years practice will be issued.
If any evidence is missing you will be advised and asked to provide this.

NB: Your certificate can not be issued until all the correct information has been received.

Reauthorising of vaccinators whose vaccinators certificate has expired for more than one month

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The process within Toi Te Ora Public Health for reauthorising a certified vaccinator whose vaccinator’s certificate has expired for more than one month (and less than 5 years)

This will need to be assessed on a case by case basis, view section A4.1.6 of the Immunisation Handbook 2020 for more details.

To enable this process the nurse will complete the application form vaccinator expired and send the following evidence:

  • Proof of current annual practicing certificate (must include NZNC number and expiry date)
  • Indemnity insurance – this must be a currently dated letter from your provider confirming your membership/insurance i.e. NZNO.
  • Certificate of successful completion of Vaccinator Training Course (within the last 5 years, provided by IMAC) OR your current vaccinator certificate
  • Attendance certificate from your most recent Vaccinator Update course (must be within the last 2 years)
  • Copy of the expired Vaccinator Authorisation Certificate
  • Full clinical assessment by an immunisation coordinator
  • Current CPR certificate - Core Immediate- airway and oxygen management
  • Summary of immunisation practice over last 12 months

NB: If the authorisation expired more than 5 years prior, please email us for the correct form. The vaccinator will need to complete the full Vaccinator Training Course again and reapply using the initial vaccinator application form.

Applications should be completed electronically and submitted by email to enquiries@toiteora.govt.nz 

The Medical Officer of Health will review the evidence. If all evidence is present and correct a certificate for two years practice will be issued. If any evidence is missing you will be advised and asked to provide this.

NB: Your certificate can not be issued until all the correct information has been received.

Authorising local immunisation programmes

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Authorised vaccinators delivering an immunisation service

Authorised vaccinators need to supply details of their practice as specified in Appendix A4.3 in the Immunisation Handbook 2020. These details which will be considered if they decide to seek medical officer of health approval for a local immunisation programme.

Please complete the local immunisation programme application form for approval by Medical Officer of Health and send the required documents to Toi Te Ora Public Health as below.

For cold chain accreditation certification information: See Immunisation Handbook 2020 and local co-ordinators, or phone 0800 465 863.

 

Authorised Vaccinators may administer vaccines as part of approved programmes without prescription or standing order

Approved programmes in the Bay of Plenty and Lakes District Health Board areas include:

  1. The National Immunisation Schedule and vaccinations nationally recommended and funded for special groups.  (As an approved programme,  these vaccinations may be given by Authorised Vaccinators without prescription, standing order or Local Immunisation Programme.) Details of the vaccines and the recommended indications are published in the current Ministry of Health Immunisation Handbook 2020.
  2. Local programmes specifically approved by any of the Medical Officers of Health for the area covered by Lakes and Bay of Plenty District Health Boards.  See application form above.

Applications should be completed digitally and submitted by email to enquiries@toiteora.govt.nz 

The Medical Officer of Health will review the evidence. If all evidence is present and correct a certificate for two years practice will be issued.  If any evidence is missing you will be advised and asked to provide this.

NB: Your certificate can not be issued until all the correct information has been received.

 

Approved Local Programmes List - approvals as at May 2021 in the Bay of Plenty and Lakes District Health Board areas

  • Achieve Workplace Health, Rotorua

  • Asthma & Respiratory Management BOP, Tauranga

  • Bay Occupational Health Consultancy Ltd, Mt Maunganui

  • Bay of Plenty District Health Board Outreach Immunisation Service, Tauranga
  • Chadwick Healthcare, Tauranga

  • Children's Hub Immunisation Team, Children's Hub - Te Aka Mauri, Lakes DHB, Rotorua

  • Cicada Health Ltd, Tauranga

  • Community Health 4 Kids, BOP DHB, Bay of Plenty region
  • Eastern Bay Primary Health Alliance, Whakatāne

  • Fifth Avenue Family Practice, Tauranga

  • Fit for Work, Edgecumbe

  • Go4Health Kaitiaki Nursing Service, Tauranga
  • Grace Hospital, Tauranga

  • Health Reporoa Inc, Reperoa

  • Health Tick, Mount Maunganui
  • Korowai Aroha Health Centre, Rotorua
  • Life Care Consultants Ltd, Hamilton

  • Medpro Healthcare NZ Ltd, Whangaparaoa, Auckland

  • Ngā Kākano Family Health Services, Te Puke

  • Ōhope Beach Medical Centre, Ōhope

  • OK Health Services, Tauranga

  • Otumoetai Doctors Ltd, Tauranga

  • Poutiri Trust, Te Puke
  • Proactive for Health, Edgecumbe
  • Ranolf Medical Centre, Rotorua

  • RAPHS Primary Health Support, Rotorua
  • Tarawera Medical Centre, Kawerau

  • Tasman Occupational Health (Norske Skog), Kawerau
  • Taupō Health Centre, Taupō

  • Te Whare Hauora Health Centre (Toi Ohomai Institute of Technology), Tauranga, Rotorua

  • The Doctors – Kopeopeo, Whakatāne

  • The Doctors – Phoenix, Whakatāne

  • The Doctors – Tauranga

  • Third Age Health, Tauranga
  • Total Health Doctors, Whakatāne

  • Toi Ora Health, Ōpōtiki

  • Trident High School, Whakatāne

  • Unichem Papamoa Pharmacy, Tauranga

  • Waikato Occupational Health Consultancy Ltd, Hamilton

  • WBOP Primary Health Organisation, Tauranga

  • Western Heights Medical Centre, Rotorua

  • Westend Medical (Willcare Health), Rotorua

  • Workplace Health NZ Ltd, Tauranga

Roles

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Administration Role

  • The Administrator Support Officer will maintain a vaccination database of all current and expired authorised vaccinators.
  • The Administrator will work under the direction of the Medical Officers of Health regarding the posting out of certifications, re certifications and requests for further information.
  • The certificate will be posted out 10 working days after receipt of correct documentation.
  • The Administrator will send the local Immunisation Facilitator an updated spreadsheet of vaccinators each month for follow up.  The facilitator will follow up with those nurses who now have expired vaccination certificates.


Local Immunisation Facilitator

  • Will carry out the initial practical clinical assessment
  • Available for clinical vaccinator peer review
  • Follow up on vaccinators whose certification has expired
  • Can provide information on vaccinator training courses or vaccinator updates
  • Cold chain accreditation details


Nurse/Authorised Vaccinator Role

  • To provide the required evidence
  • To ensure the evidence is provided to Toi Te Ora Public Health six weeks prior to the expiration of the vaccinator’s certification.
  • To ensure that Toi Te Ora Public Health is informed of change of email address, work place, and or extended leave/retirement


Medical Officer of Health Role

  • Assess if the documentation received meets the requirements for the authorisation or reauthorisation request
  • Advise the Admin support person to send a request to the applicant for further information OR
  • Advise the Admin support person to send out the certification to the applicant