Can the registered nurse administer immunizations under the direction of a pharmacist?

A pharmacist is not identified as an authorized health care practitioner that the registered nurse may take orders or direction from. This does not mean the registered nurse may not work in a pharmacy setting administering immunizations. It is acceptable for orders for immunizations to be made by an authorized health care practitioner using standing orders. See the NCQAC Standing and Verbal Orders Advisory Opinion for guidelines and recommendations.