Building a pharmacy workforce from the ground up to support the COVID‐19 vaccine rollout: lessons learned and recommendations

Abstract

The COVID‐19 pandemic has required an unprecedented surge in the pharmacy workforce to support mass vaccination hubs. This review discusses the challenges faced while training and credentialing a surge pharmacy workforce and how these challenges were overcome. The process used for training and credentialing new employees has been described and recommendations and insights have been provided based on the lessons learned at two COVID‐19 mass vaccination hubs in New South Wales. Operationalising one of the largest mass vaccination hubs in Australia required efficient training and credentialing of the pharmacy workforce. This process included the use of pharmacist‐extenders such as students, assistants, and those from other healthcare and non‐healthcare backgrounds. Training was optimised by using a flipped classroom model, so that the vaccine preparation process was provided via asynchronous online videos. The videos covered each step of vaccine dose preparation with visual cues to guide appropriate technique. On‐site training involved use of simulation and checklists for credentialing. Many factors contributed to the success of this process, including the use of triaging and the re‐allocation of personnel based on skill level, collaboration with the Sydney Pharmacy School to train and support a surge workforce involving students, initial on‐site information technology support in the form of pharmacy superusers, the use of checklists and guides for troubleshooting, and assigned pharmacy educators to train new employees. The public health response to the COVID‐19 pandemic forced us to rapidly adapt to build a pharmacy workforce in record time to support mass vaccination hubs. The recommendations and insights provided from our experience can guide future surges. Some of these concepts may also be applied to pharmacy practice in hospitals when resources are constrained.

Pharmacy Intern Involvement in COVID-19 Immunization Practices in New York State

“…Patanwala et al recommended for these efforts to involve strong collaborative partnerships with schools/colleges of pharmacy in order to allow student pharmacists to serve as a surge workforce. 20 The experience of one such hospital-based clinic in Brooklyn, NY, which heavily incorporated students from LIU Pharmacy, was described by Andrade et al 21 In the first 2 weeks of the pharmacist-run immunization clinic, 100% of the doses allotted to the institution were administered to the highest-risk hospital employees according to state protocol. The incorporation of APPE students into the staffing model for both clinical and administrative functions is cited as one of the key components for the clinic’s success.…”