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Does anyone administer allergy injections in their primary care or pediatric clinics? Our closest allergists are around 2 hours away so we get a lot of requests for this specifically in our pediatric clinic. I just wondered how other clinics from smaller rural areas handled those.

Our pediatric locations will administer allergy shots to their patients. We made sure the providers and staff went through extensive training with our Allergy and Asthma providers. The staff must be checked-off yearly on how to administer the shots, what to do in the event of a reaction, etc. So far, we have not had any issues and the training program has worked well. 

One of our clinics in a rural setting does. The allergist in the closest major city writes the orders and overnights the allergens. My team receives them and stores them in bins in the fridge with the patients information marked on the bin and the allergens. The patients then come in for their weekly injections (or whatever schedules has been prescribed) and the MAs follow a protocol to administer the injections with the PCP on site. They screen the patient using a set of questions provided by the allergist and document in our EMR. We have stipulations in place, must be a current patient, must have been seen by PCP within 60 days of starting injections, and patient must initiate request and connect us to their allergist.