{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-126.4.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-126.4.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-126.4.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-126.4.html"}],"law_id":70496,"edition_id":1,"section_id":70496,"structure_id":12729,"section_number":"32.1-126.4","catch_line":"Hospital standing orders or protocols for certain vaccinations","history":"2006, c. 432.","full_text":"A\n\nA hospital may provide or arrange for the administration under a standing order or protocol approved by a member or committee of the hospital’s medical staff of (i) influenza vaccinations and (ii) pneumococcal vaccinations, thus waiving the requirement for specific written physician orders for influenza and pneumococcal immunizations. However, no such standing order or protocol shall supersede a physician’s authority to issue specific written orders relating to immunizations.B\n\nAny standing order or protocol authorized by this section shall require that the vaccinations be administered in accordance with the most recent recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention after (i) ascertaining that the vaccination is not medically contraindicated for the patient, (ii) determining the patient’s wishes and any religious objections, and (iii) obtaining informed consent from the patient or his legal representative.C\n\nVaccinations administered under a standing order or protocol shall be documented in the patient’s health record.","order_by":null,"text":{"0":{"id":254397,"text":"A hospital may provide or arrange for the administration under a standing order or protocol approved by a member or committee of the hospital’s medical staff of (i) influenza vaccinations and (ii) pneumococcal vaccinations, thus waiving the requirement for specific written physician orders for influenza and pneumococcal immunizations. However, no such standing order or protocol shall supersede a physician’s authority to issue specific written orders relating to immunizations.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":254398,"text":"Any standing order or protocol authorized by this section shall require that the vaccinations be administered in accordance with the most recent recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention after (i) ascertaining that the vaccination is not medically contraindicated for the patient, (ii) determining the patient’s wishes and any religious objections, and (iii) obtaining informed consent from the patient or his legal representative.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":254399,"text":"Vaccinations administered under a standing order or protocol shall be documented in the patient’s health record.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B"}},"ancestry":[{"id":12729,"edition_id":1,"name":"Hospital and Nursing Home Licensure and Inspection","identifier":"1","label":"article","depth":3,"order_by":1,"parent_id":12728,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":202857,"object_type":"structure","relational_id":12729,"identifier":"1","token":"32.1\/5\/1","url":"\/32.1\/5\/1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12728,"edition_id":1,"name":"Regulation of Medical Care Facilities and Services","identifier":"5","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":202855,"object_type":"structure","relational_id":12728,"identifier":"5","token":"32.1\/5","url":"\/32.1\/5\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":80727,"structure_id":12729,"section_number":"32.1-123","catch_line":"(Effective January 1, 2026) Definitions","url":"\/32.1-123\/","token":"32.1\/5\/1\/32.1-123","metadata":false},{"id":75042,"structure_id":12729,"section_number":"32.1-124","catch_line":"Exemptions","url":"\/32.1-124\/","token":"32.1\/5\/1\/32.1-124","metadata":false},{"id":58545,"structure_id":12729,"section_number":"32.1-125","catch_line":"Establishment or operation of hospitals and nursing homes prohibited without license or certification; 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This law was first created in 2006. The record of its establishment is cataloged in chapter 432<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year.<\/p>","references":false,"refers_to":false,"permalink":{"id":202919,"object_type":"law","relational_id":70496,"identifier":"32.1-126.4","token":"32.1\/5\/1\/32.1-126.4","url":"\/32.1-126.4\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-126.4\/","token":"32.1\/5\/1\/32.1-126.4","dublin_core":{"Title":"Hospital standing orders or protocols for certain vaccinations","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-126.4","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> A hospital<\/span> may provide or arrange for the administration under a standing order<\/span> or protocol approved by a member or committee of the hospital<\/span>’s medical staff of (i) influenza vaccinations and (ii) pneumococcal vaccinations, thus waiving the requirement for specific written physician orders<\/span> for influenza and pneumococcal immunizations. However, no such standing order<\/span> or protocol shall supersede a physician’s authority to issue<\/span> specific written orders<\/span> relating to immunizations. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> Any standing order<\/span> or protocol authorized by this section shall require that the vaccinations be administered in accordance with the most recent recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention after (i) ascertaining that the vaccination is not medically contraindicated for the patient, (ii) determining the patient’s wishes and any religious objections, and (iii) obtaining informed consent from the patient or his legal representative. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> Vaccinations administered under a standing order<\/span> or protocol shall be documented in the patient’s health record. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nHOSPITAL STANDING ORDERS OR PROTOCOLS FOR CERTAIN VACCINATIONS (\u00a7 32.1-126.4)\n\nA. A hospital may provide or arrange for the administration under a standing\norder or protocol approved by a member or committee of the hospital’s\nmedical staff of (i) influenza vaccinations and (ii) pneumococcal vaccinations,\nthus waiving the requirement for specific written physician orders for influenza\nand pneumococcal immunizations. However, no such standing order or protocol\nshall supersede a physician’s authority to issue specific written orders\nrelating to immunizations.\n\nB. Any standing order or protocol authorized by this section shall require that\nthe vaccinations be administered in accordance with the most recent\nrecommendations of the Advisory Committee on Immunization Practices of the\nCenters for Disease Control and Prevention after (i) ascertaining that the\nvaccination is not medically contraindicated for the patient, (ii) determining\nthe patient’s wishes and any religious objections, and (iii) obtaining\ninformed consent from the patient or his legal representative.\n\nC. Vaccinations administered under a standing order or protocol shall be\ndocumented in the patient’s health record.\n\nHISTORY: 2006, c. 432.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}