Help Vaccinate Ontario

Pre-loader and Immunizer (NEW!) Shifts in Durham

ShiftPosts is working with Durham Region mass vaccination clinics to support vaccine rollout. We’re looking for Pre-loaders and Immunizers.

If you're a Pharmacist, Registered Technician, Pharmacy Student or Registered Nurse, submit your details below.

benefits of Working with ShiftPosts

This is a great opportunity

  • Pharmacists, Registered Technicians, Pharmacy Students and Registered Nurses accepted.
  • Shifts available 7 days a week for the foreseeable future. Choose as many days you want, you’re in control of your week.
  • Competitive pay — varies depending on location.
  • Up to 10 hour shifts, typically between 8:30am – 8:30pm with paid and unpaid breaks in between.
  • Pickering, Ajax, Whitby, Oshawa, Clarington and North Durham locations available
  • Shifts are usually posted on Friday’s or Monday’s (10 or 7 days before the work week).
  • Injection certified only required for Immunizer role. 
  • Great opportunity for students to get paid experience in their chosen field.
  • Easy to track shifts on the ShiftPosts mobile app.
  • You pay no fees.
  • Get involved with your community during this pandemic!
  • Only work the shifts you want — simply complete your training and apply in the app

Our team is available to answer all your questions. Email Durham@shiftposts.com or text 1-844-744-3801.

Let’s get Durham Region vaccinated!

We kindly ask that you only apply to roles that you're interested in and will take shifts. You must have an active account on the ShiftPosts app.

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Job Descriptions

Vaccine Pre-loader

Job Summary: 

Vaccine preloaders will be assigned to mass immunization clinics (MICs) to ensure clinics function efficiently, safely and support client needs. Preloaders will report to the Clinical Manager, PHD. Vaccine may be administered that has been prepared by another health care professional at a central loading station when it is necessary to facilitate timely and efficient administration. Pre-loading of vaccines may be initiated only under direction of PHD Management in mass immunization clinics.

General Responsibilities: 

Designated preloader for Vaccine Storage and Handling (VSH), also known as the Vaccine Management pre-loader:

  • Ensuring cold chain is maintained and cooler/fridge is monitored throughout the clinic as per the Ministry of Health (MOH) VSH Guidelines and the VSH Protocol, including cold chain requirements specific to COVID-19 vaccines as per manufacturer recommendations.
  • Ongoing communication with Clinic Leader #2 regarding inventory management as it relates to no-shows, cancellations, etc. to reduce vaccine wastage.
  • Be the designated person accessing and removing vials from the cooler/fridge and limiting the number of times the fridge and/or cooler is opened.
  • Assists with pre-loading responsibilities.
  • Assists with inventory reconciliation as per the completed Vaccine Documentation Forms (tally up the total numbers for each column). If DRHD staff, this information can be entered in COVax if time permits
  • Remains in the pre-loading area with the vaccine, except during scheduled breaks.

Designated Quality Assurance Pre-Loader:

  • Ensures each pre-loaded syringe has the correct dose, is viable for use, and is free of any air bubbles, as per manufacturer recommendations.
  • Affix pre-loaded syringe label to pre-loaded syringes.

All preloaders:

  • Handle vaccines with care to protect from any possible shocks, drops, vibration, etc.
  • Ensure the vaccine is not left unattended.
  • Pre-load vaccine as per manufacturer instructions.
  • Assist with immunizer role as required. The Vaccine Management preloader will remain in the pre-loading area with the vaccine.

Job Summary: 

Job Description

Vaccine Immunizer

Job Summary:

The Immunizer role will be assigned to COVID-19 mass immunization clinics (MICs) to administer
vaccines to clients as per Medical Directive #52: COVID-19 mRNA Vaccines.

Immunizers will be positioned in Zone 2 (Immunization Area) at the clinic and will report to the Clinic


General Responsibilities

  1. 1.1  Complete required training (see Information).
  2. 1.2  Immunize clients as per medical directive.
  3. 1.3  Completes documentation in COVax system for client interaction.
  4. 1.4  Provides health education, counsels clients about post-immunization waiting period and ensure clients can safely proceed to recovery area.
  5. 1.5  Disinfects immunizing area between clients (i.e., chair, table, pen if used).
  6. 1.6  Responds to AEFIs and/or untoward events if required; documents and reports events and informs Clinic Leader #2 (CL#2).
  7. 1.7  Connects with CL#2 for support with any issues, questions, or feedback.
  8. 1.8  Assists with clinic set-up and take-down. 

Supplies to bring:

Employee identification badge
Work-issued laptop, charger, privacy screen for laptop, lock, and key
Mobile smartphone and charger
Work-issued goggles or face shield
Work issued N95 


PPE requirements:

Level 2 Mask
Eye protection (goggles or face shield)
Work issued N95 mask as per risk assessment 


Start of Clinic Day: 

Complete “COVID19 Wellness Screening” at www.Durham.ca/StaffScreening prior to entering clinic space.


Arrival at Clinic:

  • ❑  For Physicians: Sign in on the Clinic Staff Attendance Record.
  • ❑  Set-up electronic device:

o DRHD Staff: Set-up work-issued laptop/iPad, ensure it is fully charged, and lock laptop to workstation. Ensure privacy screen is in place.

o Connect to Internet as directed by onsite Information Technology (IT) staff and log into COVax.

o Agency/Contact Staff: Obtain laptop/iPad. Ensure equipment is disinfected (refer to Procedure Manual 8.0 Infection Control).

o Connect to Internet as directed by onsite CSIT staff and log into COVax.

  • ❑  Participate in clinic huddle with Zone 2 staff. 
    • ❑  If shift begins midway through the clinic day check in with CL#2 upon arrival for any updates
      prior to beginning immunization.
    • ❑  Ensure work area is disinfected (refer to Procedure Manual 8.0 Infection Control).
    • ❑  Ensure Immunization station is set-up and has the following items:
      • A fully stocked immunizing supply basket (provided by runner): 
        1. Alcohol swabs
        2. Cotton balls
        3. Roll of hypoallergenic tape 
        4. Adhesive bandages
        5. Emesis bags 
      1. o Sharps container
        o Hand sanitizer
        o Disinfectant wipes
        o Required PPE (see above)
        o 1-2 pairs of gloves (for use as needed)
        o Garbage pail with plastic liner

o Pens blue/black and red
o Post-it notes
o Document folders
o Communication signs: Available (Green); Vaccine (Yellow); Support (Red) 


  1. During Clinic:

Assess and manage received pre-loaded vaccine ensuring:
o Accurate dosage is drawn up
o No particulates in vaccine
o No defects in needle or syringe 


o Information on labels is correct (e.g. Label 1: vaccine manufacturer, lot #, and expiration and Label 2 diluent if applicable)

o The vaccine has not expired

  • ❑  Flag next client in line that you are available by raising green “Available” communication card.
  • ❑  Verify client identity by verbally confirming client’s name and date of birth (refer to PHD P&P 5.110 Verifying Client Identity Prior to Providing Care).
  • ❑  Verify client meets eligibility criteria as per Medical Directive #52 and Current Eligibility document found in the Quick Reference folder in OneDrive.
  • ❑  Search for client in COVax using demographic information and/or OHIP number. Advise Clinic Leader if client cannot be found in COVax system.

    o If you notice a potential duplicate client in the system, compare demographics with the client to confirm if the client is a duplicate. Notify Clinic Leader #2.

  • ❑  Conduct Pre-Screening Assessment in COVax (refer to COVax Vaccine Administration User Manual).
  • ❑  In the event a client sits with an immunizer but does not receive the vaccine due to contraindication or refusal in the chair, the immunizer will:

    o Document the reason why client did not receive the vaccine in COVax.
    o DRHD Staff will document the assessment in Encounter.
    o Agency Staff will document the assessment on paper-based interaction record and place in the blue folder.

  • ❑  Ensure all client’s questions have been answered and obtain client consent as per the Health Care and Consent Act, 1996 (refer to Procedure Manual 4.40 Consent and Authority).
  • ❑  Administer vaccine as per Medical Directive #52 and Rights of Vaccine Administration.
  • ❑  If the client experiences anaphylaxis or an untoward event, advise CL #2 and respond to event (refer to P&P 4.90 Management of Anaphylaxis and Untoward Events and Procedure Manual 10.0 AEFIs, Anaphylaxis and Untoward Events).
  • ❑  Provide client with end of recovery time on a sticky note and direct client to recovery area.

o Standard recovery time is 15 minutes. Use black or blue ink.
o If client has an allergy to medication or food, the recovery time is 30 minutes. Use red ink.

o Instruct client that once recovery time is completed, they should leave sticky note on their chair and proceed to check-out area.

If the client is eligible to be booked for second dose at the 21 or 28 day interval, please write on a sticky note and provide to client. This information is to be provided to check out staff to book subsequent appointment.

  • ❑  Ensure vaccine administration is documented in COVax (refer to COVax Vaccine Administration User Role Training Manual).
  • ❑  Ensure proper disinfection of all surfaces (table, chairs, pens, mat) in between clients. (refer to Procedure Manual 8.10 Infection Prevention and Control (IPAC))
  • ❑  Ensure safe disposal of all sharps (refer to 4.260 Management of Sharps and Biomedical Waste).
  • ❑  Hold up yellow “vaccine” communication card to flag supply runner when: o Sharps container is full, and a new container is required.
    o Running low on supplies.
    o Running low on vaccine.
  • ❑  Raise red “support” communication card to flag CL #2 for any of the following:

o Clients who require additional support with immunization (i.e requires additional room for wheelchair or requires private immunization area)

o Adverse Events Following Immunization (historical)

o Vaccine Wastage.

o Incidents (i.e. needle stick)
o Questions or concerns

When you leave your immunizing station ensure you:
o Lock your laptop or iPad screen.
o Leave the iPad that you have been assigned for the day with a neighboring immunizer.

o Temporarily lock your sharps container.
o Give your bin of vaccine to a neighboring immunizer or turn bin over if empty.

  • ❑  Clients NOT consenting to electronic documentation: If a client provides you with a paper consent form and the paper contingency plan has NOT been activated, this is because the client did not consent to electronic collection of information at registration. The vaccine administration will not be documented in COVax. Ensure consent form is complete and accurate and place in blue privacy folder. Provide client with paper receipt and instruct client to bring receipt back with them when they come for second dose.
  • ❑  Contingency plan use: If the COVax system is not working, the Contingency plan will be enacted (Refer to Procedure Manual Section 9.70 COVax Contingency Plan).
  • ❑  Immunize any clients who have privacy requirements in private recovery/first aid area as directed by CL#2
  • ❑  Inventory Reconciliation Correct data entry for incorrect lot numbers for administered immunizations as necessary.

  • End of Clinic Day:

  • ❑  If contingency plan was used: Check “to be fixed” folder and reconcile any documentation

    errors on paper consent forms. Provide to CL#2.

  • ❑  Participate in post-clinic Zone #2 huddle, led by CL#2.
  • ❑  Return any unused loaded syringes to the runner.
  • ❑  Disinfect all surfaces and ensure the station is orderly (refer to Procedure Manual Section 8.0 Infection Control).
  • ❑  Ensure a fully stocked immunizing supply basket is available if clinic continues after shift is over. If it is the end of the clinic’s hours of operation, ensure supplies are properly stored and secured.
  • ❑  For agency/contract staff with laptops/iPads:

o Disinfect laptop/iPad. CSIT staff will collect the iPads for charging overnight and to ensure that they are secured in the locked storage area.

o Submit time using the attendance form found in One Drive or at www.durham.ca/clinicattendanceform.

  • ❑  For Physicians:

    o Sign out the Physician Clinics Attendance form

  • ❑  Assist with clinic take-down.

  • Information Required Training/Reading Prior to Clinic

    General Orientation
    COVID-19 Mass Immunization Clinics Procedure Manual Pre-Loading and Vaccine Administration PowerPoint
    AEFI Orientation PowerPoint

    COVID Clinic Roadmaps
    o AEFI & Untoward Events o Communication

    Medical Directives
    o #52 COVID-19 mRNA Vaccines o #1 Epinephrine

    Health Education References: o COVID-19 Vaccines

o Novel Coronavirus (COVID-19)
o Adverse Events Following Immunization (AEFI)

Facts About:
o COVID-19 Vaccines

Non-DRHD Resources
o CDC Moderna COVID-19 Vaccine Preparation and Administration Summary
o Ministry of Health (MOH) COVID-19 Administration of Pfizer-BioNTech COVID-19 Vaccine

o Ministry of Health (MOH) COVID-19 Administration of Moderna COVID-19 Vaccine o MOH COVID-19 Vaccine Obtaining Informed Consent Script for HCPs
o Moderna Product Monograph
o Pfizer BioNTech COVID-19 Vaccine Product Monograph

COVax Training:
o Ministry End-to-End Demonstration
o Ministry Clinic Flow
o COVax Vaccine Administration Role Training Manual

P&Ps for Review (as needed) o PHD P&P Manual

▪ 3.130 Medication Administration
▪ 3.140 Adverse Events Following Immunization (AEFI)
▪ 3.160 Management of Sharps and Biomedical Waste
▪ 3.170 Management of Anaphylaxis and Untoward Events

▪ 5.300 Consent for Services
▪ 5.110 Verifying Client Identity Prior to Providing Care 



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