- DT, Td - Diphtheria-, Tetanus- and Pertussis- Containing Vaccines - Hepatitis- Containing Vaccines - Hib - HPV - IPV - TIV - LAIV - Measles-, Mumps-, and Rubella- Containing Vaccines - MMRV - MCV - MPSV - PCV - PPV - Rotavirus Vaccine - Varicella (Chickenpox) Vaccine - Zoster (Shingles) Vaccine
The Cold Chain
What Is the Cold Chain? Importance of Maintaining the Cold Chain Vaccine Potency Vaccine Appearance After Exposure to Inappropriate Storage Conditions Burden of Cold Chain Failure References
Storage and Handling Plans
General Recommendations Routine Vaccine Storage and Handling Plan Emergency Vaccine Retrieval and Storage Plan General Guidelines Advance Preparations Emergency Actions
Vaccine Personnel
Primary Vaccine Coordinator and Backup Vaccine Coordinator Other Staff Training
Vaccine Storage Equipment
General Requirements Backup Equipment Equipment Logbooks Refrigerators and Freezers Equipment Requirements General Requirements Dormitory-Style Units Frost-Free Versus Manual Defrost Freezers Equipment Placement Recommended Temperature Range Refrigerator Freezer Setting and Stabilizing the Temperature Who Should Adjust the Temperature? Thermostats How to Adjust the Temperature When to Adjust the Temperature Stabilizing the Temperature with Water Bottles and Frozen Packs Opening the Door Vegetable Bins Temperature Variations Equipment Maintenance General Principles Daily Maintenance Tasks Check the Internal Temperature Check That the Doors Are Closed Weekly Maintenance Tasks Defrost the Freezer (Manual Defrost Units ONLY) Monthly Maintenance Tasks Clean the Coils and Motor Clean the Refrigerator and Freezer Compartments Check the Door Seals Periodic Maintenance Tasks Clean the Drain Pan Thermometers Certified Calibrated Thermometers Types of Certified Calibrated Thermometers Overview Fluid-Filled Biosafe Liquid Thermometers Bi-Metal Stem Thermometers Minimum/Maximum Thermometers Digital Thermometers Chart Recorders Digital Data Loggers Other Thermometers – NOT RECOMMENDED Thermometer Placement Thermometer Maintenance and Recertification Cold Chain Monitors General Principles Types of Cold Chain Monitors Heat Indicators Freeze Indicators Data Loggers Using Cold Chain Monitors Vaccine Security Protecting the Power Supply Temperature Alarms Backup Generators Emergency Vaccine Retrieval and Storage Plans
Vaccine Storage Practices
Appropriate Vaccine and Diluent Storage Conditions Live Vaccines Inactivated Vaccines Vaccine Light Sensitivity Lyophilized (Freeze-Dried) Vaccines and Diluents Vaccine Storage Locations and Positioning Freezers Refrigerators Vaccine Spacing Vaccine Packaging Labeling Storage Containers Vaccine Boxes Trays and Containers Storage of Non-Vaccine Products Food and Beverages Medications and Other Biologic Products
Live Vaccines
Temperature Monitoring
Checking and Recording Temperatures at Least Twice a Day Reviewing Temperature Logs Noting Equipment Failures and Room Temperatures Maintaining Temperature Logs Using Alarm Systems
Checking and Recording Temperatures at Least Twice a Day
Storage Troubleshooting
Handling Inappropriate Vaccine Storage Conditions (Light and Temperature) Handling Malfunctioning Vaccine Storage Units General Instructions Vaccine Storage Unit Is Too Warm Vaccine Storage Unit Is Too Cold Vaccine Storage Unit Is Too Noisy Vaccine Storage Unit Has Stopped Refrigerator and Freezer Door Problems Checking the Door Seal Adjusting the Door Seal Adjusting Dropped Doors Thermometer Problems Checking Thermometer Placement Checking If the Thermometer Works Checking If the Thermometer Is Accurate Power Outages Advance Preparations Temperature Considerations Power Outage Procedures Other Imminent Emergencies
Selected Biologicals
DT, Td DTaP, DTaP/Hib, DTaP/HepB/IPV,Tdap Hepatitis Vaccines: Hepatitis A, Hepatitis B, Hepatitis A/B, Hepatitis B/Hib Hib HPV IPV TIV LAIV MMR, MR, Measles Virus Vaccine, Mumps Virus Vaccine, Rubella Virus Vaccine MMRV MCV MPSV PCV PPV Rotavirus Vaccine Varicella (Chickenpox) Vaccine Zoster (Shingles) Vaccine
Vaccine Inventory Management
Vaccine Access Expiration Dates Interpreting Expiration Dates What to Do with Expired and Mishandled Vaccine or Diluent Exceptions to the Expiration Date Transferring Vaccine or Diluent That Cannot Be Used Before Expiration Expiration of Different Vaccine Products Stock Rotation Inventory Accounting General Recommendations Stock Records Tally Sheets Recording New Shipments Recording Administered, Wasted, Spoiled, Expired, and Transferred Doses Counting Stock Vaccine Stock Calculations and Vaccine Ordering
Vaccine Shipments
Standard Operating Procedures Receiving and Unpacking Vaccine Shipments Receiving Vaccine Shipments Picking Up Vaccine Shipments Checking the Condition of a Shipment Storing and Documenting Vaccine Shipments Upon Arrival Transporting Vaccine to Off-Site Clinics General Recommendations Transporting Varicella-Containing Vaccines Transporting Diluent Packing Vaccine for Transport to Off-Site Clinics Monitoring Temperatures During Off-Site Clinics Shipping Vaccine to State Health Departments or Vaccine Manufacturers Shipping Vaccine with a Short Expiration Date or Other Usable Vaccine Shipping Unusable Vaccine
Shipping Vaccine with a Short Expiration Date or Other Usable Vaccine
Vaccine Preparation and Disposal
Preparation for Vaccine Administration Reconstitution Definitions Diluents Instructions for Reconstitution Expiration of Reconstituted Vaccine Dating Vaccine Use of Multidose Vials Versus Single-Dose Vials Prefilling Syringes Recommendation Problems Associated with Prefilling Syringes Influenza Clinics and Prefilling Syringes Manufacturer-Supplied Prefilled Glass Syringes Disposal of Vaccine and Diluent
