STORAGE & HANDLING

Vaccine quality is the shared responsibility of all handlers of vaccines from the time a vaccine is manufactured until administration.  Emphasis on the importance of good policies and procedures, frequent and on-going training of staff, proper equipment and maintenance will help all staff provide high quality vaccines and reduce waste caused by improper storage.

Even with proper education and training, vaccine losses and recalls continue to occur throughout the DoD due to improper storage and handling.  According to the CDC, "improper storage is the most common vaccine delivery problem they encounter.”  Vaccines, like all temperature sensitive products need to be kept at the appropriate temperature range in order to protect our Service members and beneficiaries.  Failure to adhere to recommended specifications for storage and handling of immunizations can reduce their potency, resulting in an inadequate immune response and protection of our patients.  Good storage and handling procedures at all vaccine delivery locations ensures we always provide our patients the highest quality of care.

This module provides information and recommendations for the cold chain management of the influenza vaccines for the 2012-13 season. PLEASE NOTE: The content of this module is the same as the content of the Cold Chain Management module in the Seasonal Influenza Vaccination Training 2012-13 curriculum.
The purpose of this module is to provide an overview of the proper distribution and cold chain management procedures for ACAM2000® smallpox vaccine. PLEASE NOTE: The content of this module is the same as the content of the Cold Chain Management module in the DoD Smallpox Vaccination Training curriculum.
SB 8-75-11; Section 3-58: Temperature Sensitive Medical Products (TSMP) Storage and Handling (pg 60)
Author: Lee
Defense Logistics Agency Regulation (DLAR) 4145.21
Department of Army Technical Bulletin (TB) MED 284/TBD*
NAVSUPINST 4610.31B
Air Force Joint Instruction (AFJI) 41-208/TBD*
Author: Services
Joint Air Force, Army, Navy, and Coast Guard publication (AR 40–562, BUMEDINST 6230.15A, AFJI 48–110, CG COMDTINST M6230.4F)
07 Jan 13

Sample Q&A: Vaccine Handling

Where is the appropriate place to store diluents?
Store all diluents according to the manufactures package insert. Diluents packaged separately from their corresponding vaccines can be stored at room temperature or in the refrigerator. Diluents packaged with their vaccines should be stored in the refrigerator next to their vaccines but unlike vaccines, diluents may also be stored on the refrigerator door. ACAM2000 diluent is shipped refrigerated with vaccine but should be stored on shelf at room temperature.

Proper vaccine storage and handling practices play a very important role in protecting individuals and communities from vaccine-preventable diseases.

Vaccine quality is the shared responsibility of everyone, from the time vaccine is manufactured until it is administered.

Cold Chain Management Processes and Procedures for all Medical Temperature Sensitive Products
Staff can easily confuse the vaccines within the storage unit. Labeling the bin where the vaccine is stored can help staff quickly locate and choose the correct product – perhaps preventing a vaccine administration error.

Proper vaccine storage and handling practices play a very important role in protecting individuals and communities from vaccine-preventable diseases.

Vaccine quality is the shared responsibility of everyone, from the time vaccine is manufactured until it is administered.

SB 8-75-11; Section 3-58: Temperature Sensitive Medical Products (TSMP) Storage and Handling (pg 60)
Department of Health and Human Service; Office of Inspector General
SB 8-75-11; Section 3-58: Temperature Sensitive Medical Products (TSMP) Storage and Handling (pg 60)
MMQC-12-1086 10 Feb 12
VAXICOOL AX27L EQUIPMENT INVENTORY ACCOUNTABILITY REPORT
MMQC-11-1681 28 Oct 11
PROPER TEMPERATURE STORAGE AND HANDLING REQUIREMENTS FOR REFRIGERATED VACCINE.
Staff can easily confuse the vaccines within the storage unit. Labeling the bin where the vaccine is stored can help staff quickly locate and choose the correct product – perhaps preventing a vaccine administration error.

Proper vaccine storage and handling practices play a very important role in protecting individuals and communities from vaccine-preventable diseases.

Vaccine quality is the shared responsibility of everyone, from the time vaccine is manufactured until it is administered.

Centers for Disease Control and Prevention
Military Vaccine Agency
CDC Pink Book, Epidemiology and Prevention of Vaccine-Preventable Diseases (April 2011), 12th Edition

New shipping package for VARIVAX from Merck Vaccines (replacing the use of dry ice with 6 refrigerant packs)

New shipping package for ZOSTAVAX from Merck Vaccines (replacing the use of dry ice with 6 refrigerant packs)
2012 Epidemiology and Prevention of Vaccine Preventable Disease Series CDC
Video: VaxiCoolVaxiCool (01:38) 21 Jul 11
AcuTemp Model #AX271
Video: VaxiPacVaxiPac (01:14) 21 Jul 11
AcuTemp Model #PX11
Watch this video to learn about: setting up your vaccine storage process, ways to avoid ruining expensive vaccine, resources for improving your vaccine handling, examples of temperature tracking devices

Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
Author(s): Chojnacky M, Miller W, Ripple D, Strouse G
Publication: National Institute of Standards and Technology
Subject: Vaccine-Effectiveness
Disease: STORAGE & HANDLING
Author(s): Gazmararian JA, Oster NV, Green D, Schuessler L, Howell K,Davis J, Krovisky M, Warburton SW
Publication: AJPM
Subject: Vaccine-Effectiveness
Disease: STORAGE & HANDLING
Author(s): Halpern JS
Publication: Disaster Management & Response
Subject: Vaccine-Effectiveness
Disease: STORAGE & HANDLING
Author(s): Yuan L, Daniels S, Naus M, Brcic B
Publication: Canadian Family Physician
Subject: Vaccine-Effectiveness
Disease: STORAGE & HANDLING