Washington State DOH Immunization Program

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WA SPECIFIC REQUIREMENTS - PROVIDER AGREEMENT FOR RECEIPT OF PUBLICLY SUPPLIED VACCINE Additional requirements for receipt of publicly supplied vaccine based on Washington State specific policies: Vaccine Personnel Designate one staff member to be the primary vaccine coordinator and at least one back- up vaccine coordinator who is able to perform the same responsibilities as the primary vaccine coordinator in the event that the primary person is unavailable. Ensure that all staff that administer and handle vaccines is properly trained and receive ongoing education and training on best practices in vaccine storage and handling, and current immunization recommendations. Notify the local health jurisdiction when new staff are hired. It is essential that staff perform duties within their scope of practice. All health care providers need to be in good standing with the State of Washington Department of Health. Assure that no practitioner associated with this medical office is on the Office of the Inspector General's provider exclusion list. Vaccine Ordering and Inventory Management ■ Order vaccine according to assigned ordering schedule in accordance with actual vaccine need; avoid stockpiling or build-up of excess vaccine inventory. ■ Develop and maintain complete, accurate and separate stock records for both public and private vaccines. Providers must be able to physically distinguish between their public and private vaccine stock. Storage and Handlinq Plans Every organization receiving publicly supplied vaccine should have the following written vaccine management plans. Providers may develop their own written plans or use the state or LHJ-supplied templates and customize the templates to reflect their office practice, • Designation of primary vaccine coordinator and at least one back-up staff • Vaccine ordering • Vaccine shipping receiving • Vaccine storage and handling • Vaccine inventory control (e.g. stock rotation) • Vaccine wastage • Vaccine transport in the event of a power failure, mechanical difficulty or emergency situation (emergency plan) • Staff training on vaccine management including storage and handling Vaccine Storage Equipment ■ Providers must have appropriate equipment that can store vaccine and maintain proper conditions. If a provider does not have the appropriate storage units, the provider must work with state and local health staff to assure proper equipment is in place to continue receiving publicly supplied vaccine. ■ Vaccine storage unit requirements: • Dormitory style units may never be used for storing vaccines. DOH 348-022 revised for 2016 If you have a disability and need this document in a different format, please call 1-800- 525-0127 (TDD/TTY 1-800-833-6388).