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2018 PROVIDERREGULATIONS <br />rI agree to the additional Washington State -specific requirements: <br />Vaccine <br />A. Designate one staff member to be the primary vaccine coordinator and at least one back-up <br />Personnel <br />vaccine coordinator who is able to perform the same responsibilities as the primary vaccine <br />coordinator in the event that the primary person is unavailable. <br />B. Ensure that all staff that administer and handle vaccines is properly trained and receive <br />ongoing education and training on best practices in vaccine storage and handling, and <br />current immunization recommendations. Notify your local health jurisdiction (LHJ) when <br />new staff are hired. It is essential that staff perform duties within their scope of practice. All <br />health care providers need to be in good standing with the State of Washington <br />Department of Health (DOH). <br />C. Assure that no practitioner associated with this medical office is on the Office of the <br />Inspector General's provider exclusion list. <br />Vaccine Ordering <br />A. Order vaccine according to assigned ordering schedule in accordance with actual vaccine <br />and Inventory <br />need; avoid stockpiling or build-up of excess vaccine inventory. <br />Management <br />B. Develop and maintain complete, accurate and separate stock records for both public and <br />private vaccines. Providers must be able to physically distinguish between their publicand <br />private vaccine stock. <br />Storage and <br />A. Every organization receiving publicly supplied vaccine should have the following written <br />Handling Plans <br />vaccine management plans. Providers may develop their own written plans or use the state <br />or LHJ-supplied templates and customize the templates to reflect their office practice. <br />a. Designation of primary vaccine coordinator and at least one back-up staff <br />b. Vaccine ordering <br />c. Vaccine shipping receiving <br />d. Vaccine storage and handling <br />e. Vaccine inventory control (e.g. stock rotation) <br />f. Vaccine wastage <br />g. Vaccine transport in the event of a power failure, mechanical difficulty or emergency <br />situation (emergency plan) <br />h. Staff training on vaccine management including storage and handling <br />Vaccine Storage <br />A. Providers must have appropriate equipment that can store vaccine and maintain proper <br />Equipment <br />conditions. If a provider does not have the appropriate storage units, the provider mustwork <br />with state and local health staff to assure proper equipment is in place to continue receiving <br />publicly supplied vaccine. <br />B. Vaccine storage unit requirements: <br />a. Dormitory style units may never be used for storing vaccines. <br />b. Stand-alone refrigerators and freezers or pharmaceutical grade units are required for <br />providers enrolling in the Program for the firsttime. <br />c. Household combination units are no longer allowed for vaccine storage forproviders <br />enrolling in the Program for the first time. <br />d. Frozen vaccine should not be stored in the freezer component of a combination <br />storage unit. <br />e. Pharmaceutical or medical grade refrigerators and freezers are recommended. <br />f. All providers should move to stand-alone or pharmacy grade units when replacing or <br />repairing an existing household combination units. <br />C. Refrigerators or freezers used for vaccine storage must comply with the following <br />requirements: <br />a. Maintain required vaccine storage temperatures year-round <br />b. Hold the year's largest inventory without overcrowding <br />