2018 VFC Provider Agreement - Laserfiche WebLink

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c. Store only vaccines and medical equipment D. Do not store food and beverages in a vaccine storage unit. Vaccine Storage A. Rotate vaccine stock by placing vaccines with shorter expiration dates in front of those with Practices longer expiration dates; check for short -dated vaccine everyweek. B. Notify your LHJ of any vaccine doses that will expire before they can be administered, preferably three months before the expiration date. Only with the approval and direct guidance of the LHJ and only if the cold chain can be ensured, redistribute short- dated vaccines to high-volume providers who are able to administer it before it expires. C. Ensure that the storage and handling of vaccine is in accordance with the manufacturer's specifications and the guidelines as outlined in the CDC Vaccine Storage and Handling Guidelines. Temperature A. Have a working thermometer certified in accordance with International Laboratory Monitoring Accreditation Cooperation (ILAC) standards or by ISO -17025 standards. B. All providers must use either a digital data logger or continuous temperature monitoring system with a detachable probe in a bottle filled with a thermal buffer. C. Thermometers must have the following features: a. A detachable, buffered probe b. An active temperature display that can be easily read from the outside of unit c. Screen shows current temperature, as well as min/max temperatures d. Capacity for continuous monitoring and recording capabilities where the data can be routinely downloaded e. Low battery indicator f. Must use primary thermometer for daily min/max readings, cannot use backup device g. Backup thermometers must also be digital data loggers D. Thermometers should have the following features: a. Alarm for out -of -range temperatures b. Accuracy of +/- 1°F (0.5°C) c. Memory storage of at least 4,000 readings d. User programmable logging interval (or reading rate) at a maximum time interval of every 30 minutes E. Have a current certificate of calibration for each thermometer used to monitor vaccine storage temperatures. Depending on manufacturer requirements, thermometers must be re- certified either every year or every other year. F. Post a temperature log on the vaccine storage unit door or nearby in a readily accessible place. Please use the state program's paper temperature log. G. Visually review and manually record refrigerator and freezer temperatures twice each day (beginning and end) ensuring that refrigerator temperatures are between 36° and 46° F (2° and 8° C), and that freezer temperature are between 5°F and -577 or lower (between -15°C and -50°C). H. Take immediate action to correct improper vaccine storage conditions, including inappropriate exposure to light and inappropriate exposure to storage temperatures outside the recommended ranges. Document actions taken on the temperature adjustment tracking log. Inform your LHJ. I. Maintain an ongoing file of temperature logs, and store completed logs for 3 years. Providers must send copies of completed temperature monitoring logs monthly to your LHJ via fax or email. J. Providers should also send copies of their data logger data to LHJs each month with their paper temperature logs. K. Failure to comply could result in the discontinuation of the provision of vaccine. Vaccine A. Ensure that clinic staff does not pre -draw vaccines into syringes. Preparation B. Draw vaccine only at the time of administration to ensure that the cold chain is maintained and the vaccine is not inappropriately exposed to light.