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