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Stand-alone refrigerators and freezers or pharmaceutical grade units are required for <br />providers enrolling in the Program for the first time . <br />Household combination units are no longer allowed for vaccine storage for providers <br />enrolling in the Program for the first time. <br />Frozen vaccine should not be stored in the freezer component of a combination <br />storage unit. <br />Pharmaceutical or medical grade refrigerators and freezers are recommended. <br />All providers should move to stand-alone or pharmacy grade units when replacing or <br />repairing an existing household combination units. <br />• Refrigerators or freezers used for vaccine storage must comply with the following <br />requirements: <br />Maintain required vaccine storage temperatures year-round <br />Hold the year's largest inventory without overcrowding <br />Store only vaccines and medical equipment <br />o Do not store food and beverages in a vaccine storage unit. <br />Vaccine Storage Practices <br />• Rotate vaccine stock by placing vaccines with shorter expiration dates in front of those with <br />longer expiration dates; check for short-dated vaccine every week. <br />• Notify the Local Health Jurisdiction (LHJ) of any vaccine doses that will expire before they <br />can be administered, preferably three months before the expiration date . Only with the <br />approval and direct guidance of the LHJ and only if the cold chain can be ensured, <br />redistribute short-dated vaccines to high-volume providers who are able to administer it <br />before it expires. <br />• Ensure that the storage and handling of vaccine is in accordance with the manufacturer's <br />specifications and the guidelines as outlined in the CDC Vaccine Storage and Handling <br />Guidelines. <br />Temperature Monitoring <br />• Have a working thermometer certified in accordance with International Laboratory <br />Accreditation Cooperation (ILAC) standards or by ISO-17025 standards. <br />• Providers enrolling in the Program for the first time are required to use either a digital data <br />logger or a continuous temperature monitoring system with a detachable probe in a bottle <br />filled with a thermal buffer. <br />• By 2018, all providers must use either a digital data logger or continuous temperature <br />monitoring system with a detachable probe in a bottle filled with a thermal buffer. Providers <br />should replace thermometers not meeting these specifications when existing thermometers <br />are due for recalibration or replacement. The thermometers should have the following <br />features: <br />Alarm for out-of-range temperatures <br />Current temperature, as well as minimum and maximum temperatures <br />Reset feature <br />Low battery indicator <br />Accuracy of +/-10 F (0.5 0 C) <br />Memory storage of at least 4000 readings <br />Device will not rewrite over old data and stops recording when memory is full <br />User programmable logging interval (or reading rate) <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 (TDDmY 1-800-833-6388).