Laserfiche WebLink
• Have a current certificate of calibration for each thermometer used to monitor vaccine <br />storage temperatures . Depending on manufacturer requirements, thermometers must be <br />re-certified either every year or every other year. <br />• Post a temperature log on the vaccine storage unit door or nearby in a readily accessible <br />place. Please use the state program's paper temperature log. <br />• Visually review and manually record refrigerator and freezer temperatures twice each day <br />(beginning and end) ensuring that refrigerator temperatures are between 35° and 46° F (2° <br />and 8°C), and that freezer temperature are between 5°F and -58°F or lower (between - <br />15°C and -50°C). <br />• Take immediate action to correct improper vaccine storage conditions, including <br />inappropriate exposure to light and inappropriate exposure to storage temperatures outside <br />the recommended ranges. Document actions taken on the temperature adjustment tracking <br />log. Inform your Local Health Jurisdiction (LHJ). <br />• Maintain an ongoing file of temperature logs, and store completed logs for 6 years. <br />Providers must send copies of completed temperature monitoring logs monthly to the local <br />health jurisdiction via fax or email. <br />• Providers should also send copies of their data logger data to LHJs each month with their <br />paper temperature logs . <br />• Failure to comply could result in the discontinuation of the provision of vaccine. <br />Vaccine Preparation <br />• Ensure that clinic staff does not pre-draw vaccines into syringes. <br />• Draw vaccine only at the time of administration to ensure that the cold chain is maintained <br />and the vaccine is not inappropriately exposed to light. <br />Vaccine Shipments: <br />• Ensure that all vaccine shipments are promptly received and stored immediately and report <br />any problems with vaccine shipments immediately to the LHJ . <br />• Make sure all staff who receive mail at the provider location know how to handle shipments <br />of vaccine. <br />Vaccine Wastage <br />• Implement written procedures for reporting and responding to losses resulting from vaccine <br />expiration, wastage, and compromised cold chain. <br />• Notify the local health jurisdiction promptly (within 24 hours) of vaccine incidents where <br />vaccine has been exposed to temperatures above or below the recommended range for <br />vaccine storage. Follow state and LHJ guidance on how to document and report the <br />incident. <br />• Bag affected vaccine, mark it do not use, and store it at appropriate temperatures until <br />viability is confirmed by the manufacturer. <br />• Create a written report including the reasons for the vaccine loss. Note the measures taken <br />to correct the cause of the loss and to prevent reoccurrence. This report must be submitted <br />to the LHJ. <br />• If the vaccine is deemed non-viable, remove wasted/expired vaccine from storage <br />containers with viable vaccine to prevent inadvertent administration. Return all unopened <br />spoiled or expired publicly purchased vaccines following the state returns process. <br />• Vaccine losses determined to be the result of negligent vaccine storage and handling <br />practices, or failure to comply with the storage and handling requirements in this agreement <br />may result in corrective action. Corrective action may include restitution for the value of all <br />federal-and state-supplied vaccine loss resulting from the incident. <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 />)1 I L I I