1. Fridges

2. Fridge policies Reporting wasted vaccines Sources of advice

3. Fridge policies Introduction – background, purpose etc. Cold storage arrangements Maintenance Monitoring Training What if something goes wrong? Responsibilities and accountability

4. Cold storage arrangements Secure / controlled access Location of fridge Fridge of appropriate type and size Protected power supply

5. Systems and maintenance Ordering systems and deliveries Limit stockholding and rotate stock Expiry date checks In-house e.g. defrosting, cleaning External servicing ?Insurance

6. Monitoring Temperature - check and record every working day 4 Rs ReadRecordRe-setReact Check records are complete and action taken if needed

7. Training Understand the need for cold storage Know how to read and re-set thermometers Know what to do if temperature out of range or other problem e.g. power cut

8. If something goes wrong…. Don’t panic or assume vaccines are no longer fit for use Quarantine If possible move to alternative fridge but DO NOT USE yet Take specialist advice

9. Responsibilities and accountability Who is responsible for doing what e.g. daily temperature monitoring? (Deputies, holiday coverage) Who is ultimately accountable?

10. Wasted vaccines Report on Immform

12. Sources of advice Green Book https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/223753/Green_Book_C hapter_3_v3_0W.pdf Immform – reporting vaccine wastage https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/363621/ImmForm_Help sheet18_FridgeFailures_StockIncidents_acc4.pdf Public Health England https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/300304/Protocol_for_or dering__storing_and_handling_vaccines_March_2014.pdf https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/361629/Vaccine_storag e_management_Care_Quality_Commission_Inspection_a_CC_update.pdf Ask Nigel (CQC) http://www.cqc.org.uk/content/nigels-surgery-17-vaccine-storage-and-fridges-gp-practices

13. Questions?