Getting The Job Done Safe Vaccine Storage and Handling in a busy pediatric practice Speaker: Barbara Turner, RN, BSN Vaccine Manager North Fulton Pediatrics, Roswell

Getting The Job Done Vaccine Shipments Vaccine Inventory Temperature Excursions

Vaccine Shipments Vaccine Deliveries What’s in that Box??

Vaccine Shipments Standard Operating Procedures Identify Vaccine Packaging Everyone on staff needs to be able to recognize a vaccine shipping container Notify Vaccine Coordinator and/or back up that the vaccine shipment has arrived Open containers as soon as possible upon arrival Check temperature of contents If package has cold indicator make certain it is in range

Vaccine Shipments Vaccine Quantity Date Date Received Lot # Expiration Condition on arrival Problem  

Vaccine Shipments Compare package contents to order & packing slip Label VFC vaccines Place in appropriate storage refrigerator or freezer Enter vaccine delivery date, quantity, lot #, expiration date, & condition on arrival in log book or if VFC in state inventory.

Vaccine Inventory Management Vaccine Access Expiration Dates Vaccine Stock Rotation Vaccine Inventory Accounting Vaccine Stock Calculations and Ordering

Vaccine Inventory Management Starting Total Doses Received StockTotal Doses Given End of Month Total DTAP   DTaP-IPV DTAP-HBV-IPV DTAP-HIB-IPV eIPV (Polio) HBV-HIB HEP A HEPB HIB HIB (Booster) HPV MCV4 MMR MMR-V PCV13 PPSV23 ROTA Td Tdap VARICELLA FLU FLU PF 0.25 FLU PF 0.5 FLUMIST

Vaccine Inventory Management: Monthly Usage Total 1/2013 2/2013 3/2013 4/2013 5/2013 6/2013 7/2013 8/2013 9/2013 10/2013 11/2013 12/2013 DTAP   DTaP-IPV DTAP-HBV-IPV DTAP-HIB-IPV eIPV (Polio) HBV-HIB HEP A HEPB HIB HIB (Booster) HPV MCV4 MMR MMR-V PCV13 PPSV23 ROTA Td Tdap VARICELLA FLU FLU PF 0.25 FLU PF 0.5 FLUMIST Vaccine Access Expiration Dates Vaccine Stock Rotation (FIFO) Vaccine Inventory Accounting Vaccine Stock Calculations and Ordering

Temperature Excursions In the event that vaccines are exposed to improper storage conditions, TAKE IMMEDIATE ACTION: Restore proper storage condition and/or take vaccine to backup storage unit Document exactly what happened: note temp of storage unit, length of time vaccine was out of proper storage conditions Contact the manufacturer, health department, and/or VFC Follow health department or manufacturer’s instructions Record the details of the event Mark the vaccines “Do Not Use” Where applicable mark the exposed vials with updated expiration dates as provided by the manufacturer

Vaccine Excursion Log Vaccine Lot Number Expiration Date # of Doses Recommendations Merck 1-800-672-6372   Gardasil MMR PedVaxHibPneumovax 23 Recombivax HB RoaTeq Vaqta Varivax GSK 1-888-825-5249 Boostrix Engerix Havrix Iberix Infanrix Pediatrix Rotarix Sanofi Pateur 1-800-822-2463 ActHib Adacel Daptacel Fluzone vials Fluzone P-free 0.25 Fluzone P-free 0.5 IPOL Menactra Pentacel Td-Tenivac Tubersol Pfizer 1-800-572-8221 Prevnar 13 MedImmune 1-877-358-6478 Flumist

Vaccine Storage and Handling Resources American Academy of Pediatrics Storage and Handling Resource List for Practices https://www2.aap.org/immunization/pediatricians/storageandhandling.html#Resources Immunization Action Coalition Clinic Resources http://www.immunize.org/handouts/vaccine-storage-handling.asp CDC Storage And Handling Resources http://www.cdc.gov/vaccines/recs/storage/