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This document outlines a sample vaccine storage and handling policy for an employee health department. It details proper refrigeration temperature ranges, temperature monitoring and documentation procedures, vaccine transport procedures, and vaccine expiration and disposal guidelines to ensure vaccines are properly stored and maintained.
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Vaccine Storage and Handling Sample Policy
Titre original
Vaccine Storage and Handling Sample Policy_revised 042412
This document outlines a sample vaccine storage and handling policy for an employee health department. It details proper refrigeration temperature ranges, temperature monitoring and documentation procedures, vaccine transport procedures, and vaccine expiration and disposal guidelines to ensure vaccines are properly stored and maintained.
This document outlines a sample vaccine storage and handling policy for an employee health department. It details proper refrigeration temperature ranges, temperature monitoring and documentation procedures, vaccine transport procedures, and vaccine expiration and disposal guidelines to ensure vaccines are properly stored and maintained.
1. Dormitory-style refrigerators are not used to stored vaccine.
2. Vaccines are stored at the recommended temperature immediately upon arrival in the Employee Health department. 3. Refrigerated vaccines are maintained at a temperature range of 35°F to 46° F at all times. 4. A temperature log that has the ability to identify out of range conditions is used to document refrigerator temperature. 5. If a temperature is noted to be out of range, immediate investigation and response will occur. If vaccine is felt to have been out of adequate temperature control, the vaccine will be immediately sequestered and determination regarding the disposition of the vaccine will be investigated. 6. Frozen vaccines are maintained in the pharmacy due to the inability to maintain adequate temperature control in the Employee Health department. 7. Frozen vaccines are obtained from the pharmacy and are administered within 30 minutes of removal from the pharmacy freezer. 8. Temperature of the refrigerator is monitored and documented at least twice daily, usually at the beginning and end of the work day. 9. A calibrated thermometer with a certificate of traceability and calibration is kept in the refrigerator. 10. Recalibration of the thermometer is done in accordance with manufacturer recommendation. 11. Signage is posted next to electrical outlines and circuit breakers (e.g., Do Not Unplug and Do Not Stop Power) to maintain a consistent power source. 12. Vaccines are stored in bins or baskets (uncovered) with slotted sides or opening. 13. Bins are arranged in the refrigerator so that air flow around the vaccine is promoted. 14. Bins are clearly labeled with the name of the vaccine. Bins are to contain only one type of vaccine. 15. Vaccines are never stored in the refrigerator door. 16. Water bottles are stored in the refrigerator door to help maintain a constant temperature. Care is taken to prevent too much water storage such that the ability for the refrigerator door to close is not compromised and the seals are maintained. 17. Food and drink (other than water for temperature control purposes) is not to be stored in the same refrigerator as vaccine. 18. Vaccines (opened and unopened) are stored in their original box with the lid in place. 19. Vaccines are prepared for administration at the time of their use. 20. Only the diluent supplied by the vaccine manufacturer is used to reconstitute a vaccine. 21. Vaccine stock is rotated weekly so the vaccine and diluent with the shortest expiration date can be used first. During this process, assessment for expired vaccine occurs. 22. Expired vaccine is disposed of in accordance with hazardous waste regulation unless specific arrangements have been made to return it to the manufacturer. 23. Vials are dated as soon as they are opened unless they are single dose and will be disposed of immediately upon single use. 24. Multidose vials are disposed of on the date of the manufacturers’ expiration date, or sooner. 25. Unused reconstituted vaccine is disposed of in accordance with manufacturer recommendation. 26. If vaccine is removed from the department (e.g., mobile carts during influenza immunization campaigns) it is maintained in a manner that monitors and maintains the temperature requirements. A mobile vaccine refrigerator, with AC power capabilities, and a calibrated thermometer is the acceptable transport alternative when frequent entry into the refrigerated environment is expected.