SAFE VACCINE STORAGE AND HANDLING IN A BUSY PEDIATRIC
PRACTICE
SPEAKER: BARBARA TURNER, RN, BSNVACCINE MANAGER
NORTH FULTON PEDIATRICS, ROSWELL
Getting The Job Done
Getting The Job Done
Vaccine ShipmentsVaccine InventoryTemperature Excursions
Vaccine Shipments
Vaccine DeliveriesWhat’s in that Box??
Vaccine Shipments
Standard Operating ProceduresIdentify 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 DateDate
Received Lot # ExpirationCondition on arrival Problem
Vaccine Shipments
Compare package contents to order & packing slip
Label VFC vaccinesPlace in appropriate storage refrigerator or
freezerEnter vaccine delivery date, quantity, lot #,
expiration date, & condition on arrival in log book or if VFC in state inventory.
Vaccine Inventory Management
Vaccine AccessExpiration DatesVaccine Stock RotationVaccine Inventory AccountingVaccine Stock Calculations and Ordering
Vaccine Inventory Management
VaccineStarting
TotalDoses
Received Doses
ReceivedDoses
ReceivedDoses
ReceivedStockTota
lDoses 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
MCV4MMR
MMR-V PCV13 PPSV23 ROTA
Td Tdap
VARICELLA FLU
FLU PF 0.25 FLU PF 0.5 FLUMIST
Vaccine Inventory Management: Monthly Usage Total
Vaccine AccessExpiration DatesVaccine Stock Rotation (FIFO)Vaccine Inventory AccountingVaccine Stock Calculations and Ordering
Vaccine 1/2013 2/2013 3/2013 4/2013 5/2013 6/2013 7/2013 8/2013 9/2013 10/2013 11/201312/2013
DTAP DTaP-IPV
DTAP-HBV-IPV
DTAP-HIB-IPV
eIPV (Polio) HBV-HIB
HEP A HEPB HIB HIB
(Booster) HPV
MCV4MMR
MMR-V PCV13 PPSV23 ROTA
Td Tdap
VARICELLA FLU
FLU PF 0.25 FLU PF 0.5 FLUMIST
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 unitDocument 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 VFCFollow health department or manufacturer’s instructionsRecord the details of the eventMark 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 NumberExpiration
Date # of Doses RecommendationsMerck 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/