1. The cold chain

3. Resources https://www.gov.uk/government/uploads/system/ uploads/attachment_data/file/300304/Protocol_fo r_ordering__storing_and_handling_vaccines_Marc h_2014.pdf Chapter 3 of Green Book https://www.gov.uk/government/uploads/system /uploads/attachment_data/file/223753/Green_B ook_Chapter_3_v3_0W.pdf

4. January 2016 2 - 8°c

5. Primary vaccine failures When an individual fails to make a sufficient immune response to vaccination This could be due to the vaccine losing its potency because of being stored at the incorrect temperature January 2016

7. Did you know….? January 2016 Vaccines are also light sensitive BCG MMR Men C Most DTaP vaccines ???

8. January 2016 In your practice area do you and other members of the team know who these people are?

9. Responsible for… Ordering – small regular quantities Stock management Sharing procedures with relevant people KNOWING what to do in the case of a fridge failure and having a back up plan January 2016

10. Ordering – excess stock can: Risk of giving out of date vaccine Wastage and disposal costs Danger of over packed fridges & inappropriate storage Cost of replacement stock if fridge fails January 2016

11. Stock management Know what is in stock and what has been ordered Keep track of expiry dates Keep running total of vaccines including any wastage January 2016

12. How much do vaccines cost? (BNF for children 15/16 & BNF 70) VaccineCost per single dose Pediacel£32 Zostavax£99.96 Men B£75 Men ACYW£30 Prevenar£49.10 HPV£80-90 January 2016

13. Responsibility

14. January 2016

15. Remember… The cold chain will always be vulnerable to interruptions You must be vigilant and aware of procedure and best practice Learn from incidents and share good practice The identification of vaccines which have been compromised is easier to manage BEFORE they are administered! January 2016