1. TEMPERATURE MONITORING
QUIZ

2. What represents the highest risk for vaccines in storage?
A. Heat excursions
B. Freeze excursion

3. Freeze excursion because it can damage the vaccines already after exposure during 1-2 hours

4. Most vaccines vials have a VVM, that reveals cumulative heat exposure, you should throw the vaccine away if the VVM looks like? A. B. C. D.

5. If the VVM looks like A,
you should use the vaccine as soon as possible provided it is within the expiry date
The answers are C and B

6. Which refrigerator is loaded in the best way to protect the vaccines

7. The answer is refrigerator A.
TT and IPV should not be too close to the freezer compartment as they are higly freeze sensitive B. A.
In refrigerator B,
TT and IPV would be too close to the freezer compartment since they are highly freeze sensitive

8. Where is the coldest place in a refrigerator with a freezer compartment on top?
A. On the middle clay
B. On the bottom clay
C. On the top clay

9. The answer is C. on the top clay, just below the freezer compartment

10. What is the safest temperature the thermostat should be adjusted to in a WICR?
+1o C 1
+2o C 2
+4o C 3

11. The answer is 4o C
If you adjust the thermostat to 2o C, the coldest part could be around zero and that could potentially
be harmful to the vaccines

12. Where is the coldest place in a cold room?
A. In the middle, close to the door
On the side, in front of the evaporator or
under the evaporator

13. The answer is B in from of the evaporator

14. What can you NOT use to measure the temperature in a freezer room?
FridgeTag 1
QTag 2
Freezetag 3

15. The answer is A, B and C. the 30DTR or Fridgetag should not be used to measure negative temperatures, the Qtag should be used for transport and the freezetag
is a one-off device and can only
be used to identify one single
occurrence of freezing

16. When you have a freeze alarm, you should do a shake test to verify if vaccines have been frozen, but there is one vaccine for which the shake test is non-conclusive (does not work), which vaccine?
PCV 1
Rota 2
IPV 3

17. IPV
The shake test does not work for the IPV vaccine
So what should you do?
If you have doubts, either throw the IPV vaccine out or do a shake test with another vaccine, that was stored next to the IPV

18. When you prepare the PCV in a vaccine carrier for an outreach, do you use frozen icepacks to put around the vaccine ?
A. Yes
B. No

19. The answer is no, the icepacks should not be frozen, as frozen icepacks could freeze the vaccine

20. What is the WHO criteria or definition for a heat alarm
What is the WHO criteria or definition for a heat alarm? as set in the 30DTR devices?
A hours above 10 degrees C
B hours above 8 degrees C

21. The answer is
B hours above 8 degrees C

22. What is WHO criteria for a freeze alarm? as set in the Fridgetag
A hour below 2 °C
B hour below -0,5°C

23. The answer is
B hour below -0,5°C

24. What should you do in case of heat alarm in a refrigerator?
Check that the door is closed 1
Check that the power is on/fuel is available 2
Reduce temperature on the thermostat 3
Move the vaccines 4

25. The answer is all of these, depending on the length of the heat excursion

26. Congratulations