1. 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

2. Getting The Job Done Vaccine Shipments Vaccine Inventory
Temperature Excursions

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

4. 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

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

6. 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.

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

8. 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

9. 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

10. 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

11. Vaccine Excursion Log Vaccine Lot Number Expiration Date # of Doses
Recommendations
Merck
Gardasil
MMR
PedVaxHibPneumovax 23
Recombivax HB
RoaTeq
Vaqta
Varivax
GSK
Boostrix
Engerix
Havrix
Iberix
Infanrix
Pediatrix
Rotarix
Sanofi Pateur
ActHib
Adacel
Daptacel
Fluzone vials
Fluzone P-free 0.25
Fluzone P-free 0.5
IPOL
Menactra
Pentacel
Td-Tenivac
Tubersol
Pfizer
Prevnar 13
MedImmune
Flumist

12. Vaccine Storage and Handling Resources
American Academy of Pediatrics Storage and Handling Resource List for Practices
Immunization Action Coalition Clinic Resources
CDC Storage And Handling Resources