Storage & Handling
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Vaccine quality is the shared responsibility of all handlers of vaccines from the time a vaccine is manufactured until administration. Emphasis on the importance of good policies and procedures, frequent and on-going training of staff, proper equipment and maintenance will help all staff provide high quality vaccines and reduce waste caused by improper storage.

Even with proper education and training, vaccine losses and recalls continue to occur throughout the DoD due to improper storage and handling. According to the CDC, "improper storage is the most common vaccine delivery problem they encounter." Vaccines, like all temperature sensitive products need to be kept at the appropriate temperature range in order to protect our Service members and beneficiaries. Failure to adhere to recommended specifications for storage and handling of immunizations can reduce their potency, resulting in an inadequate immune response and protection of our patients. Good storage and handling procedures at all vaccine delivery locations ensures we always provide our patients the highest quality of care.

MILVAX-VHCN
MILVAX-VHCN
Staff can easily confuse the vaccines within the storage unit. Labeling the bin where the...
MILVAX-VHCN
The Vaccine Storage and Handling Toolkit (May 2014) is a comprehensive resource for providers on vaccine storage and handling recommendations and best practice strategies. It includes considerations for equipment both storage units and thermometers, strategies for maintaining the cold chain, routine storage and handling practices, inventory management and emergency procedures for protecting vaccine inventories.
Author: Military Vaccine Agency
The success of military vaccine programs depends heavily on vaccinators understanding, following, and implementing proper vaccine storage and handling practices to ensure vaccine potency and stability. Military and civilian medical staff that administer immunizations in clinics, medical homes, and other facilities play a critical role in improving the health of Service members and beneficiaries. The purpose of this document is to assist immunization clinics and other healthcare facilities to properly store and handle vaccines.
This is a 4 module online course (note that the second module has been split in two parts), plus quiz, that will provide military healthcare personnel that administer immunizations with the proper vaccine storage and handling procedures that should be followed to ensure vaccine potency and stability.
Guidance for Proper Storage and Handling of Vaccines
EZIZ Training: Storage & Handling
You Call the Shots is an interactive, web-based immunization training course. It consists of a series of modules that discuss vaccine-preventable diseases and explain the latest recommendations for vaccine use. Each module provides learning opportunities, self-test practice questions,reference and resource materials, and an extensive glossary. The course is available free of charge on the CDC Vaccines and Immunizations website.
SB 8-75-11; Section 3-57:  Temperature Sensitive Medical Products (TSMP) Storage and Handling (pg 3-49)
Author: Services
Joint Air Force, Army, Navy, and Coast Guard publication (AR 40–562, BUMEDINST 6230.15B, AFI 48–110_IP, CG COMDTINST M6230.4G)
Author: Lee
Defense Logistics Agency Regulation (DLAR) 4145.21
Department of Army Technical Bulletin (TB) MED 284/TBD*
NAVSUPINST 4610.31B
Air Force Joint Instruction (AFJI) 41-208/TBD*
07 Jan 13

Sample Q&A: Vaccine Handling

Can vaccines be stored in the same unit where employees' lunches are located?
No, biologics should never be stored with food or drinks.
Upon completion of these knowledge-based activities, the pharmacist will be able to: Identify changes to vaccine recommendations necessary for compliance with standards of practice, Apply recent changes to guidelines to their vaccination program, and evaluate information on new or future vaccines for potential use in their practice.
Event: EZIZ TrainingEZIZ Training 25 Sep 14
EZIZ Training
For infants, particularly newborns, exposure to vaccine-preventable diseases can result in serious and often, life-threatening illness. Unfortunately, all too often, parents or other family members are the source of exposure. Dr. Shetal Shah, a Neonatologist with the Stony Brook University Medical Center, will share his innovative work in addressing this public health problem through the promotion and administration of vaccines to parents in the Neonatal Intensive Care Unit (NICU) setting. After watching this broadcast participants will be able to: Explain the role the NICU can play in the public health protection of neonates, Describe NICU-based administration of influenza vaccine, and Describe protocols for Tetanus, Diphtheria, Acellular Pertussis, (TDap) Vaccines.
You Call the Shots is an interactive, web-based immunization training course. It consists of a series of modules that discuss vaccine-preventable diseases and explain the latest recommendations for vaccine use. Each module provides learning opportunities, self-test practice questions,reference and resource materials, and an extensive glossary. The course is available free of charge on the CDC Vaccines and Immunizations website.
Pediatric Immunization Schedules Updated to Reflect Current Guidelines
Current Issues in Vaccines – Spring 2014
Prevention and Control of Meningococcal Disease- MMWR
Guidance for Proper Storage and Handling of Vaccines
EZIZ Training: Storage & Handling
You Call the Shots is an interactive, web-based immunization training course. It consists of a series of modules that discuss vaccine-preventable diseases and explain the latest recommendations for vaccine use. Each module provides learning opportunities, self-test practice questions,reference and resource materials, and an extensive glossary. The course is available free of charge on the CDC Vaccines and Immunizations website.
Hosted by the Massachusetts Chapter of the AAP, the full day skill building conference will address a variety of issues to include vaccine storage and handling, state immunization registry, HPV, national ACIP update, vaccines 101, and vaccine preventable disease epidemiology. Continuing education credits are available.
Topics Covered: Childhood, Adolescent, and Adult Immunization Strategies, and Challenges Advisory Committee on Immunization Practices (ACIP) Updates Influenza Vaccines: Giving the Right Dose at the Right Time Maternal Immunization Pneumococcal Vaccines across the Lifespan Special Populations including Immunocompromised Individuals Travel Vaccines: Don’t Leave Home without Them Vaccine Administration: From Refrigerator to Reimbursement Vaccines in Action
Department of Health and Human Service; Office of Inspector General
SB 8-75-11; Section 3-57:  Temperature Sensitive Medical Products (TSMP) Storage and Handling (pg 3-49)
MMQC-12-1086 10 Feb 12
VAXICOOL AX27L EQUIPMENT INVENTORY ACCOUNTABILITY REPORT
MMQC-11-1681 28 Oct 11
PROPER TEMPERATURE STORAGE AND HANDLING REQUIREMENTS FOR REFRIGERATED VACCINE.
Staff can easily confuse the vaccines within the storage unit. Labeling the bin where the vaccine is stored can help staff quickly locate and choose the correct product – perhaps preventing a vaccine administration error.
The Vaccine Storage and Handling Toolkit (May 2014) is a comprehensive resource for providers on vaccine storage and handling recommendations and best practice strategies. It includes considerations for equipment both storage units and thermometers, strategies for maintaining the cold chain, routine storage and handling practices, inventory management and emergency procedures for protecting vaccine inventories.
Military Vaccine Agency
Author: Military Vaccine Agency
The success of military vaccine programs depends heavily on vaccinators understanding, following, and implementing proper vaccine storage and handling practices to ensure vaccine potency and stability. Military and civilian medical staff that administer immunizations in clinics, medical homes, and other facilities play a critical role in improving the health of Service members and beneficiaries. The purpose of this document is to assist immunization clinics and other healthcare facilities to properly store and handle vaccines.
CDC Pink Book, Epidemiology and Prevention of Vaccine-Preventable Diseases (April 2011), 12th Edition
Guidance for Proper Storage and Handling of Vaccines
2012 Epidemiology and Prevention of Vaccine Preventable Disease Series CDC
Video: VaxiCoolVaxiCool (01:38) 21 Jul 11
AcuTemp Model #AX271
Video: VaxiPacVaxiPac (01:14) 21 Jul 11
AcuTemp Model #PX11
Watch this video to learn about: setting up your vaccine storage process, ways to avoid ruining expensive vaccine, resources for improving your vaccine handling, examples of temperature tracking devices

Centers for Disease Control and Prevention
Author(s): Gazmararian JA, Oster NV, Green D, Schuessler L, Howell K,Davis J, Krovisky M, Warburton SW
Publication: AJPM
Subject: Vaccine-Effectiveness
Category: 
Storage & Handling
Author(s): Yuan L, Daniels S, Naus M, Brcic B
Publication: Canadian Family Physician
Subject: Vaccine-Effectiveness
Category: 
Storage & Handling
Author(s): Halpern JS
Publication: Disaster Management & Response
Subject: Vaccine-Effectiveness
Category: 
Storage & Handling
Author(s): Chojnacky M, Miller W, Ripple D, Strouse G
Publication: National Institute of Standards and Technology
Subject: Vaccine-Effectiveness
Category: 
Storage & Handling