ROUTINE VACCINE STORAGE AND HANDLING PLAN Lorraine Baughman, RN Brad Evans, RN environment of all Kansans. OBJECTIVES Explain components of storage and handling plan Understand importance of storage and handling plan Demonstrate completion of a storage and handling plan WHY IS A PLAN SO IMPORTANT? Preparation and practice help prevent loss of vaccine Exposure of vaccines to out of range temperatures can decrease effectiveness of the protection they provide 1
Storage and handling errors can be very costly! $$$$$$$$$$$$ Gardasil 9 (Human Papillomavirus 9-valent Vaccine, Recombinant) VFC Vaccine: 10 x $168.10 = $1,681.10 Private Vaccine: 10 x $204.87 = $2048.70 2
Bexsero (Meningococcal Group B Vaccine) VFC Vaccine: 10 x $129.06 = $1,290.60 Private Vaccine: 10 x $165.75 = $1,657.50 SMALL INVENTORY PIN # Date: CLINIC WITH SMALL INVENTORY TYPE INTENT ON HAND NDC MANUF VACCINE COST TOTAL DTAP 58160-0810-11 GSK INFANRIX VIAL PED 18.19 363.80 20 $ $ DTAP/IPV 58160-0812-11 GSK KINRIX VIAL PED 20 $ 40.64 $ 812.80 DTAP/IPV/HEPB 58160-0811-52 GSK PEDIARIX PED 20 $ 57.97 $ 1,159.40 HEP A 58160-0825-11 GSK HAVRIX VIAL PED 20 $ 19.58 $ 391.60 HEP B 58160-0820-52 GSK ENGERIX SYR PED 20 $ 14.03 $ 280.60 HIB 00006-4897-00 MERCK PEDVAX PED 20 $ 13.09 $ 261.80 HPV9 00006-4119-03 MERCK GARDASIL 9 PED 20 $ 168.10 $ 3,362.00 MCV4 49281-0589-05 SANOFI MENACTRA PED 10 $ 91.81 $ 918.10 MEN B 4C 58160-0976-06 GSK BEXSERO SYR PED 10 $ 129.06 $ 1,290.60 MEN B FHbp 00005-0100-10 PFIZER TRUMENBA PED 20 $ 104.79 $ 2,095.80 MMR II 00006-4681-00 MERCK MMR PED 10 $ 21.05 $ 210.50 MMRV 00006-4171-00 MERCK PROQUAD PED 10 $ 125.11 $ 1,251.10 PNU13 00005-1971-02 PFIZER PREVNAR PED 20 $ 131.77 $ 2,635.40 POLIO 49281-0860-10 SANOFI POLIO PED 20 $ 13.30 $ 266.00 PPV23 00006-4943-00 MERCK PNEUMO PED 20 $ 53.11 $ 1,062.20 23 ROTA 58160-0854-52 GSK ROTARIX PED 10 $ 92.85 $ 928.50 TD 49281-0215-10 SANOFI TD SDV PED 10 $ 20.05 $ 200.50 TDAP 58160-0842-11 GSK BOOSTRIX VIAL PED 20 $ 31.95 $ 639.00 VARIVAX 00006-4827-00 MERCK VARICELLA PED 20 $ 98.24 $ 1,964.80 2017-2018 FLU 58160-0907-52 GSK FLUARIX QUAD 36M+ PED 30 $ 14.43 $ 432.90 2017-2018 FLU 19515-0912-52 GSK FLULAVAL QUAD 6M+ PED 30 $ 13.55 $ 406.50 TOTAL COST ON HAND $ 20,933.90 THERE IS A LOSS OF PATIENT CONFIDENCE IF THEY MUST RETURN FOR REVACCINATION 3
COLD CHAIN Vaccines must be stored properly from the time of manufacture to the time of administration EMERGENCY VACCINE RETRIEVAL AND STORAGE PLAN Identify a back-up location with: appropriate storage units temperature monitoring capability back-up generator STAFF TRAINING Have primary and back-up VFC coordinators Back-up VFC coordinator needs to have good working knowledge of storage and handling plan All personnel who handle or administer vaccine should be familiar with storage and handling policies 4
PLAN FOR EMERGENCIES Proper equipment Staff need to know where equipment is stored Data logger must stay with the vaccine Vaccines must be attended at all times during transport PLAN FOR EMERGENCIES Vaccines are not to be placed in the vehicle trunk Vaccines are delivered directly to facility Vaccines are promptly unpacked and placed in appropriate storage units 5
PROPER STORAGE UNIT AT RECOMMENDED TEMPERATURE Prepare in advance and know that the unit the vaccine is being transferred in will maintain the recommended temperature PLAN FOR ALL TYPES OF DISASTERS Power outage Storm Storage unit malfunction Fire 6
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CRITICAL POINTS FOR STAFF EDUCATION Building security Flashlights Keys to storage units Pack-out materials and knowledge of how to properly pack vaccines CRITICAL POINTS FOR STAFF EDUCATION Follow proper transport protocols Monitor temperatures hourly Data logger is to stay with the vaccine at all times STEPS AFTER POWER IS RESTORED Monitor temperature in storage unit until it gets back into proper range If the vaccine was exposed to out of range temperatures place vaccine in quarantine Follow temperature excursion guidelines provided by the Kansas Immunization Program 9
KEY POINTS An emergency plan is needed to keep vaccine stored safely at all times to prevent loss Post the plan in a prominent place Have all equipment necessary for pack-out on hand and easily accessible Keep all phone numbers updated Make plan part of new employee training Questions www.kdheks.gov 10