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Cold Chain Irlanda

Apr 06, 2018

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    The Cold Chainand

    Vaccine storage

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    Objectives

    Understand the correct procedures for

    handling and storage of vaccines including Knowledge of the cold chain and vaccine

    delivery service Monitoring the cold chain within your own

    practice

    Understanding how to dispose of out of

    date, unused vaccines etc.

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    The cold chain

    The cold chain is the

    system of transportingand storing vaccines

    within the safetemperature range of

    2

    C to 8

    C.

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    Why is the cold chain

    important? Risks to vaccines of

    exposure to extremes intemperature

    Compliance with vaccine

    manufacturer

    Assurance/confidence inpotent product

    Ensuring maximumbenefit from immunisation

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    National Cold Chain Delivery Service

    Commenced 1st January 2005

    Initial contract with Cahill May Roberts

    Currently United Drug Distributors

    Main storage site in Tallaght Satellite sites in Limerick and Ballina

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    Monthly deliveries 2006/2007

    500

    1000

    1500

    2000

    2500

    3000

    Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

    2006 2007

    Year

    N

    umberofdelivries

    Flu Season

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    Vaccines suppliedVaccines

    Primary Childhood vaccines 5 in 1/ Men C/ MMR/ Hib/ 4 in 1

    Adult vaccines Td

    Influenza/ Pneumococcal polysaccharide vaccine

    HSE vaccines BCG / Tuberculin/ 4 in 1

    Restricted vaccines Hepatitis A/ Hepatitis B/ Hepatitis A +B

    IPV

    Pneumococcal Conjugate Vaccine (PCV)

    Td/IPV

    Current list of available vaccines

    from United drug

    in newsletter

    on immunisation website

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    Who can order vaccines?

    GPs who hold an immunisation contract

    Community Health Doctors who run the schoolimmunisation service, BCG clinics

    Hospitals who require vaccines

    Vaccines are delivered monthly directly to the

    GP surgery, HSE health centre or hospitalpharmacies

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    How much vaccine should be ordered?

    The quantity of vaccine order can be

    determined byQuantity used since last delivery

    Storage volume within the refrigeratorVaccines currently in the refrigerator

    Seasonal variation e.g. influenza vaccine

    Disease outbreaks

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    Recommended procedure

    on receipt of vaccine Requires a named, trained and designated

    person and deputy Check vaccine deliveries against the order for

    any damage or discrepancies

    Place vaccines in the vaccine refrigeratorimmediately

    Do not leave at room temperature

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    Vaccine Storage

    Never use out of date vaccines

    Always keep the temperature between 2-80

    C Store vaccines in their original packaging

    Store vaccines on shelves, not touching the sides

    of the fridge Record fridge temperature daily

    Use a switchless socket

    Do not unplug the fridge

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    Recommended procedure following a break

    in the Cold Chain Usually occurs due to a problem with the vaccine fridge.

    E.g. electricity power cut

    switch turned off

    Fridge door left open.

    If this happens Make sure that the refrigerator door is closed

    Check the temperature and find out how long the refrigeratorbreakdown has been

    Contact the Chief Pharmacist, National Immunisation Office forfurther advice. (087 9915452 or 01 8676108)

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    Recommended procedure following a break

    in the Cold Chain (2)

    Any vaccine not stored between 20-80C is nolonger a licensed product

    Do not use these vaccines and return to theNational Cold Chain Delivery Service

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    Vaccine disposal within a session

    Use all opened vaccines within the recommendedperiod, according to the manufacturer's instructions

    Any opened vaccine, spent or partly spent vialsmust be disposed of safely in a sharps box for

    incineration

    Dispose of open multidose vials at the end of the

    session

    Dispose of sharps boxes when two-thirds full

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    Vaccine disposal

    Unused unopened vaccines which haveexpired or have been kept outside 2-80C shouldbe returned to the HSE National Cold Chain

    Delivery Service

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    Useful resources

    Australian Government Department of Health and Ageing National Vaccine StorageGuidelines 2005, Strive for 5http://www.health.gov.au/internet/immunise/publishing.nsf/Content/provider-store

    Centre for Disease Control. Vaccine management, Handling and Storage details forvaccines.http://www.cdc.gov/vaccines/programs/vfc/downloads/vacc_mgmt_guide_utah.pdf.

    Department of Health UK. November 2006. Immunisation against infectious disease.http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Greenbook/DH_4097254

    Irish Pharmaceutical Healthcare Association Medical Compendium.http://www.medicines.ie.

    Irish Medicines Board. http://www.imb.ie. National Immunisation Office Ireland. Health Service Executive.

    http://www.immunisation.ie.

    Public Health Agency Canada. National Vaccine Storage and Handling Guidelines forimmunisation providers 2007. http://www.phac-aspc.gc.ca/publicat/2007/nvshglp-ldemv/index-eng.php.

    Royal College of Physicians of Ireland. Immunisation Guidelines for Ireland. Availableat www.hpsc.ie

    http://www.health.gov.au/internet/immunise/publishing.nsf/Content/provider-storehttp://www.health.gov.au/internet/immunise/publishing.nsf/Content/provider-storehttp://www.cdc.gov/vaccines/programs/vfc/downloads/vacc_mgmt_guide_utah.pdfhttp://www.cdc.gov/vaccines/programs/vfc/downloads/vacc_mgmt_guide_utah.pdfhttp://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Greenbook/DH_4097254http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Greenbook/DH_4097254http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Greenbook/DH_4097254http://www.medicines.ie/http://www.medicines.ie/http://www.imb.ie/http://www.immunisation.ie/http://www.immunisation.ie/http://www.phac-aspc.gc.ca/publicat/2007/nvshglp-ldemv/index-eng.phphttp://www.phac-aspc.gc.ca/publicat/2007/nvshglp-ldemv/index-eng.phphttp://www.phac-aspc.gc.ca/publicat/2007/nvshglp-ldemv/index-eng.phphttp://www.phac-aspc.gc.ca/publicat/2007/nvshglp-ldemv/index-eng.phphttp://www.hpsc.ie/http://www.hpsc.ie/http://www.hpsc.ie/http://www.phac-aspc.gc.ca/publicat/2007/nvshglp-ldemv/index-eng.phphttp://www.phac-aspc.gc.ca/publicat/2007/nvshglp-ldemv/index-eng.phphttp://www.immunisation.ie/http://www.imb.ie/http://www.medicines.ie/http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Greenbook/DH_4097254http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Greenbook/DH_4097254http://www.cdc.gov/vaccines/programs/vfc/downloads/vacc_mgmt_guide_utah.pdfhttp://www.health.gov.au/internet/immunise/publishing.nsf/Content/provider-store