Cold Chain Management Presentation Notes.pdf · 2017-08-31 · ‘Cold Chain Management for Temperature Sensitive Medication and Vaccines” SWSLHD_2017_XXX –Appendix 10 21. 22

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Steps in the Cold Chain to consider:

1. Vaccine Manufacture2. Road transport to airport3. Air transport4. Road transport to storage facility5. Primary vaccine storage (NSW State Vaccine storage)6. Road transport to local pharmacies7. Pharmacy storage8. Cold box transport to department vaccine fridges9. Vaccine fridge storage10. Nurse preparation of vaccine and transport to the patient / consumer11. Administration to patient / consumer

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Key question:

Imagine receiving a call from the Public Health Unit telling you to bring your baby back to the facility for another vaccine. In light of the high profile vaccination has in the community, both for and against, this is a very contentious issue.

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Refrigerator configuration:• Only approved baskets in use• Adequate space between products to allow for airflow• Products not touching the back or side walls of the inside of the refrigerator• At least 10 cm surrounding the refrigerator to allow for adequate airflow around the

outside• Appropriate signage on the bottom of the refrigerator• Imprest list laminated and available on the side or top of the refrigerator only• Escalation pathway laminated and available on the side or top of the refrigerator only

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Sticker on bottom shelf of refrigerator

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This chart shows:• Temperature readings twice per day for the ward medication refrigerator• ‘Temperature reset’ confirmation (like zero-ing a thermometer)• Documentation recorded for temperature range outside 2-8 degrees for restocking

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This chart shows:• The documentation required for a freezer • Freezer Temperature MUST be below minus 10 degrees celsius (<-10°C)• Between the flags section not required as it is above zero degrees• Temperature recorded twice per day• ‘Temperature reset’ confirmation

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IMPORTANT:

More information on the Hanwell Monitoring System is available in the SWSLHD policy ‘Cold Chain Management for Temperature Sensitive Medication and Vaccines” SWSLHD_2017_XXX – Appendix 10

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IMPORTANT:

More information on the Hanwell Monitoring System is available in the SWSLHD policy ‘Cold Chain Management for Temperature Sensitive Medication and Vaccines” SWSLHD_2017_XXX – Appendix 10

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IMPORTANT:

More information on the Hanwell Monitoring System is available in the SWSLHD policy ‘Cold Chain Management for Temperature Sensitive Medication and Vaccines” SWSLHD_2017_XXX – Appendix 10

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IMPORTANT:

More information on the Hanwell Monitoring System is available in the SWSLHD policy ‘Cold Chain Management for Temperature Sensitive Medication and Vaccines” SWSLHD_2017_XXX – Appendix 10

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IMPORTANT:

More information on the Hanwell Monitoring System is available in the SWSLHD policy ‘Cold Chain Management for Temperature Sensitive Medication and Vaccines” SWSLHD_2017_XXX – Appendix 10

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IMPORTANT:

More information on the Hanwell Monitoring System is available in the SWSLHD policy ‘Cold Chain Management for Temperature Sensitive Medication and Vaccines” SWSLHD_2017_XXX – Appendix 10

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• This was a Cold Breach in the high range, i.e. above 8 degrees Celsius for over 14 hours. Looking at the times this took place…. What are some of the reasons why this may have occurred?

• The red dots indicate when the temperature has been checked (should be twice daily)

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This is a cold chain breach in the low range i.e. less than 2 degrees celsius

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