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Vaccine Storage and Handling

Vaccine quality is the shared responsibility of all handlers of vaccines from the time a vaccine is manufactured until it is administered to a patient.  Vaccines, like all temperature sensitive medical products, need to be kept at the appropriate temperature range in order to protect our Service members and beneficiaries.  According to the CDC, "improper storage is the most common vaccine delivery problem they encounter."  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 continue to occur throughout the Department of Defense (DoD) due to improper storage and handling.  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.  By understanding and implementing proper storage and handling practices, staff in clinics, patient centered medical homes, and other healthcare locations where immunizations are administered can ensure their critical role in improving and maintaining the health of uniformed Service members and other beneficiaries.

Vaccine Storage and Handling Guidelines are IAW the DoD Joint Immunization Regulation/Instruction (Immunization and Chemoprophylaxis for the Prevention of Infectious Diseases- AR 40-562/BUMEDINST 6230.15B/AFI 48-110_IP/CG COMDTINST M6230.4G) and the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) General Recommendations on Immunization.

Storage and Handling Resources

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Vaccine Storage and Handling Questions and Answers

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5/23/2018

All Vaccine Storage and Handling questions and answers in downloadable pdf format.

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PC TSMP Worksheet Continuation Sheet

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5/15/2018

This is a continuation sheet for the PC TSMP worksheet when additional worksheets are required.

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Vaccine Storage and Handling | Potential Vaccine Compromise Reporting

PC TSMP Worksheet

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5/15/2018

This worksheet is used when vaccines have been potentially compromised and a disposition is required.

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Vaccine Bin Label Examples

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5/14/2018

Sample labels for organizing vaccines into bins for proper storage.

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Vaccine Bin Label Examples

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Sample labels for organizing vaccines into bins for proper storage.

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Do Not Unplug Signs - Various Languages

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Storage Unit Sticker Template

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2/1/2018

Some resources you can use to protect your vaccine storage unit and warn staff to not turn off power to the unit.

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Vaccines with Diluents: How to use them

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1/3/2018

Be sure to reconstitute the following vaccines correctly before administering them! Reconstitution means that the lyophilized (freezedried) vaccine powder or wafer in one vial must be reconstituted (mixed) with the diluent (liquid) in another.

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Offsite Clinic Vaccine Inventory Issue Return Receipt and Temp Log Fahrenheit

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9/15/2017

When transporting vaccine off-site, you must log their storage temperature every hour to ensure they are kept at the required temperature range for the duration of the event.

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Offsite Clinic Vaccine Inventory Issue Return Receipt and Temp Log Celsius

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When transporting vaccine off-site, you must log their storage temperature every hour to ensure they are kept at the required temperature range for the duration of the event.

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Emergency/Inclement Weather Preparedness: Vaccine Storage and Handling

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8/1/2017

Resources to help maintain proper vaccine storage in power outages or evacuations, and instructions for moving vaccines in emergencies and reporting potential vaccine compromises.

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DHA-IHB Vaccine Storage and Handling Guide

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6/14/2017

For the DoD’s immunization programs to be successful, it is imperative that immunizers store and handle vaccines properly, making sure they are ready for administration whenever our worldwide deployers need them.

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Army Medical Department Supply Bulletin: SB 8-75-11

Policy

This Supply Bulletin contains procedural guidance to augment the policies published in the revised AR 40-61, Medical Logistics Policies and Procedures

Temp Log F

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9/20/2016

Monitoring the temperature of your vaccine storage unit is required at least twice a day, and should be logged using this form.

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