cold chain irlanda
TRANSCRIPT
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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Understanding how to dispose of out of
date, unused vaccines etc.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