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Cold Chain
Management
Hospital Fridge/Freezer Monitoring
Case Study:
Emergency Vaccine
Preservation
Very Low Temperature Data Loggers
Data Logger Specifications
Related Information
Read the article: "Risk Factors for Improper Vaccine Storage and Handling in Private Provider Offices" as published in Pediatrics the Journal of the AAP (2001)
Read the “Vaccine Storage and Handling Toolkit” by the Public Heath Agency of Canada
Center of Disease Control Vaccine Storage Toolkit
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Vaccine
Storage, Temperature Monitoring & Alarming
Vaccine Storage: Refrigerator/Freezer Monitoring & Alarming
Traditionally, vaccine storage temperature has been recorded manually
in a vaccine temperature log book, for accreditation purposes as well
as to ensure vaccine efficacy. Unfortunately, too many clinics have
learned the hard way that this method carries a substantial amount
of risk.
Temperatures logged manually may not be recorded accurately, or, if
the facilities are closed over weekends, consistently. Even if temperatures
are regularly checked and documented, staff may not respond to adverse
temperature conditions when they occur.
Records & Recording:
When Best Practices Need Better Technology
This occurred in a National Research Centre, which had multiple pediatric
clinics. A staff nurse had recorded the temperatures of the vaccine
storage refrigerator, never realizing the storage temperature had
gone out-of-tolerance. Once the error was discovered, the clinic had
to advise parents and guardians of all previously inoculated children
that they should re-immunize to ensure protection.
Read the Case Study...
Such a scenario is not uncommon. Data gathered by Weir and Hatch,
published in the paper "Preventing Cold Chain Failure: Vaccine
Storage and Handling" (2004 - JAMC) indicated that up
to 20% of physician offices and health-care facilities do not meet
the necessary requirements for proper vaccine storage and handling.
5 Steps to Ensure a Solid Vaccine Cold Chain
- Refrigerators differ greatly in temperature from one corner to
another. In most fridges, vaccines are best kept on the middle shelf.
Storing Vaccines in the bottom shelf or drawer, on the door shelves,
or near the freezer section may result in storing them far outside
the manufacturer's recommendations.
- If you receive a new piece of equipment, such as a freezer or
refrigerator, it should be "mapped" before placing vaccinations
within in order to validate the temperatures at different locations.
- After initial verification of fridge/freezer temperatures, all
compartments should be continuously monitored.
- Remember that sensors measure air temperature, rather than vaccine
temperature. The probe can be placed inside a vaccine box. This
will also reduce the impact temperature changes from opening/closing
the door.
- Try to keep some space between the vials to allow the air to circulate
around them.
Safe & Effective Vaccine Storage Temp Monitoring:
Additional Measures
To ensure vaccine potency, refrigerator and freezer temperatures
must be monitored and documented, including the time and temperature.
Twice daily temperature checks is standard, however, Veriteq's viewLinc™
monitoring system saves time by allowing staff to check in and
report on temperatures throughout the day, from any PC on the network.
Should out-of-tolerance conditions occur, viewLinc sends an alarm
to designated personnel via PC alert, cell phone, telephone dial-out
or pager.
Maintaining accurate and up-to-date documentation of refrigerator
temperatures is necessary to assure vaccine potency. This also ensures
that your facility is following the recommendations for storing and
handling vaccines issued by the manufacturer.
To find products best suited to your vaccine storage, medical storage
or clinical storage monitoring challenge, please see our Solutions
page.
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