Vaccine Storage
Must be done twice a day when the data logger temps are checked.
What is clearing the min/max temps on the data logger?
Given to individuals starting at age 9 years to prevent certain cancers
What is Gardasil 9?
Staff does not close the fridge/freezer door properly.
What is the main reason the temps go out of range?
Vaccine must be used before the manufacturer's expiration date; must be written on the vial. Example is multidose vials with a specified period of use once punctured.
What is Beyond Use Date (BUD)?
Provides vaccines to eligible children up to age 19 years at no cost for the vaccine(s)
What is VFC?
Always use the vaccine that will expire first, must keep in the original box with lid closed, & place the vaccines in the center of the refrigerator positioned 2-3" from the walls
What is vaccine handling & storage best practice?
Recombivax HB; Heplisav-B; Twinrix
What Hepatitis B vaccines does PHMG provide?
What is the vaccine Cold Chain?
Urticaria, angioedema, difficulty breathing, wheezing, hypotension, shock
What are allergic reaction symptoms?
Do not contain preservatives to prevent microorganisms growth
What are single dose vials or manufacturer-filled syringes?
Results in revaccination of many patients, financial loss due to wasted vaccines, decrease vaccine potency resulting in inadequate immune response & poor protection against disease
What are vaccine storage errors (break in cold chain)?
Required by law to be given to parents/patient prior to giving each vaccine
What is Vaccine Information Sheet?
Place in a sink of lukewarm water until the ice spins freely
What is a conditioned ice pack (water bottle)?
Vial top sterility is not guaranteed once the cap is removed
Why you clean the vial top with alcohol prior to inserting the syringe
Self report (Just Culture)
VAERS
Risk Manager (UPMC Reporting System)
Notify Manager > Director
What is a vaccine error or significant reaction?
Make all Clinical staff aware – Do NOT Use
Call manufacturers to determine vaccine stability
If part of VFC program notify the Division of Immunizations @ 888-646-6864 and complete VFC Incident Report
What are required steps if temperature is out of range > 30 minutes
Lists vaccine contraindications, precautions and catch-up vaccine recommendations
What is the CDC vaccine schedule?
Conditioned ice packs (water bottles), cardboard, bubble wrap and glycol bottle for the excursion tracker
Items that go into the cooler to properly transport vaccines and ensure there's no break in the cold chain.
Must be done immediately after administering an injection.
What is engage the needle safety mechanism?
When the freeze-dried powder or liquid from one vial is mixed with the diluent liquid of another vial
What is reconstitution?
Place vaccine in envelope and document name of vaccine, date, time name of person who drew up or reconstituted vaccine
What are the steps if you're unable to give a vaccine?
Given to help prevent pneumococcal disease for 19-64 year old individuals with certain chronic conditions
What is a dose of PCV20, PCV15 or PPSV23 ?
(NOTE: PHMG is currently not providing PCV15)
Must be completed using USB each time vaccines are transported from one location to another.
What is downloading data from the excursion data logger(s) (tracker)?
Helps prevent vaccine administration errors; allows the system to check for expired meds & possible recalls
Why you "accept as incomplete" when documenting vaccine administration
Reconstitute with 0.75ml of liquid but withdraw only 0.5ml of vaccine after mixed
What is SHINGRIX?