Vaccine Storage & Handling Online Ordering of Vaccine
Objectives for Storage & Handling of Vaccine After viewing this presentation, you will: o Understand the Vaccine Cold Chain o Understand the CDC & NSIP requirements for vaccine storage units o Temperature control of your vaccine storage units o Separating specific funding sourced vaccine in your storage unit o Understand the difference between “Wasted Vaccine” and “Spoiled Vaccine” o What actions to take when you see an alarm on the data logger
The Vaccine Cold Chain
CDC/NSIP Storage Unit Requirements VFC Vaccine Storage Units The CDC/NSIP highly recommends stand-alone refrigerators and freezers for VFC providers to store VFC vaccine. NSIP requires any provider replacing a combination refrigerator or freezer to purchase stand-alone units. This ensures they will not have any other temperature excursions and waste vaccine. NSIP must be notified that a new storage unit has been purchased . • After purchasing and installing the new unit, providers must get 5 • days of temps to ensure the unit is stable to put vaccine in it. In Southern Nevada, notify Dhon Urg that you are getting a new • unit in. Dhon will approve the new unit after 5 days of temps. In Northern Nevada, contact Glenn Witt (Vaccine Manager) or Dr. Pam Forest (Quality Assurance Manager.)
CDC/NSIP Storage Unit Requirements VFC Vaccine Storage Units A new storage unit must be large enough to store vaccine at the busiest time of the year without limiting air flow to the vaccine. A solid door on the refrigerator is better than a glass door when power outages happen. Should not have digital temperature controls (unless the unit is pharmaceutical grade). Dial type temperature controls give more accurate changes. The new unit should have sufficient room to store water bottles to stabilize temperatures. Dorm Style refrigerators are NEVER acceptable!
Storing Separate Funded Vaccine Types Always separate private vaccine from VFC/CHIP vaccine in your fridge and freezer. Store private vaccine on separate shelves from the VFC o Mark the shelves with “Private” or “VFC” o If you must store private vaccine on the same shelf as VFC Vaccine, o ensure the box the vaccine is in is marked appropriately
Expired or Spoiled Vaccine vs Wasted Vaccine Expired or Spoiled Vaccines: Nonviable vaccine in it’s original container (vial or syringe) that is able to be returned to McKesson for excise tax credit. This includes expired vaccine or vaccine that has been “Spoiled” due to: Natural disaster/power outage o Refrigerator too cold or too warm o Failure to store properly upon receipt o Spoiled in transit o Mechanical failure o Recall o Remove expired or spoiled vaccine from the storage unit and label “Do Not Use” Fill out Incident Report on what happened and what vaccines were effected Complete the UPS Label Request for Spoiled/Expired vaccines and fax to NSIP with the Incident Report. **Open multi-dose vials such as Polio, Zoster that have been spoiled cannot be returned to McKesson. Throw in Sharps Container** Unopened vials can be returned.
Expired or Spoiled Vaccine vs Wasted Vaccine Wasted vaccines are: Nonviable vaccine that is NOT able to be returned to McKesson due to: Vaccine drawn into a syringe but not administered o Vaccine in open vial but doses not administered o Compromised vial a broken vial, lost vial, or vial integrity/sterility o compromised **Expired “open” multi -dose vials of Polio or Zoster must cannot be o returned to McKesson**
Temperature Monitoring with Data Loggers NSIP has been providing free of charge the Tred30- 7R Log Tag temperature recorder since 2013. Pros Downloads data over email system to o multiple people Much more accurate than regular o min/max thermometers Provides clinics staff, NSIP, and the o manufacturers detailed information about temperatures the vaccine has been exposed to and for how long Easy to use o Comes with a 2 year Certificate of Calibration o Battery Operated o
Temperature Monitoring with Data Loggers Cons: Program on the computer for down loads must be under a specific user o profile No audible alarm, only visual o For some users, the digital readings are too small o If provider IT departments complete security o updates, the program setting can be erased
Actions To Take For Temperature Alarms When you see an alarm, you must take IMMEDIATE action! . STOP VACCINATING!!! 1. Immediately download (and send) data to the State 2. Analyze the data, and adjust the storage unit’s temperature accordingly 3. Contact the manufacturers 4. Complete a Vaccine Incident Report
Temperature Monitoring with Data Loggers What is wrong with this picture?
Temperature Monitoring with Data Loggers This graph shows min/max temperature checks
Backup Thermometers are a CDC/NSIP Requirement Backup Thermometers o As of January 2015, the CDC requires that all providers have a backup thermometer on hand. o NSIP cannot supply these to the providers. o It is not required to be a Data Logger, but it must meet the following standards: • Digital display on the outside of the storage unit. • Detachable probe in a bottle filled with thermal buffer such as glycol. • Has an alarm alert for out of range temperatures • Has a low battery indicator • Provides min/max temperatures
Backup Thermometers are a CDC/NSIP Requirement Backup Thermometer Requirements (continued) • Comes with a Certificate of Calibration that calibration was performed by an ILAC/MRA accredited laboratory or testing conforms to ISO 17025 requirements • This backup thermometer can be stored in a convenient location but NSIP recommends keeping the probe in glycol solution in the refrigerator so it is conditioned.
VFC Vaccine Online Ordering Through NV WebIZ
Objectives for Online Ordering through NV WebIZ After viewing this portion of the presentation you will: o Understand the level requirements for both your clinic and staff to be at in NV WebIZ to place orders o Understand how to reconcile in NV WebIZ if your clinic is using the HL7 connection o Understand where to go in NV WebIZ to place an order o Understand how to receive a shipment into inventory o Understand how to search for an order that you placed o Understand how to place a return through NV WebIZ
Place a New Order Before placing an order, you MUST reconcile the prior months inventory and close that inventory If you use an HL7 connection, you must complete your aggregate reporting of doses administered and close the reconciliation
Place a New Order Go to the Vaccine Orders Screen 1 2 3
Place a New Order Click Add New Vaccine Order .
Place a New Order You will go through a series of screens confirming If the order is a Flu order. Flu orders are completed separately from your o regular order Shipping addresses and hours for delivery. If anything is incorrect, fill out a o “Provider Change Form” and fax or email it to NSIP immediately. Do not proceed with the order until the items are fixed. Another screen will tell you to check a box if everything is correct and you o will proceed to the ordering screen.
Place a New Order At this screen you can view the most recent inventory reconciliation or current on-hand inventory.
Place a New Order Begin entering the vaccine you want to order.
Place a New Order Select the vaccine you want from the pick list.
Place a New Order After selecting the vaccine and it is populated in the vaccine portion, make sure the intent field is marked correctly.
Place a New Order
Place a New Order
Place a New Order
Place a New Order Add messages to NSIP Submit your order.
Receiving a Shipment into Inventory When your vaccine shipment arrives: Receive them into inventory in WebIZ – this adds them to your on-hand o inventory Do not manually add publicly purchased vaccine shipments to your o WebIZ inventory – use the Receive Shipment function
Receiving a Shipment into Inventory Go to the On-Hand Inventory Screen Click the Pending VTrckS Shipments Link.
Receiving a Shipment into Inventory Find the vaccine you have in the shipping container on this report and click Receive .
Receiving a Shipment into Inventory NV WebIZ will check for a potential duplicate lot number vaccine in your inventory Follow the prompts to continue to add the vaccine to your inventory o If the new vaccine NDC and lot numbers is not a match to any others in your inventory, click Proceed with Create. It will add this new lot number to your inventory. Repeat this process for each vaccine in the shipping report in WebIZ.
Receiving a Shipment into Inventory You can confirm the newly added vaccine(s) are in you on-hand inventory, click On-Hand .
Receiving a Shipment into Inventory Look for the vaccines you just received.
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