Cold Chain Protocol – Vaccines and Biologics

Table of Contents Cold Chain Protocol

1.  Introduction and the Importance of Cold Chain
     1.1    What is Cold Chain?

2.  Cold Chain Responsibilities
      2.1    Identification of Responsibility
      2.2    Assigning Duties and Tasks to Personnel
      2.3    Contact Lists

3.   Management and Accountability
       3.1    Accountability of Vaccines and Biologics
       3.2    Inventory Management
       3.3    Expired or Unusable Products

4.   Storage Practices for Vaccines and Biologics
       4.1    Ordering Vaccines and Biologics from Manitoba Health
       4.2    Placement of Vaccines and Biologics in the Refrigerator

5.   Cold Chain Management Equipment
       5.1    Refrigerators for Vaccines and Biologics
       5.2    Types of Refrigerators
       5.3    Modifications to Improve Domestic Fridge Temperature Stability
       5.4    Refrigerator Maintenance
       5.5    Temperature Recording Devices
       5.6    Thermometer Placement

6.   Temperature Monitoring
       6.1    Temperature Monitoring by Assigned Personnel

7.   Packing, Storage and Handling for Off-Site Immunization Clinics
      7.1    Basic Principles
      7.2    Equipment for Transport to Off-Site Clinics
      7.3    Packing for Transport
      7.4    Maintaining Cold Chain at an Off-Site Clinic

8.   Managing Cold Chain Problems
      8.1    What to do when the temperature in the refrigerator goes out of the recommended temperature range for the product
      8.2    What to do when the temperature in the freezer goes out of the recommended temperature range for the product
      8.3    Inventory Management of Cold Chain Failures
      8.4    Refrigerator Malfunctions
      8.5    Freezer Malfunctions


Appendices
Resource Forms
Worksheets

 

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