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9. Vaccine Storage and Handling

Objectives

a. Describe vaccine storage and handling best practices, including training, equipment, and inventory management.
b. Identify common storage and handling errors and appropriate actions to address these errors.
c. Locate current vaccine storage and handling resources.
d. Describe vaccine storage and handling recommendations for off-site or satellite facilities.
e. Develop plans that include standard operating procedures (SOPs) for routine and emergency vaccine storage and handling.
f. Determine the time a vaccine (and diluent, if applicable) expires when using a single-dose vial, a multidose vial, and a manufacturer-filled syringe.
g. Determine when a vaccine will expire according to a beyond use date (BUD).
h. Describe proper vaccine disposal procedures based on state and environmental agency regulations.
i. Locate resources relevant to current vaccine recommendations.
j. Describe nursing roles and responsibilities related to storage and handling: ensuring appropriate storage and handling, maintaining vaccine integrity, and monitoring and overseeing vaccine storage and handling, as well as records manager and lifelong learner.

Resources

Web pages
American Academy of Pediatrics (AAP)–Immunization: Vaccine Storage and Handling
  • www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/immunizations/Practice-Management/Pages/Vaccine- Storage-and-Handling.aspx

CDC Vaccines and Immunizations
  • Resources on Proper Vaccine Storage and Handling
    www.cdc.gov/vaccines/recs/storage/default.htm

  • Vaccine Storage and Handling Toolkit
    www.cdc.gov/vaccines/hcp/admin/storage/toolkit

​Food and Drug Administration 
  • Food and Drug Administration (FDA)–Vaccines Licensed for Use in the United States www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm093833.htm
​
Immunization Action Coalition (IAC)
  • Ask the Experts: Storage and Handling
    www.immunize.org/askexperts/storage-handling.asp

  • Clinic Resources: Storage and Handling
    ​www.immunize.org/clinic/storage-handling.asp
​
learning modules
CDC Epidemiology and Prevention of Vaccine-Preventable Diseases (Pink Book) webinar series–Vaccine Storage and Handling and Administration
  • https://www.cdc.gov/vaccines/ed/webinar-epv/index.html    

CDC You Call the Shots–Vaccine Storage and Handling module
  • www.cdc.gov/vaccines/ed/youcalltheshots.htm

EZIZ website–Storage and Handling Lessons
  • eziz.org/eziz-training

Nursing Initiative Promoting Immunization Training (NIP-IT) Module 5: Vaccine Administration–Safe Vaccine Storage
  • nip-it.org/vaccine_administration.as
VIDEOS
CDC YouTube Channel

Influenza Update 2019–2020
  • www.youtube.com/watch?v=l7ywQeRD0YE


​Keys to Storing and Handling Your Vaccine Supply​
  • ​www.youtube.com/watch?v=VCzO8Zod8DI

 Storage and Handling Best Practices: Hawaii
  • https://www.youtube.com/watch?v=WkOkMyE8R9g
BOOKS
  • American Academy of Pediatrics. Active and Passive Immunization. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2018 Report of the Committee on Infectious Diseases, 31st ed. Itasca, IL: American Academy of Pediatrics; 2018:1–111.
  • CDC. Vaccine Storage and Handling. In: Hamborsky J, Kroger A, Wolfe S, eds. Epidemiology and Prevention of Vaccine-Preventable Diseases, 13th ed. Washington, DC: Public Health Foundation; 2015:63–77. Available at www.cdc.gov/vaccines/pubs/pinkbook/vac-storage.html.
  • Marshall G. Vaccine Practice. In: Marshall G. The Vaccine Handbook: A Practical Guide for Clinicians, 5th ed. West Islip, NY: Professional Communications, Inc.; 2015:101–128.
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  • Home
  • Topics
    • 1. Public Health Perspectives
    • 2. Immunization Strategies
    • 3. Immune System/Immunology
    • 4. Vaccine-Preventable Diseases
    • 5. Types of Vaccines
    • 6. Immunization Schedules
    • 7. Communications
    • 8. Legal/Ethical Issues
    • 9. Vaccine Storage and Handling
    • 10. Vaccine Administration
    • 11. Documentation
    • 12. Vaccine Safety
  • Resources
  • Background
  • Feedback