Manitoba Health
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Cold Chain Protocol - Immunizing Agents and Biologics
Table of Contents
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 Immunizing Agents
3.2 Inventory Management
3.3 Expired or Unusable Products
4. Storage Practices for Immunizing Agents and Biologics
4.1 Ordering Immunizing Agents and Biologics from Manitoba Health
4.2 Placement of Immunizing Agents and Biologics in the Refrigerator
5. Cold Chain Management Equipment
5.1 Refrigerators for Immunizing Agents 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 is Below +2°C or Above +8°C
8.2 Inventory Management of Cold Chain Failures
8.3 Refrigerator Malfunctions
Appendices
- Appendix 1: Instructions for the Refrigerator and Temperature Monitoring Maintenance
- Appendix 2: Defrosting a Refrigerator/Freezer
- Appendix 3: Malfunctioning Refrigerator Trouble Shooting Checklist
- Appendix 4: Algorithm to Assess Problems in Temperature Readings
- Appendix 5: Cold Chain Failure Response Diagram
- Appendix 6: Contact Information
Resource Forms
- Resource 1: Magnetic Vaccine Storage Diagram
- Resource 2: Refrigerator/Termperature Monitoring Maintenance Log
- Resource 3: Temperature Log for Immunizing Agents and Biologics
- Resource 4: Storage Trouble Shooting Record
- Resource 5: Cold Chain Failure Response Form and Procedures
- Resource 6: DO NOT UNPLUG and WARNING Notices
- Resource 7: Immunization Input Form for Facilities and Clinics
Worksheets
- Worksheet 1: Checklist for Storage of Immunizing Agents and Biologics
- Worksheet 2: Provider or Personnel Agreement Form
- Worksheet 3: Immunizing Agents and Biologics Storage Tasks – Roles and Responsibilities
- Worksheet 4: Routine and Emergency Contact List
To reach staff and for general enquiries: |
Communicable Disease
Control (CDC) |
