Cold Chain Protocol - Vaccines 
      and Biologics
    
    
    
    Appendix  5: Cold Chain Failure Response Diagram
     What to do if the Temperature of the  Refrigerator goes outside of 2-8ºC.
    
    
      
        | Essential actions:
            Alert your Vaccine Coordinator that a cold chain failure has occurred regardless of the cause:Follow the procedures and complete form in the Cold Chain  Failure Response Procedure and Form.Take inventory of potentially compromised vaccines and biologics.Isolate potentially  affected product into a separate container (paper  bag) marked “do not use” and  store in a functioning refrigerator.Do not return  product to malfunctioning  fridge until the unit  has been serviced and demonstrated to maintain +2ºC to +8ºC storage temperatures for at least 2 days.Do not use potentially compromised vaccine until clear instructions related to their use have been  received by the manufacturers or from stability data in the product monographs.  Alert your Vaccine Coordinator that a cold chain failure has occurred regardless of the cause:
 Regular office hours contact person: __________________________
            Phone: _____________________________
 After hours contact person:  _________________________________
            Phone: _____________________________
 
 
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        | A Cold Chain Failure Response Form must be completed for all cold chain failures. Consultation with Manitoba Health is required prior to vaccines and biologics being returned.
 Cold Chain Failure Response Forms must be faxed to Manitoba Health at 204-948-2040.
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        | Communicable Disease 
          
          Control (CDC)Public Health
 Manitoba Health
 4th Floor - 300 Carlton St.
 Winnipeg MB  R3B 3M9  CANADA
 
 Health Links – Info Santé204-788-8200 or 1-888-315-9257
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