Monday, January 7, 2019
Vaccine and Diluent Placement and Labeling
Vaccine and Diluent Placement and Labeling
Vaccines should be stored in the center of the unit as this is the area where appropriate temperatures are typically most stable. A storage unit should be big enough so that vaccines can be placed in the part of the unit best able to maintain the constant, required temperature away from the walls, coils, cooling vents, ceiling, door, floor and back of the unit. Vaccines and diluents should be kept in their original packaging with the lids on until ready for administration and stacked in rows with vaccine and diluent of the same type.
Trays or uncovered containers/bins that allow for air circulation can be used to organize the vaccines and diluents within the storage unit. Do not store vaccines in unit doors or in deli, vegetable, or fruit crisper drawers. Avoid storing vaccines on the refrigerator top shelf. If the top shelf must be used, place water bottles close to the vent and only store vaccines not sensitive to coldest temperatures (e.g., MMR).
Some diluents must be refrigerated and others may be stored in the refrigerator or at room temperature. Always follow the manufacturer’s guidance in the product information/package inserts. If possible, store diluent next to the corresponding vaccine. Some of these diluents may contain vaccine antigen. Never store diluents in the freezer.
There should be space between the vaccine and diluent stacks or containers. This will help to avoid confusion between products, provide for air circulation around and through stacks for even cooling, and protect vaccines from unnecessary light exposure. Not only live attenuated vaccines, but also some inactivated vaccines must be protected from light. Information on light sensitivity can be found in the manufacturer’s product information/package insert.
Each vaccine and diluent stack or container should be clearly labeled. This can be accomplished by attaching labels directly to the shelves on which vaccines and diluents are stored or by placing labels on the containers. Store pediatric and adult vaccines on different shelves. Use color coded labels that include the vaccine type, as well as age and gender indications, if applicable. Having each vaccine and diluent stack or container labeled helps decrease the chance that someone will inadvertently administer the wrong vaccine or use the wrong diluent to reconstitute a vaccine. Vaccines that sound or look alike should not be stored next to each other, e.g., DTaP and Tdap. VFC vaccines and other vaccines purchased with public funds should be identified and stored separately from vaccines purchased with private funds.
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