TempArmour™ Vaccine Storage Blog

What Has Been Updated in the 2019 CDC Vaccine Storage and Handling Toolkit?

Posted by TempArmour Team on Mar 12, 2019 11:20:31 AM

CDC storage-handling-toolkit The CDC Vaccine Storage and Handling Toolkit outlines the best practices for vaccine storage and handling based on Advisory Committee on Immunization Practices (ACIP) guidelines, product information from vaccine manufacturers, and scientific studies. Supporting information, recommendations and resources are included in the Toolkit.

For the most part, all the information that was in the 2018 version is still in the 2019 Toolkit, and in the same order and sections, with several small changes throughout. The reduction in length of the Vaccine Storage and Handling Toolkit from 81 pages to 48 pages is primarily due to a more compact font, formatting and Table of Contents. The document layout and many of the graphics have also been redesigned.

 Notable revisions to the Toolkit include:

New: SECTION SIX: VACCINE TRANSPORT

Vaccine transport information that used to be covered in the “Vaccine Inventory Management” and “Emergency Vaccine Storage and Handling” sections, has been consolidated into the new SECTION SIX: Vaccine Transport.

 “Transport, as described in this section, involves the movement of vaccine between providers or other locations over a shorter distance and time frame and is appropriate for events such as an emergency, off-site clinic, or to ensure vaccines that are about to expire can be used rather than wasted.”

A new table in this section “Transport System Recommendations”, clearly shows what type of transport system is recommended based on the reason for transporting vaccines:

Transport System Recommendations:

 

 

Emergency Transport

Transport for Off-site Clinic, Satellite Facility, or Relocation of Stock

Portable Vaccine Refrigerator or Freezer

Yes

Yes

Qualified Container and Packout

Yes

Yes

Conditioned Water Bottle Transport System

Yes

No

Manufacturer’s Original Shipping Container

Yes (last resort only)

No

Food / Beverage Coolers

No

No

 
New Icon: CDC RECOMMENDATION ICON
There are now two icons used throughout the Toolkit to distinguish between CDC Recommendations and Best Practices as defined below:

CDC Recommendation – CDC recommends this as a minimal action to protect your vaccine supply.

CDC Best Practice – CDC recommends best practices as additional actions, practices, and procedures to enhance protection of your vaccine supply.

Moved: VACCINE STORAGE HANDLING PLANS AND SOPS Section           
The information that was in the “Vaccine Storage and Handling Plans and Standard Operating Procedures (SOPs)” Section in the 2018 toolkit is now addressed in:

Section Two: Staff and Training
Section Six: Vaccine Transport
Section Seven: Emergency Vaccine Storage and Handling
Resources Section (SOPs Worksheet)

NEW Reference Page: PURPOSE BUILT VACCINE STORAGE UNITS
This section refers to purpose-built vaccine storage units that have been developed specifically for the storage of vaccines. They are often unique in design and can take many forms, from traditional stand-alone type units to dispensing type units. Some of the differences in design of some types of purpose-built units are outlined on this page. Immunization programs determine which purpose-built units meet their VFC program requirements. 

OTHER CHANGES:

Although this is not an exhaustive review of every revision to the CDC Toolkit, a few of the updates are highlighted below. We have also included how these sections relate to the TempArmour™ Refrigerators and TempArmour™ Vaccine Carriers:

Note: The TempArmour™ Vaccine Refrigerator is a pharmaceutical-grade, purpose-built refrigerator specifically designed for the effective storage of vaccines. The TempArmour™ Vaccine Carrier is a “Qualified Container and Packout” vaccine transport system.

1/ Under “Temperature Ranges” (Section Three, Page 9):
“factory-set” has been added to:
“Refrigerator or freezer thermostats should be set at the factory-set or midpoint temperature, which will decrease the likelihood of temperature excursions.”

The TempArmour™ Vaccine Refrigerator is a purpose-built refrigerator that arrives with the thermostat setting "factory-set" so that the temperature settles within the optimal range for this refrigerator (3-4.5 °C) to provide the most effective vaccine protection and temperature stability. This lower set point temperature allows the TempArmour™ Refrigerator to maximize its 6 day holdover time during power outages. The lower temperature setting is not a concern for the TempArmour™ refrigerator as its design and technology eliminates the common issues of freezing, cold spots, and temperature spikes.

2/ Water bottle placement in refrigerators (Section Three, Page 13):
“Water bottles are not recommended for use with certain pharmaceutical-grade and purpose-built units. For such units, follow the manufacturer’s guidance.”

No need to add water bottles to the TempArmour™ Vaccine Refrigerator as effective thermal storage is already integrated into the refrigerator to provide exceptional temperature stability.

3/ Non-functioning Units (Emergency Vaccine Storage and Handling, Page 25):
This section has been updated to address how vaccines should be managed in refrigerators and freezers that have stop operating.

“Vaccines may remain inside a nonfunctioning unit as long as appropriate temperatures are maintained. Monitor your DDL to determine when additional action should be taken.”

As TempArmour™ customers know, the TempArmour™ Vaccine Refrigerator is designed to maintain its temperature for up to six days during a power outage, if accidentally unplugged, or for any other reason its operation is disrupted. In fact the TempArmour™ Refrigerator has proven to be an effective alternative to backup power.

4/ Under “Vaccine Transport” (Section Six, Page 21):
This section clarifies what types of soft-sided containers are and aren’t acceptable for vaccine transport:

“Soft-sided containers specifically engineered for vaccine transport are acceptable. Do not use commercially available soft-sided food or beverage coolers because most are poorly insulated and likely to be affected by room or outdoor temperatures.”

The TempArmour™ Vaccine Carrier is an example of a “Qualified Container and Packout” that is specifically engineered for vaccine transport.

DOWNLOAD THE 2019 VACCINE STORAGE AND HANDLING TOOKIT HERE.

Find out more about the 2019 CDC Vaccine Storage and Handling Toolkit and other available resources on the CDC website:
https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html

ANNOUNCEMENT:  NEW NAME... SAME WORRY FREE VACCINE REFRIGERATOR!

Posted by Laura Griffin on Dec 5, 2017 10:04:51 AM

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TempStable Refrigeration is transitioning to a new name: TempArmour™ Refrigeration!

Besides the new name and a new, user friendly website coming by January 2018, everything else will remain the same. All the great features that our customers have come to love and expect from the TempStable Refrigerator will be exactly the same under the TempArmour™ Refrigerator name.  

The new website is www.TempArmour.com and TempStable email addresses have been changed from @tempstable.com to @temparmour.com, however no worries! as www.TempStable.com and TempStable emails will continue to forward to us! 

As always, please feel free to contact us with any questions or if we can be of assistance.

Sincerely,

The TempArmour Team
info@temparmour.com

1 866 485-4199

Updated “Yellow Book” Available - Includes Pre-travel Vaccine Recommendations

Posted by Cassandra Louise on Jul 11, 2017 12:20:32 PM

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Summer is a time for vacationing and travel, and with that comes a large number of health risks. A newly updated version of the CDC Health Information for International Travel (“The Yellow Book”) is now available online to assist healthcare providers in preparing patients for trips overseas.

The 2018 edition of “the Yellow Book” contains the most up-to-date information on pre-travel vaccine recommendations, destination-specific advice, and other travel health guidelines. This revised version contains new information on:

  • Emerging infectious diseases like Zika, Ebola, and MERS
  • Cholera vaccine recommendations
  • Antibiotic usage in the treatment of travelers’ diarrhea
  • Guidance for specific types of travel, such as wilderness expeditions, work-related travel, and overseas studies
  • Recommendations specific to popular destinations, including Cuba and Burma

The CDC has made Health Information for International Travel available online at https://wwwnc.cdc.gov/travel/page/yellowbook-home and in print through Oxford University Press.

CDC Releases General Best Practice Guidelines for Immunization

Posted by Cassandra Louise on Jun 16, 2017 12:07:18 PM

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On April 20, 2017, the CDC released the online report General Best Practice Guidelines for Immunization. This new report is intended to replace the 2011 document titled ‘General Recommendations on Immunization’.

This report contains critical information to assist healthcare practitioners in the United States in administering vaccines to diverse patients in the most effective way possible. This includes when patients should receive vaccinations, how many doses, what precautions need to be taken, and how to respond to adverse reactions. It also provides information about vaccine benefits and risks which can help healthcare practitioners address patient concerns that may stem from the growing body of conflicting information about immunization.

General Best Practice Guidelines for Immunization can be accessed here:

https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html.

Be sure to sign up on the CDC website to receive email notifications of any updates to the guidelines!

How to Simplify Vaccine Storage and Handling

Posted by Cassandra Louise on Jun 9, 2017 5:54:27 PM

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Proper vaccine storage and handling practices are essential for protecting vaccines. Even the smallest mistake, oversight, or malfunction can result in costly losses or reduced effectiveness. To prevent these negative outcomes, health authorities at a variety of levels create guidelines, recommendations, and standards in attempts to reduce risk as much as possible.

The lengths that we must go to protect vaccines have increased over time. From lining fridges with water bottles and leaving space between boxes, to on-call nurses responding to temperature changes after-hours and developing elaborate emergency plans, it can feel like we are working harder to protect vaccines than our fridges are. New measures are put in place all the time in an attempt to overcome weaknesses and inefficiencies of our vaccine refrigerators.

The TempArmour™ Refrigerator has been designed to address as many of these difficulties as possible. By rethinking refrigeration down to the very basics, TempArmour™ offers a simple yet unique and innovative design that aims to eliminate challenges, rather than applying band-aid solutions to the problems of traditional models. This results in a purpose-built vaccine refrigerator that reduces the work and worry of protecting vaccines instead of adding to it.

Here are just a few ways that the TempArmour™ Vaccine Refrigerator can help to simplify vaccine storage and handling practices:

  • Built-in technology reliably holds the refrigerator’s temperature stable, meaning that there is no need for water bottles to help keep the temperature in range.
  • Since the technology is not fan-dependent, space between vaccines is not required. Vaccines can be packed close together anywhere within the fridge.
  • The chest-style design helps to keep heavier cold air inside, preventing temperature spikes when the door is opened.
  • The TempArmour’s incredible ability to hold the temperature in range for up to 6 days gives users ample time to react to power outages, accidental unplugging, or refrigerator malfunction. This eliminates the need for battery back-up, generators, or on-call staff to quickly transport vaccines elsewhere to keep them within temperature range.

Contact us to learn more about the ways that the TempArmour™ Refrigerator can work for you.

Vaccine Storage Emergency Planning – A Case Study

Posted by Cassandra Louise on May 26, 2017 1:49:17 PM

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The TempArmour™ Vaccine Refrigerator takes the difficulties and stress out of emergency situations. With 4-7 days of holdover time, many possible problems can be addressed without moving vaccines or using backup power.

The Chippewas of Nawash Health Centre experienced this first hand when they suffered a power outage on a weekend caused by a lightning storm. By Monday morning, the temperature within their TempArmour™ Refrigerator was still well within the required range. However, after the power to the building was restored, they soon realized that the refrigerator was not turning on, even though there was power to the outlet. Through talking to our TempArmour support team, they discovered that the power supply had been damaged due to a power surge during the lightning storm.

Because of the TempArmour™ Refrigerator’s incredible ability to hold temperature, the clinic staff and the TempArmour support team still had ample time to act without risking loss of vaccines. A replacement part was shipped and easily installed onsite – no technician required. The vaccines inside the refrigerator were still safely within range and no additional action was required. The TempArmour Refrigerator had stayed within temperature range for several days, providing more than enough time to address the problem.

The TempArmour™ Vaccine Refrigerator is designed to make vaccine storage worry-free and keep your vaccines protected, even in emergency situations. Contact us to discuss how we can help you take the stress out of emergency planning!

TempArmour™ Vaccine Refrigerator Discounts

Posted by Cassandra Louise on May 12, 2017 10:45:58 AM

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It is now easier than ever to purchase a TempArmour™ Vaccine Refrigerator!

The TempArmour™ purpose-built vaccine refrigerator uses proven technology to keep critical vaccines safely within temperature range. In addition to simplifying emergency planning and risk management, the TempArmour™ Refrigerator also has the potential for significant cost-savings.

With so many benefits, we want to make this great product available to as many healthcare facilities as possible. Here are some ways that we’ve made it easier to purchase a TempArmour™ Vaccine Refrigerator:

  • Volume Discounts – We offer savings on orders of multiple units, even if they are being delivered to different locations.
  • Discounted display models and dented units – Get all the same TempArmour benefits at a lower price by purchasing a display model or a unit that has superficial imperfections. There are only a few of these units, so be sure to claim yours right away!

To get a quote or find more information about volume pricing or discounted units, speak to our staff by calling 1-866-485-4199 or email info@temparmour.com.

Immunization Conferences and Summits May-July 2017

Posted by Cassandra Louise on May 4, 2017 5:02:36 PM

 

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A number of immunization conferences and summits are being held across the country over the next few months. They offer a great opportunity to get the most up-to-date information on new technology, standards and regulations, and best practices. Be sure to mark your calendar for the immunization event in your area!

2017 National Adult and Influenza Immunization Summit
May 9–11, 2017
Atlanta, Georgia

14th Annual Immunize Nebraska Conference
June 9, 2017
Omaha, Nebraska

2017 Iowa Immunization Summit
June 14–15, 2017
Des Moines, Iowa

23rd Annual Pennsylvania Immunization Conference
June 15, 2017
Harrisburg, Pennsylvania

West Virginia Immunization Summit
June 21–22, 2017
Charleston, West Virginia

North Carolina State Immunization Conference
July 19–21, 2017
Greensboro, North Carolina

 

Vaccine Refrigerator Demo at AAP Conference – temperature maintained for 6 days after unplugged!

Posted by Laura Griffin on Nov 3, 2016 5:11:07 PM

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On October 22-24, 2016, TempArmour™ Refrigeration traveled to San Francisco, California to take part in the American Academy of Pediatrics (AAP) 2016 National Conference & Exhibition.

To demonstrate the incredible hold-over time of the TempArmour™ Vaccine Refrigerator, it was unplugged on Tuesday, October 18th and shipped to the AAP Conference site. When the fridge was opened at the tradeshow three days later on Saturday, October 22nd, the temperature was 5.1°C (41.2°F). On Monday, October 24th, when we were ready to pack up again, the temperature remained at 5.6°C (42.1°F), well below the upper limit of 8°C (46°F). The TempArmour™ refrigerator was still safely within temperature range to keep vaccines protected after 6 days without being plugged in!

The AAP conference provides a forum for physicians, residents, medical students, nurses and allied health members to convene for practical updates and reviews of pediatric practice, research, and advocacy. The pediatric technical exhibit is the largest of its kind and featured more than 360 companies, bringing the latest commercially available pediatric medical and pharmacologic products, services, resources, and technology. It was a great opportunity to meet health professionals from around the world and share knowledge and expertise.

TempArmour™ is the only vaccine refrigerator on the market that can hold temperature up to a week without power! We are proud to work with Pediatricians to keep children safe and healthy by helping to protect critical vaccines.

Rest Easy During the Storm Knowing That Your Vaccines Are Safe!

Posted by Laura Griffin on Jan 25, 2016 12:43:12 PM

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It seems that no matter where you are located, extreme weather events are occurring more frequently.

Unfortunately for staff members that manage vaccines, there is an increased probability of power outages during storms, and that your facility may lose power in the midst of one.

Most providers have three choices when volatile weather conditions are forecast:

1/ Move your vaccines to an alternate pre-determined storage location in advance of the storm.
However, the preparation and travel time, costs, and disruption to the office can be significant.

2/ Leave your vaccines in place if your refrigerator has a continuous-monitoring temperature alarm/notification system.
If the alarm goes off will anyone be able to venture out into the storm to retrieve the vaccines? It may not be safe or even possible in many cases.

3/ Relax and stay safe with the TempArmour Worry Free Vaccine Refrigerator.
Even if there is a power outage, the TempArmour will stay in range for days (without backup power). 

With the TempArmour Refrigerator, you don’t have to worry about how or when you will be able to get to your facility.  With the ability to stay in range for over 4 days without a backup power source, you can rest easy knowing that the vaccines won’t spoil.

We are not suggesting that there will never be a scenario with the TempArmour where you may need to move your vaccines (e.g., flooding, forest fire, prolonged evacuation, etc.)…it’s just much less likely.

Remember…SAFETY first!

Note: CDC’s Vaccine Storage & Handling Toolkit recommends that an Emergency Vaccine Retrieval and Storage Plan be in place. VFC Providers under the Vaccines for Children (VFC) Program are also required by their State to have an Emergency Vaccine Management Plan in Place. Click here to view Vaccine Storage and Handling Guidelines and Information.

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