Refresher Training for Frontline Health Workers in Expanded ... - RHO

Sample job aid
1. Vaccine over or under-stocking:
- Maximum of 1 ½ month supply of each vaccine
- Regular monthly cycle of vaccine deliveries
- Inventory and vaccine usage records kept
2. Vaccine stock rotation:
- Different expiry dates: expiring first, use first
- Same expiry date: “First in, First out” principle
- Write date of delivery on vaccine boxes
3. Location of vaccine in the refrigerator:
- No vaccine in door
- Measles, OPV, BCG in the upper main compartment of a refrigerator (+2 to
+8 o C, are not damaged by freezing)
- DPT, TT, BCG, in refrigerator at +2 to +8 o C. Never freeze.
4. Keeping the refrigerator cold:
- Thermometer read and recorded twice daily
- Adjust thermostat dial very carefully
- Unused space full of sealed undrinkable water bottles.
- Ice-packs in freezer
- No food or drink
- Avoid unnecessary door openings: cold air falls out.
5. Looking after your refrigerator:
- Make one person responsible
- Defrost when frost exceeds 0.5 cm thickness
6. Organizing the vaccination session:
- Put day’s estimated vaccine requirements in vaccine carrier
- Foam pad lid on top of ice pack in the vaccine carrier
- Protect from light
- Use foam pad to hold opened vaccines while vaccinated
7. After the vaccination session:
- Reconstituted BCG and measles destroyed at day’s end
- Label remaining vials for first use next day.
8. Protect DPT, TT and DT from freezing:
- Let icepacks sit 20 minutes at room temperature before loading these toxoids
into cold boxes or vaccine carriers (condition the ice packs)
9. Packing cold boxes:
- Use icepacks, not blocks of ice which can soak labels off
- Fill one third volume with icepacks
- Line bottom, top, and sides with icepacks
10. Prepare for cold chain failures:
- Identify emergency energy source
- Know where to find key at all times
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