Orientating Nurses to General Practice - General Practice Queensland

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1. Unpack vaccines immediately after they are delivered and check thatice packs have not completely thawed for vaccines that are delivered ineskies.2. Check the ColdMark monitor or Time Temperature Indictor Lable fortemperature.3. Store immediately in the vaccine dedicated refrigerator.4. Rotate stock.Your practice should have a system in place to record stock ordered andreceived.If at any stage you believe that vaccines have been compromised in any wayat all, contact Qld Health Immunisation Program (QHIP) previously known asVaccination Information and Vaccine Administration Services (VIVAS) on3234 1500.Strive for 5: The National Vaccine Storage Guidelines forImmunisation Providers on Maintaining the Cold Chain gives furtherinformation about cold chain and vaccine storage. These guidelines can beobtained from www.immunise.health.gov.au/publications.Vaccine RefrigeratorsTraditionally general practices keep vaccines in various types of domesticrefrigerators. However, recently it has been shown that temperatures indomestic refrigerators fluctuate greatly outside of the range of 2°C – 8°C andpotency cannot always be assured. A great number of practices are replacingtheir domestic refrigerator with purpose built vaccine refrigerators.Queensland Health state that bar refrigerators are considered too small andinappropriate to store vaccines.The following standards for vaccine refrigerators are in place for Queensland:• National Health and Medical Research Council (NHMRC) TheAustralian Immunisation Handbook 8 th Edition 2003, page 54.Purpose built vaccine refrigerators are the preferred refrigerators forvaccine storage. It is recommended that if possible, purpose-builtvaccine refrigerators are used by larger vaccination services, includinghospitals, pharmacies, larger community health centres and largergeneral practices.11
• Royal Australian College of General Practice (RACGP)Standards for General practices 2 nd EditionCriteria 5.2.4 Page number 53The practice has appropriate vaccine storage which maintains vaccinesat temperatures between 2°C and 8°C. The temperature iscontinuously monitored and is checked and recorded daily.Purpose Built Vaccine RefrigeratorsThere are several manufacturers and/or distributors of purpose built vaccinerefrigerators in Australia. For a list of suppliers contact Queensland Health orthe Division.Purpose built vaccine refrigerators are programmed to maintain an internaltemperature between 2°C to 8°C. The benefits of having a purpose builtvaccine refrigerator are that it:• is designed especially for vaccines;• automatically defrosts;• has an external temperature reading display;• has a maximum/minimum temperature continuous display; and• has an alarm for deviations outside the programmed temperaturerange.Refrigerator MaintenanceRefrigerator breakdowns should be repaired immediately. The door sealsshould be in good condition so that the door closes securely. Refrigeratorsthat are not ‘frost free’ should be defrosted regularly to prevent ice build-up.Ice build-up can reduce the efficiency and performance of a refrigerator.During defrosting or cleaning of the refrigerator, move the vaccines to asecond refrigerator ensuring the cold chain procedure. This temporary storagerefrigerator must also be monitored to ensure the correct temperaturesbetween 2°C and 8°C is maintained. Alternatively the vaccines can be storedin a pre-cooled, insulated container with ice packs or ice until the normalvaccine refrigerator is ready for use again. (The Australian ImmunisationHandbook 8 th Edition, page 56 - Also see section on “Transporting vaccines ininsulated containers, page 60).Temperature MonitoringVaccines must be monitored daily with a minimum and maximumtemperatures recorded. Temperatures can be recorded on a graph which canbe obtained from Queensland Health by calling 3234 1500.Refrigerators used for vaccines must have a minimum/maximum thermometerprobe placed on the middle shelf and temperatures should be checked andrecorded daily prior to patients being seen. Therefore if there has been a12
Page 2 and 3: Disclaimer: Every effort has been m
Page 4 and 5: • INTEGRATING WITH THE BRISBANE S
Page 6 and 7: INTRODUCTIONThis manual has been de
Page 8 and 9: HUMAN RESOURCE MANAGEMENTORIENTATIO
Page 11 and 12: Unit Number Components of Unit Pers
Page 13 and 14: significant involvement in complex
Page 15: milestone was accomplished in the M
Page 19 and 20: • If the vaccines are not packed
Page 21: The following ACIR Forms can be dow
Page 24 and 25: General Duties:Depending on the job
Page 26 and 27: Other Key Duties:The Enhanced Prima
Page 28 and 29: The Practice Nurse role may include
Page 30 and 31: Diabetes Australia. This allows the
Page 32 and 33: ֠TIPYou can access excellent resou
Page 34 and 35: ֠TIPFamiliarise yourself with the
Page 36 and 37: the palms and tops of the hands, an
Page 38 and 39: confidentiality must be maintained
Page 40 and 41: • To assist with the development
Page 42 and 43: ֠TIPFor further information on the
Page 44 and 45: Practice Nurses can contribute to t
Page 46 and 47: Competency StandardsPROFESSIONAL IS
Page 48 and 49: COMMON ACRONYMS USED IN GENERAL PRA
Page 50 and 51: SECTION 2Integrating With Divisions
Page 52 and 53: BRISBANE SOUTH DIVISION OF GENERAL
Page 54 and 55: INTEGRATING WITH THE BRISBANE SOUTH
Page 56 and 57: SECTION 3Education and Professional
Page 58 and 59: Brisbane South Nursing Forums - Pra
Page 60 and 61: flaps, grafts and donor sites, mana
Page 62 and 63: COORDINATING PATIENT SERVICESThe Pr
Page 64 and 65: BRISBANE SOUTH DIABETES REFERRAL SE
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• Support groups• Vision/hearin
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֠TIPFor an extensive profile of th
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The varieties of services which can
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COMMUNITY ALLIED HEALTH SERVICESIn
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For a full list of services see htt
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MEALS ON WHEELSMeals on Wheels prog
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The role of the Centre is to provid
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IImmunisation Australia Infoline 18
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COMMONLY USED WEB SITESAged and Com
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REFERENCES1. National Health and Me
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Orientating Nurses to General Practice - General Practice Queensland

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