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Vaccine Storage Contingency Plan Facility Name TVFC PIN Address Date City State Zip Code Phone Clinic staff responsible for transfer of vaccine Phone number Name Name back-up Transfer vaccine to Address Generator Contact Name Date of agreement Where to obtain Yes No Ice Dry ice Cooler Shipping Agent Tracking number Contact with LHD/HSR made prior to transport by Transport of refrigerated vaccine checklist Temperature of refrigerator prior to transport Inventory of vaccine use C-33 and included in bag with vaccine. Keep a copy for your records. Bag labeled with PIN clinic name clinic contact phone number. Container used to transport refrigerated vaccine Ice packs are in container separated from vaccine by crumpled paper. Thermometer in container. Time and temperature in container prior to transport Person transporting vaccine Varicella packed in dry ice. In the event of a city-wide evacuation contact your health service region for evacuation plan* Texas Department of State Health Servic....

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How to fill out the Vaccine Storage Contingency Plan online

Filling out the Vaccine Storage Contingency Plan is an essential step in ensuring the safe transport and storage of vaccines. This guide will provide you with clear, step-by-step instructions on how to complete the form online efficiently.

Follow the steps to accurately complete the Vaccine Storage Contingency Plan.

  1. To begin, locate and press ‘Get Form’ to access the Vaccine Storage Contingency Plan. This will open the necessary form in your online editor.
  2. Fill in the facility name in the designated field. This is the name of your organization that is responsible for vaccine storage.
  3. Enter your TVFC PIN, which is necessary for identification and enrollment purposes.
  4. Complete the address section with your facility’s full address, ensuring accuracy for future correspondence.
  5. Input the current date in the specified section to document when the form is being filled out.
  6. Provide the city, state, and zip code for your facility to ensure proper identification.
  7. Enter the phone number where your facility can be reached.
  8. List the names and phone numbers of the clinic staff responsible for vaccine transfer. Include a back-up contact for contingency purposes.
  9. Indicate the facility name you will transfer the vaccine to and provide their contact details, including phone number and address.
  10. Document the agreement date and any relevant contact information for the generator of the vaccine.
  11. Specify the inventory and transport conditions, including the lists of ice and dry ice needed while transporting vaccines.
  12. Fill out the transport preparation checklist as per the guidelines for both refrigerated and frozen vaccines, ensuring accuracy in temperature readings.
  13. Note the name and contact of the person responsible for transporting the vaccines.
  14. In the event of a city-wide evacuation, ensure you include the health service region contact details for a streamlined evacuation plan.
  15. Once you have completed all fields, review all entries for accuracy, and then save your changes. You can proceed to download, print, or share the Vaccine Storage Contingency Plan as needed.

Take action now by completing the Vaccine Storage Contingency Plan online to ensure safe vaccine transportation.

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Vaccines should be stored in the refrigerator in their original packaging. Vaccines must never be stored in the door of the refrigerator. Ensure that your refrigerator capacity is large enough to store your vaccine supply. There must also be enough room to allow air to circulate around the vaccine packages.

measles vaccine, BCG and OPV are stored in the bottom only. freeze-sensitive vaccines (pentavalent, PCV10, TT and HepB) in the top only.

Store frozen vaccines (Varicella, MMRV, and Zoster) in a freezer between -58°F and +5°F (-50°C and -15°C). Store all other routinely recommended vaccines in a refrigerator between 35°F and 46°F (2°C and 8°C). The desired average refrigerator vaccine storage temperature is 40°F (5°C).

Vaccines should be placed in the center of the refrigerator, away from the walls and floor of the unit in open containers so air can circulate around the vaccines.

Off-Site Clinics Varicella-containing vaccines are fragile. If these vaccines must be transported to an off-site clinic, CDC recommends transport with a portable freezer unit that maintains the temperature between -58°F and +5°F (-50°C and -15°C). Portable freezers may be available for rent in some places.

Store frozen vaccines (Varicella, MMRV, and Zoster) in a freezer between -58°F and +5°F (-50°C and -15°C). Store all other routinely recommended vaccines in a refrigerator between 35°F and 46°F (2°C and 8°C). The desired average refrigerator vaccine storage temperature is 40°F (5°C).

Vaccine should be stored only in freezers or refrigerator/freezer units with separate compartments and exterior doors. -50°C to -15°C. Refrigerator or room temperature. Store separately from vaccine.

Freeze and store ice-packs in the freezer compartment. Store all the vaccines and diluents in the refrigerator compartment. If there is not enough space, diluents can be stored at room temperature.

Varicella vaccine (A) and zoster vaccine live (ZVL) (C) MUST be stored in the freezer. MMR vaccine (B) can be stored in the refrigerator or freezer. Recombinant zoster vaccine (RZV) (D) MUST be stored in the refrigerator.

0:00 3:17 Suggested clip How to Arrange Vaccines Inside Any Refrigerator - YouTubeYouTubeStart of suggested clipEnd of suggested clip How to Arrange Vaccines Inside Any Refrigerator - YouTube

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232