Using Top-Opening Refrigerators With Baskets

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Correctly apply the multi-dose vial policy (MDVP) to safely handle opened multi-dose vials

Using the Multi-Dose Vial Policy

Perform a shake test when vaccines have been exposed to freezing temperatures

How to Do a Shake Test

Stock Management

Using Front-Opening Refrigerators

Arrange vaccines and diluents inside the refrigerator so they are not exposed to damaging temperatures

Arranging Vaccines Inside Any Refrigerator

Use vaccine vial monitors (VVMs) to determine when to use and discard vaccines

How to Read a VVM

Resources

IIP-Vaccine Cold Chain

Use and basic maintenance of cold chain and temperature monitoring equipment
Temperature monitoring chart

For monitoring and recording refrigerator temperatures every day, twice a day

No matter which type of refrigerator your facility uses, it is important to know how to arrange vaccines, diluents, and water packs inside to keep them at the right temperature.