Case scenario

Annaleise, a pharmacist vaccinator, is delivering her first influenza vaccine outreach clinic in her local community. She has packed the various vaccines in a polystyrene cooler, carefully following instructions to sweat the ice bricks, wrap them in bubble wrap, layer the contents using insulating material (shredded paper) and placing the min/max thermometer probe into the middle of the vaccines. She ensures the vaccines do not touch the ice bricks. She has been advised the clinic venue is 15 minutes’ drive away and is scheduled for 2 hours’ duration. On departure from the pharmacy, Annaleise checks the min/max thermometer monitor and again upon arrival at the venue, then approximately every
15 minutes and records these on the chart.

An hour into delivering the outreach clinic, Annaleise is asked if she can extend her time as some clients have been delayed in getting to town from their remote station for their vaccinations. Annaleise is not sure that her cooler will be able to maintain cold chain and she did not bring spare ice bricks with her. She contacts a staff member at the pharmacy to deliver more ice bricks as soon as possible.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Discuss the challenges of transporting temperature-sensitive vaccines and maintaining cold chain in the outreach and mobile setting
  • Summarise cold chain management strategies specific to outreach and mobile services
  • Explain why cold chain management is important and how it can be achieved in the outreach and mobile setting.

Competency standards addressed (2016): 1.1, 1.3, 2.3, 2.4, 3.2

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