|
MINISTRY
OF HEALTH |
SOCIALIST
REPUBLIC OF VIETNAM |
|
No. 478/QD-QLD |
Hanoi, August 10, 2021 |
GUIDELINES FOR RECEIVING, TRANSPORTING, PRESERVING, AND USING COVID-19 VACCINE
DIRECTOR OF DRUG ADMINISTRATION OF VIETNAM
Pursuant to Decree No. 75/2017/ND-CP dated June 20, 2017 of Government on functions, tasks, powers, and organizational structure of Ministry of Health;
Pursuant to Decision No. 7868/QD-BYT dated December 28, 2018 of Minister of Health on functions, tasks, powers and organizational structure of Drug Administration of Vietnam affiliated to Minister of Health;
Pursuant to Decision No. 3043/QD-BYT dated June 24, 2021 of Minister of Health establishing Steering Committee for Nationwide Launching of COVID-19 Vaccination Campaign;
Pursuant to Circular No. 03/2018/TT-BYT dated February 9, 2018 of Minister of Health on Good practice of drug and pharmaceutical starting material distribution;
Pursuant to Circular No. 36/2018/TT-BYT dated November 22, 2018 of Minister of Health on Good practice of drug and pharmaceutical starting material preservation;
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HEREBY DECIDES:
Article 1. Issue Guidelines on receiving, transporting, preserving, and using COVID-19 vaccine in Nationwide COVID-19 vaccination campaign under Annex attached hereto.
Article 2. Heads of relevant agencies and entities shall rely on these guidelines to develop and issue specialized procedures applicable to activities in agencies and entities.
Article 3. This Decision comes into effect from the day of signing.
Article 4. Chief of Office, Director of Pharmaceutical Trade Management Department, Director of Drug Quality Control Department - Drug Administration of Vietnam, Director of National Institute of Hygiene and Epidemiology, and heads of relevant agencies and entities are responsible for implementation of this Decision./.
PP. DIRECTOR
VICE DIRECTOR
Le Viet Dung
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GUIDELINES FOR RECEIVING, TRANSPORTING, PRESERVING, AND USING
COVID-19 VACCINE IN NATIONWIDE COVID-19 VACCINATION CAMPAIGN
(Attached to Decision No. 478/QD-QLD dated August 10, 2021 of Director
of Drug Administration of Vietnam)
No.
Guidelines
1
Receiving vaccine
2
Preserving vaccine in refrigerators
3
Preserving diluents
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Preserving vaccine in ultra-low freezers
5
Preserving vaccine in ultra-low freeze temperature in thermal containers
6
Monitoring vaccine preservation temperature
7
Frosting and defrosting ice-packs
8
Packing vaccine in cold boxes
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Transporting vaccine with refrigerated trucks
10
Transporting vaccine with cold boxes
11
Maintaining refrigerators
12
Responding to emergencies
13
Allocating and distributing vaccine
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Checking vaccine and diluents
15
Recalling and storing vaccine separately
16
Responding to issues during transportation
17
Transporting COVID-19 vaccine from airports to storage facilities
18
Returning vaccine containers to manufacturers
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GUIDELINES ON RECEIVING VACCINE AND DILUENTS
1. Objectives
These guidelines aim to assist personnel in agreeing and complying with steps for receiving vaccine and diluents safely while reducing impact of the surrounding (temperature, light, etc.) on vaccine and diluents, and avoiding confusion.
2. Equipment and relevant documents
Cold chain equipment and temperature monitoring instrument consist of: refrigerators, cold boxes, ice-packs, temperature monitoring instrument.
Documents on vaccine distribution, vaccine logbook, records of delivery/goods-dispatch note, etc.
3. Procedures
3.1. Preparation
3.1.1. Preparing cold equipment with adequate volume to contain vaccine prior to receipt.
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- In case refrigerators are containing vaccine, storage personnel shall rearrange said vaccine to make adequate volume and separate to prepare for new vaccine.
3.1.2. Examining and preparing temperature monitoring instrument for each cold equipment: Examine working conditions of temperature monitoring instrument of each refrigerator and automatic temperature reading instrument,
3.1.3. Preparing vaccine logbook to record information upon receiving vaccine.
3.1.4. Washing hands: Personnel must wash hands before holding vaccine containers and vials.
3.2. Implementation steps
No.
Work entry
Assignment
1
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Storage personnel
Vaccine receiving personnel
Vaccine delivering personnel
2
Examine preservation temperature when receiving vaccine (temperature of refrigerated trucks, temperature of each cold box serving vaccine transportation). Specify temperature in record of delivery
Storage personnel
Vaccine receiving personnel
Vaccine delivering personnel
3
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Examine and cross check each vaccine and diluent with goods-dispatch note:
* Visual properties:
Examine conditions of transport vehicles/cold-boxes: external conditions, hygiene, arrangement,
Examine conditions of each vaccine container/box: integrity, contamination, etc.
* In details: Cross check with relevant documents:
- Name of vaccine/diluent
- Batch number, expiry date.
- Number of vaccine of each batch
- Conditions of temperature monitoring instrument,
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- Time and date of receiving and inspecting each cold-box serving vaccine preservation
Any irregularity or discrepancy between actual conditions and those specified in notice of dispatch (example: contaminated, damaged, blurred packaging, inadequate number of vaccine, batch number, expiry date, etc.) must be reported to superiors for timely solutions
Storage personnel
Vaccine receiving personnel
Vaccine delivering personnel
4
Arrange vaccine in cold equipment according to guidelines on preserving vaccine refrigerators
Storage personnel
5
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Storage personnel
6
Sign record of delivery/goods-dispatch note and store in documents on receiving vaccine/diluent.
Storage personnel
7
Record vaccine and diluent information in “Receive” section in vaccine logbook: name of delivering entities, type of vaccine, diluent, place of manufacturing, quantity, batch number, expiry date, temperature/conditions of vaccine vial monitor (VVM) (if any), visual conditions, etc.
Storage personnel
GUIDELINES ON PRESERVING VACCINE IN REFRIGERATORS
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These guidelines aim to assist storage personnel and other personnel engaging in preservation of vaccine/diluent in arranging, preserving vaccine/diluent safely in refrigerators as per the law, and reducing error and impact of temperature, light, etc. on vaccine quality.
2. Equipment and relevant documents
- Refrigerators.
- Temperature monitoring instrument: thermometer, automatic temperature reading equipment, freeze tag (if any).
- Daily temperature graph.
3. Procedures
3.1. General principles:
- DO NOT place drugs, chemicals, specimen, food, and drinks in vaccine refrigerators.
- DO NOT preserve expired vaccine, vaccine with labels covered in mold in vaccine refrigerators with other vaccine.
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3.2. Washing hands: Personnel must wash hands before holding vaccine containers and vials.
3.3. Implementation steps
No.
Entry
Assignment
1.
Place vaccine containers in the basket of a refrigerator.
NEVER remove the basket of a refrigerator to allow more storage capacity. Leave a 2 cm gap between vaccine containers to allow cold air to flow.
Storage personnel
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2.
Arrange vaccine by type, batch, and expiry date to distribute with ease while prioritizing vaccine closer to its expiration date and vaccine preserved earlier than the others.
Physical separation must be installed between different types of vaccine stored in the same refrigerator. Containers of different batches of vaccine must be marked and separated.
Vaccine that is received at a later date but is closer to expiration date shall be prioritized for distribution based on expiration date.
Storage personnel
Personnel arranging and preserving vaccine
3.
Place temperature monitoring instrument and vaccine in designated position.
Storage personnel
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4.
Examine and monitor temperature of vaccine refrigerators on a daily basis and record temperature in temperature log according to guidelines on monitoring and recording vaccine preservation temperature.
Storage personnel
Personnel arranging and preserving vaccine
GUIDELINES ON PRESERVING DILUENTS
1. Objectives
Diluents must be preserved in appropriate temperature, at room temperature (≤ 25 °C) or from +2 oC to +8 oC. These guidelines aim to instruct storage personnel and other personnel engaging in preservation of diluents on how to arrange and preserve diluents safely as per the law in order to reduce all risks affecting diluent quality.
2. Equipment and relevant documents
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- Diluent preservation shelves/racks.
- Daily temperature graph.
3. Procedures
3.1. General principles:
- Diluents must be preserved in dry places and away from surfaces with risks of mold and moisture.
- Diluents are arranged on shelves and racks; DO NOT place diluents close to the walls or to the ground.
- Diluents may be preserved in room temperature (≤25 °C) and must be preserved in in temperature ranging from +2 oC to +8 oC for 24 hours before being reconstituted for vaccine.
- DO NOT let diluents get frosted.
3.2. Washing hands: Personnel must wash hands before holding vaccine containers and vials.
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No.
Entry
Assignment
1.
Place diluent containers on shelves or racks while maintaining a 2 cm space between any 2 containers for air flow. DO NOT place diluent containers close to the wall or close to the ground
Individual diluent vials must be placed on small labeled containers whose labels contain information on name, number, expiry date; individual diluent vials of different batches must not be placed in the same containers
Storage personnel
Personnel arranging and preserving vaccine
2.
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Do not place diluent containers of different batches on the same shelves or racks, if such a case is inevitable, place on shelves or racks where physical separation is installed and distinctively marked
Storage personnel
Personnel arranging and preserving vaccine
3.
At least 24 hours before reconstitution, diluents must be preserved in a temperature ranging from +2 oC to +8 oC
While preserving diluents in refrigerators, diluents must not be stored together with vaccine and must be separated, marked in order to prevent confusion.
Storage personnel
Personnel arranging and preserving vaccine
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1. Objectives
These guidelines aim to instruct storage personnel on how to preserve vaccine in ultra-low freezers in a manner than ensures safety for the vaccine and reduce effect of elements that diminish vaccine effect and safety of storage keepers. .
2. Equipment and relevant documents
- Protective equipment: Coat + hat, masks, goggles, thermal and watertight gloves, and boots.
- Ultra-low freezers.
3. Terminology – acronyms
- FIFO: Distribution principle of “First-In-First-Out”
- FEFO: Distribution principle of “First-Expiry-First-Out”
- Safety area: refers to positions in a ultra-low freezer with temperature ranging from -80 oC to -60 oC, determined after temperature mapping of each cold compartment has been conducted.
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4.1. Human safety assurance:
+ At least 2 personnel must be present when receiving, arranging, and preserving vaccine in ultra-low freeze utilizing dry ice or ultra-low freezers
+ Prior to opening Pfizer thermal vaccine containers utilizing dry ice (CO2) and employing ultra-low freezers, personnel must wear warm clothes, masks, thick and watertight gloves, goggles, boots.
+ Do not make direct contact with the dry ice and/or trays, walls of the ultra-low freezers.
+ Do not inhale cold air emitting from dry ice and the ultra-low freezers.
Safety remarks: First aid upon any incident involving dry ice:
• Inhaling CO2: Any breathing difficulty or headache can be symptoms of inhaling too much CO2. Immediately move to areas with fresh air. Provide medical care and consulting at the facility immediately (e.g. clear the air way, rest with elevated head position, breathe oxygen, etc.)
Swallowing: Rinse mouth with clean water immediately if possible. Do not insert any object into the mouth of an unconscious person. Do not induce vomit unless otherwise instructed by medical personnel. Call emergency medical response in case of any physical injury.
• Eye contact: Rinse eyes with lots of water for at least 15 minutes, lift the upper and lower eyelids to avoid any substance from sticking to them. Bring into emergency medical aid immediately, etc.
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4.2. Safe vaccine preservation: Warehouse personnel shall implement
4.2.1. If vaccine is transported in ultra-low free conditions (un-defrosted vaccine)
a. Immediately after opening thermal containers carrying vaccine to inspect and receive, open the door of ultra-low freezers to place vaccine trays into compartments of the ultra-low freezers. Note that every arrangement only fills up to 3/4 of total preservation volume of a ultra-low freezer.
b. Doors of a ultra-low freezer must not remain open for more than 3 minutes or a siren must be issued when temperature of the freezer rises to -60 oC.
c. Arrange vaccine containers by batch and expiry date to enable inspection and distribution conforming to FIFO and FEFO principles and VVM display. Leave a 5-10 cm vertical space to differentiate vaccine batches/types and allow airflow. Ensure visibility of labels of containers.
d. Tag each container of vaccine/diluent batch (under Annex attached thereto)
e. Individual containers must be placed in trays or holders.
f. Remove unqualified (expired) vaccine vials/containers from the freezers and store in isolated containment area awaiting disposal.
4.2.2. If vaccine is transported in temperature ranging from +2 oC to +8 oC (defrosted vaccine): arrange vaccine in refrigerators as per procedures.
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- Inspect temperature displayed on monitor of refrigerators twice per day (in the morning upon arrival and in the afternoon before leaving for 7 days/week).
- Record the temperature in monitor schedule (Annex 1: Ultra-low freezer temperature monitoring schedule).
- At the end of every week, specify feedback and include in file for storage.
- On a monthly basis, use a flash drive to copy and store data on vaccine preservation temperature extracted from temperature monitoring instrument of each refrigerator.
4.4. Record and storage of vaccine management dossiers: Warehouse personnel shall implement
- Each refrigerator must include a storage manifest that specifies batch, expiry date, time and place of receipt/distribution, amount of input/output/stock (storage manifest model) and graph of positions of vaccine stored in the refrigerators (Annex 4) to serve easy distribution and avoid searching for vaccine in opened refrigerators.
- Record information on vaccine in preservation and distribution in logbook
- Check vaccine on a monthly basis and keep records thereof. Specify physical inspection results of each vaccine batch and keep records thereof.
Annex 1: ULTRA-LOW FREEZER TEMPERATURE MONITORING SCHEDULE
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Ultra-low freezer No.
Date
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S
C
S
C
S
C
S
C
S
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S
C
S
C
-30
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-50
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-60
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-62
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-64
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-66
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-68
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-70
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-72
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-74
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-76
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-78
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-80
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-84
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-88
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Note: S- Temperature recorded in the morning (from 8 a.m. to 9 a.m.)
C- Temperature recorded in the afternoon (from 4 p.m. to 5 p.m.)
FEEDBACK
Time
Temperature range
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Note: + Record irregular temperature range, reason and remedial measures thereof.
+ In case of no irregular temperature range: write “Operational freezer”
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STORAGE MANIFEST
Name of vaccine: …………………………………………………………………………
Batch: …………………………… Expiry date: ………………………
From …………… (date) to …………… (date)
Time
Entry
Quantity (dose)
Input
Output
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Supervision
Storage personnel (signature)
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From …………… (date) to …………… (date)
FREEZER COMPARTMENT
NAME OF VACCINE
BATCH
QUANTITY (dose)
1
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3
4
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Storage personnel (signature)
GUIDELINES ON PRESERVING VACCINE IN ULTRA-LOW FREEZE TEMPERATURE IN PFIZER’S THERMAL CONTAINERS
1. Objectives
These guidelines aim to guide steps for adding dry ice in specialized thermal containers for preserving vaccine in ultra-low freeze temperature in a manner that guarantees safety for humans and vaccine.
2. Equipment and relevant documents
- Protective equipment: Coat + hat, masks, goggles, thermal and watertight gloves, and boots.
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- Dry ice handling equipment: Plastic shovel/scoop
- Pfizer BioNTech provides 2 types of specialized thermal containers for preserving and transporting vaccine: SOFTBOX and AEROSAFE.
3. Procedures for adding dry ice when preserving vaccine over long period of time in ultra-low freeze temperature with Pfizer’s specialized thermal containers
IMPORTANT NOTE when using specialized thermal containers to preserve vaccine in ultra-low freeze temperature:
- Preserve thermal containers in room temperature of 15 oC to 25 oC to maintain their ability preserve ULTRA-LOW FREEZE temperature.
- In order to maintain level of dry ice and ultra-low freeze temperature of vaccine, proceed as follows:
Ø 2x/day: Do not open thermal containers for transporting vaccine more than 2 times per day
Ø 3 minutes: Do not open thermal containers for transporting vaccine more than 2 minutes each time
Ø 5 days: Add more dry ice to thermal containers for transporting vaccine once every 5 days
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- All accessories that come with the thermal containers must be kept in the containers with care when returning the containers to the manufacturers for recycling.
3.1. Preparation prior to receiving/when adding dry ice to thermal containers
- Assign at least 2 employees to perform the task
- Employees who interact with dry ice must wear protective clothing: long-sleeved warm clothes, boots, goggles, gloves, and masks to avoid frostbite
- Open door for natural ventilation/turn on ventilating mechanisms in areas where thermal containers are preserved, dry ice is added to avoid CO2 poisoning.
- Place warning signs in areas where dry ice is added to containers: CẢNH BÁO: DẢM BẢO AN TOÀN TIẾP XÚC DÁ KHÔ (WARNING: ENSURE SAFETY WHEN INTERACTING WITH DRY ICE)
3.2. Within the first 24 hours after receiving vaccine: open the containers, examine and add more dry ice to the thermal containers.
3.3. Procedures for adding more dry ice
3.3.1. Place thermal containers where more dry ice is to be added down the pallet
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3.3.2. Procedures for adding dry ice to a SOFTBOX thermal container
3.2. Within the first 24 hours after receiving vaccine: open the containers, examine and add more dry ice to the thermal containers.
3.3. Procedures for adding more dry ice
3.3.1. Place the thermal container where more dry ice is to be added down the pallet
Place the container down the pallet (without direct contact with the floor) when that container is to be added with more dry ice.
3.3.2. Procedures for adding dry ice to a SOFTBOX thermal container
1. Note on components of a thermal container to allow the addition of dry ice to be implemented in the fastest time (3 minutes for each container)
Thermal foam lid is attached to the lid of the cardboard container and installed with temperature monitoring equipment
The box that holds vaccine trays must be placed in the container after use in order to be returned to manufacturers
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2. Open the thermal container (E) by cutting the outside tape, place 3 fingers into the gap in order to lift the foam lid attached to the container lid (D) Do not tear the shell or damage the temperature monitoring wire
3. Use gloves to lift the dry ice pod (A) and place down the pallet
4. Use scoop to move dry ice into the compartment surrounding the box that holds vaccine trays (C) until dry ice level equals the top of the box that holds vaccine trays
Place dry ice pod (A) on top of the box that holds vaccine trays. Open (A) gently and add more dry ice while spreading them evenly (do not fill up too much).
6. Close the dry ice pod (A) to its original state in a manner that the pod fits the compartment and combines with the topmost edge of the thermal container to create a flat surface
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7. Place the foam lid (D) and cardboard lid of the thermal container (E) and seal with tape. Preserve the container in airy places under 25 oC
3.3.3. Procedures for adding more dry ice to an AEROSAFE thermal container
1. Note on components of a thermal container to allow the addition of dry ice to be implemented in the fastest time (3 minutes for each container)
The foam lid is attached to the cardboard container with a thin aluminum strip and installed with a temperature monitoring instrument which must not be damaged.
Dry ice pod must be returned to the container when returning the container to the manufacturers
Thermal
container 2. Open
the thermal container (E) by cutting the outside tape; open the lid of the
cardboard container. Use gloves to lift the thermal foam lid (D) by grasping
the gap while trying not to damage the aluminum strip or the temperature
monitoring wire ... ... ... 4. Use
scoop to move dry ice into the compartment surrounding the container until
dry ice fills the top edge of vaccine compartment 5. Place the dry ice pod
(A) fit into the vaccine compartment then add more dry ice to the pod (A)
without filling up too much. 6. Place
the foam lid (D) and cardboard lid of the thermal container (E) and seal with
tape. Preserve the container in airy places under 25 oC. Schedule
for monitoring dry ice addition of thermal container No. ... ... ... No. Time
Date
Individual
in charge (Signature/name)
Additional
amount of dry ice (estimated)
Supervisor
1 ... ... ... .?.
…… kg 2 ... ... ... 3 4 ... ... ... 5 6 ... ... ... (Store documents at the
entity) GUIDELINES ON MONITORING AND RECORDING VACCINE PRESERVATION
TEMPERATURE 1. Objectives Vaccine must be preserved at
appropriate temperature in order to avoid spoilage. These guidelines aim to
list activities and requirements for monitoring and recording daily temperature
during vaccine preservation to respond in a timely manner when temperature is
outside of permissible range in order to ensure safety and quality of vaccine. ... ... ... - Daily
temperature graph. - Temperature
monitoring instrument: thermometer, automatic temperature reading equipment,
freeze tag. 3. Procedures No. Work
entry Assignment
1. Preparation 1.1 Place 1 automatic
temperature recording equipment in each cold equipment that preserves
vaccine. ... ... ... Storage personnel Officials in charge of
monitoring and preserving vaccine Installation location of
temperature monitoring instrument: - For
thermometer and automatic temperature recording instrument: place together
with vaccine in a position that allows easy tracking and is susceptible to
change in temperature caused by opening and closing the refrigerators. - For
freeze tags: place together with vaccine that is susceptible to freezing
temperature. Do not place in compartments with negative temperature. Storage personnel Officials in charge of
monitoring and preserving vaccine 1.2 ... ... ... Storage personnel 2. Daily
activities 2.1 Examine reading of
automatic temperature recording instrument and write down the monitoring
graph once in the morning (upon arrival) and once at the end of the afternoon
(before leaving) for 7 days a week, including Saturday, Sunday, and holidays.
Storage personnel Officials in charge of
monitoring and preserving vaccine 2.2 Examine vaccine vial
monitor (VVM) and freeze tag (if any). Upon detecting any
irregularity, report to superior/supervisor to comply with procedures for
responding to incidents in vaccine preservation. ... ... ... 2.3 Examine daily temperature
range of automatic temperature recording instrument every 24 hours and record
the highest temperature and the lowest temperature in graph for monitoring
temperature. Daily temperature must be
within the permissible range as per the law. Storage personnel Officials in charge of
monitoring and preserving vaccine 2.4 If recorded temperature is
outside of permissible range, report to superior/supervisor and comply with
procedures for responding to incidents in preserving vaccine. Officials in charge of
monitoring and preserving vaccine Storage personnel ... ... ... 3. Monthly
activities 3.1 At the end of each month,
assess and comment on temperature during preservation period of each cold
equipment during the month; supervisor shall sign the graph for monitoring
temperature. Vaccine storage management
personnel. Officials in charge of
vaccine storage specialty 3.2 Change to graph for
monitoring temperature for the next month and store graph of the previous
month. Specify all information in the graph for monitoring temperature
(number of cold equipment, initial and final date of supervision, etc.). Vaccine storage management
personnel 3.3 ... ... ... Vaccine storage management
personnel 3.4 Report to superior if
vaccine temperature of cold equipment in the month is unstable. Vaccine storage management
personnel Officials in charge of
vaccine storage specialty GUIDELINES ON FROSTING AND DEFROSTING ICE-PACKS 1. Objectives These guidelines aim to
provide instructions on how to frost and defrost ice-packs appropriately in
order to preserve vaccine safely and properly. Inappropriately defrosted
ice-packs may affect vaccine as it exposes vaccine to freezing temperature. ... ... ... - Defrosting
cabinets for ice-packs or refrigerators with freezer compartment. - Ice-packs.
- Clean
towel. 3. Procedures No. Entry Assignment
1. Calculate demand for
ice-packs: ... ... ... - Calculate
time necessary for defrosting the adequate amount of ice-packs (minimum time
for defrosting ice-packs is 24 hours). Storage personnel 2. Frosting ice-packs: - Fill
ice-packs with clean water until designated mark. Seal the lid tight. Hold
the ice-packs upside-down and shake to ensure that the ice-packs are sealed. - Arrange
the ice-packs in standing positions or tilted positions in freezer
compartment for at least 24 hours to completely freeze water in the
ice-packs. - Collect
frozen ice-packs out of freezer compartments and close the freezer’s doors. Storage personnel Assigned storage personnel
... ... ... Defrosting ice-packs: - Place
frosted ice-packs in ambient temperature for 15-30 minutes (depending on
ambient temperature) until parts of the ice start to melt. - Inspect
by shaking the ice-packs until “sloshing” sound is heard. - Use
clean towel to clean defrosted ice-packs before placing them into cold boxes/vaccine
carriers. Storage personnel GUIDELINES ON PACKING VACCINE IN COLD BOXES 1. Objectives These guidelines aim to
provide steps for packing vaccine in cold boxes with properly defrosted
ice-packs to reduce impact of temperature on vaccine quality during
transportation and preservation. ... ... ... Cold boxes, ice-packs,
temperature monitoring instrument 3. Procedures 3.1. Preparation: 3.1.1. Preparing ice-packs:
comply with procedures for frosting and defrosting ice-packs (Procedure No. 6).
3.1.2. Prepare cold boxes:
cold boxes must be clean and dry before containing vaccine 3.1.3. Washing hands: Personnel
must wash hands before holding vaccine containers and vials. 3.2. Packing vaccine in cold
boxes, using defrosted ice-packs: No. Entry ... ... ... 1. Place defrosted ice-packs
in 4 surrounding walls of the cold boxes (number of ice-packs and
packaging methods shall conform to use instruction manuals of each type of
cold box). Storage personnel and
vaccine transporters Specialized personnel of
storage 2. Individual vaccine and
diluent vials must be packed in covered containers. Vaccine storage employees
and vaccine transporters 3. Place vaccine and diluent
containers in the middle of cold boxes in a manner that vaccine vials are
oriented upwards. ... ... ... Storage personnel and
vaccine transporters 4. Place temperature
monitoring instrument close to the vaccine. These equipment must avoid
direct contact with ice-packs Storage personnel and
vaccine transporters 5. Place defrosted ice-packs
on top. Storage personnel and
vaccine transporters 6. ... ... ... Storage personnel and
vaccine transporters 7. Do not leave cold boxes
directly under sunlight during transportation. Vaccine transporters GUIDELINES ON TRANSPORTING VACCINE WITH REFRIGERATED TRUCKS 1. Objectives These guidelines aim to
provide instructions on how to transport vaccine using refrigerated trucks from
vaccine storage in districts to storage of other entities in such a manner that
reduces errors and elements affecting vaccine quality during transportation
while providing safe and quality vaccine to facilities promptly and adequately.
2. Equipment
and relevant documents ... ... ... - Record
of delivery, goods-dispatch note, certificate of vaccine dispatch. (Annex 1,2,
and 3) - Temperature
monitoring instrument. - Refrigerated
trucks - Information
on recipient: Address, phone number of personnel in charge of receiving
facility or superior in charge of receiving facility 3. Procedures Step 1: Producing vaccine
transportation plan Superior in charge of vaccine
storage and personnel in charge of vaccine storage shall: - Produce
plans for distributing and transporting vaccine with specific quantity, type,
batch of vaccine, etc. and estimated time of delivery to receiving facility. Notify
receiving facility about transport plans (estimated time of vaccine delivery,
number and type of vaccine) - Dispatch
automobiles and assign drivers as per prepared plan. ... ... ... + Expected route, time,
location of delivery, full name and phone number of personnel in charge at
receiving facility. + Prior to delivery date,
inspect technical conditions of vehicles such as tires, brake, gasoline, oil,
machinery, refrigeration system. + 1 – 2 hours prior to
loading vaccine onto the vehicles, start refrigeration system to bring
temperature in cargo compartment down to from +2 oC to +8 oC.
+ Instructions on responding
to incidents during transport must be present on refrigerated trucks at all
time. (Procedure No. 15). Step 2: Packing vaccine and
diluents, and preparing temperature monitoring instrument Storage personnel, vaccine
storage assistant/transport personnel shall: - Prepare
vaccine transfer documents as per Procedure No. 12: Vaccine allocation and
distribution - Check
and cross check type of vaccine, diluents (quantity, batch number, expiry date,
etc.) in practice and those in goods-dispatch note. If remaining number of
vaccine in practice in store does not match with number of vaccine according to
batch/expiry date on goods-dispatch note, storage keepers must report to
superiors of storage to revise and produce another dispatch note/record. - Prior
to packing, examine and record preservation temperature and vaccine conditions
(visual properties of labels, humidity, mold, color) in record of vaccine
transfer (according to Annex 1). ... ... ... - Install
temperature monitoring instrument. Step 3: Loading vaccine onto
refrigerated trucks and transporting Storage personnel, vaccine
storage assistant/transport personnel, and drivers shall: - Examine
temperature of cargo compartments of refrigerated trucks and only load vaccine
onto the trucks when temperature is between +2 oC and +8 oC. - Immediately
load vaccine containers/boxes of each receiving facility onto refrigerated
trucks while leaving adequate space between any 2 containers/boxes for cold
air; do not place vaccine susceptible to freezing temperature close to
refrigerating unit (place at least 0.5 meters away from refrigerating unit);
stack vaccine containers/boxes no higher than 2/3 of the height of cargo
compartment; arrange containers/boxes in order and firmly to avoid collision,
falling, and in a manner that allows easy distribution depending on expected
route (containers/boxes to be distributed to the first receiving facility shall
be placed in the outermost position). - Place
temperature monitoring instrument in vaccine compartment of refrigerated
trucks. Lock the door leading to cargo compartments with care and immediately
transport vaccine to receiving facility as per itinerary. - Sign
vaccine delivery log (Annex 2), storage personnel shall transfer relevant
documents to transport personnel (goods-dispatch note, record of delivery,
dispatch permit of each vaccine batch) and temperature monitoring instrument. Transport personnel and
drivers shall: - Monitor
temperature in refrigerated compartment during transportation (via temperature
monitoring system in the cabin) and maintain the temperature between +2 oC
and +8 oC. If temperature of cargo compartment is not within +2 oC
to +8 oC, comply with “Guidelines on responding to incidents during vaccine
transport using refrigerated trucks” (Procedures No. 15). ... ... ... - 45-60
minutes prior to arriving at vaccine delivery location, contact respective
storage personnel to cooperate in receiving vaccine. Step 4: Transferring vaccine
- Upon
arrival, transport personnel shall immediately transfer vaccine and relevant
documents (goods-dispatch note, record of delivery, dispatch permit) to storage
personnel of receiving facility. - Cooperate
with storage personnel in examining and recording temperature of refrigerated
compartment and temperature reading on temperature recording instrument in
record of delivery before transferring vaccine. - Transfer
adequate number of vaccine containers/boxes to receiving facility. - Cooperate
with storage personnel of receiving facility in inspecting quantity, batch,
expiry date of vaccine and diluents delivered. - Any
discrepancy in terms of quantity, batch, or expiry date of vaccine/diluents
found by storage personnel of receiving facility must be reported to storage
personnel of distributing facility or superior of storage facility for
solution. - Fill
in all information on time of transfer and conditions of vaccine in record of
transfer. Collect signature and seal of superior of receiving storage facility.
- If
any irregularity is found during transfer process, receiving storage facility
has the right to reject the vaccine. In such case, receiving storage personnel
must produce record and state reason for rejection, request their superior to
confirm, and immediately inform superior of distributing storage facility for
timely solutions. ... ... ... - After
returning to distributing storage facility, transport personnel are responsible
for immediately transferring thermometer, record of delivery/goods-dispatch
note of the delivery to storage personnel. - Storage
personnel shall distribute, print, and back up temperature data recorded by
transport personnel from temperature monitoring instrument on refrigerated
trucks and thermometer installed in refrigerated compartments while examining
temperature data during transportation. If vaccine temperature reading during
transportation is not satisfactory to manufacturer’s requirements (i.e.
situating outside of +2 oC to +8 oC), transport personnel
and storage personnel must acknowledge the situation, report, and clarify the
cause. - At
the end of each delivery session, storage personnel shall submit reports to
heads of military region. Form: SOCIALIST
REPUBLIC OF VIETNAM RECORD
OF VACCINE DELIVERY Vaccine deliverer: - Full
name of representative: ………………………. Titles: ... ... ... Vaccine recipient: - Full
name of representative: ………………………. Titles: - Full
name of recipient: ………………………. Titles: At ………, …………………… (time and
date), the parties proceed to transfer vaccine as follows: Part I: Documents on vaccine
transfer: Number
of Official Dispatch on distribution of vaccine Date
of signing Official Dispatch Permit
of National Control Institute ... ... ... Before
receiving Yes
□ No □ Upon
receiving Yes
□ No □ ... ... ... Part II: Details on received
vaccine and diluents: Name
of vaccine Unit Quantity Number
of batch Expiry
date Manufacturer
Manufacturing
country ... ... ... ... ... ... Diluent
Unit Quantity Number
of batch Expiry
date Manufacturer
... ... ... ... ... ... Part III. Conditions of
temperature monitoring instrument during transport Total examined cargoes: Vaccine temperature: oC
Temperature monitoring
instrument: VVM
□ ... ... ... Freeze tags □ (write X or V) LogTag device Yes □ No □ Part IV: Remarks regarding
general conditions of the cargoes: (hygiene, package, label,
humidity, etc.): (Location
and date) Representative
of deliverer Deliverer
Recipient
... ... ... Form: VACCINE
TRANSFER LOG Vaccine
delivery destination: ………………………… 1/ Refrigerated truck –
License plate: ……………………. 2/ Date and time of transfer:
……………………………………… 3/ Temperature at the time
of dispatch: ……………………………………………… 4/ Packaging conditions at
the time of dispatch: ……………………………………………… ... ... ... - Notice
of dispatch: Yes No - Record
of vaccine transfer: Yes No - Goods-dispatch
note: Yes No ... ... ... No. Name
of vaccine Number
of containers/boxes Number
of individual containers (if any) Number
of doses Note
1 ... ... ... 2 3 ... ... ... 4 ... ... ... 5 6 ... ... ... 7 8 ... ... ... 9 ... ... ... 10 11 ... ... ... 12 13 ... ... ... 14 ... ... ... Total ... ... ... Countersignature
of driver/transporter Vaccine
storage keeper Form GOODS-DISPATCH
NOTE ... ... ... Full name of recipient: Reason of dispatch: Dispatched commodities: No. Name,
label, and properties Unit
Quantity
Unit
price Amount ... ... ... ... ... ... Total:
... ... ... Total amount (in words): (Location
and date) Superior
Personnel
in charge of distributing storage facility Dispatch
note producer Recipient
... ... ... GUIDELINES ON TRANSPORTING VACCINE WITH COLD BOXES 1. Objectives These guidelines aim to
provide instructions on how to transport vaccine using cold boxes in a manner
that preserves vaccine in appropriate temperature. 2. Equipment
and relevant documents - Official
Dispatch/Decision on distributing vaccine. - Cold
boxes, ice-packs, and thermometer. - Means
of transport: trucks, etc. ... ... ... - Information
on recipient: Address, phone number of personnel in charge of receiving facility
or superior in charge of receiving facility. 3. Procedures
Step 1: Producing vaccine
transportation plan Superior in charge of vaccine
storage and personnel in charge of vaccine storage in military regions shall: - Produce
plans for distributing and transporting vaccine with specific quantity, type,
batch of vaccine, etc. and estimated time of delivery to receiving facility. Notify
receiving facility about transport plans (estimated time of vaccine delivery,
number and type of vaccine). - Dispatch
automobiles and assign drivers as per prepared plan. - Inform
drivers: + Expected route, time,
location of delivery, full name and phone number of personnel in charge at
receiving facility. + Prior to delivery date,
inspect technical conditions of vehicles such as tires, brake, gasoline, oil,
machinery, refrigeration system. ... ... ... Storage personnel, vaccine
storage assistant/transport personnel shall: - Prepare
vaccine transfer documents as per Procedure No. 12: Vaccine allocation and
distribution - Packing
vaccine and diluents in cold boxes as per Procedure No. 7: Packing vaccine
in cold boxes using ice-packs. Step 3: Loading cold boxes
onto automobiles and transporting Storage personnel, vaccine
storage assistant/transport personnel, and drivers shall: - Immediately
load cold boxes containing vaccine of each vaccine recipient onto automobiles
and arrange the cold boxes in order, firmly in order to avoid collision and
falling, and in a manner that allows easy distribution based on expected route
(cold boxes to be distributed to the first receiving facility shall be placed
in the outermost position). - Lock
the door leading to cargo compartments with care and immediately transport
vaccine to receiving facility as per itinerary. - Sign
vaccine delivery log (Annex 2), storage personnel shall transfer relevant
documents to transport personnel (goods-dispatch note, record of delivery,
dispatch permit of each vaccine batch) and temperature monitoring instrument. During transport process,
transport personnel and drivers shall: ... ... ... - In
case of vehicle malfunction where repair takes little time, repair vehicle
engine in order to transport vaccine to receiving facility. - In
case repair takes a lot of time or cannot be performed, immediately contact the
nearest receiving facility or the nearest military body in order to receive
support as well as equipment and machinery in order to repair or dispatch other
vehicle to continue the delivery. - 45-60
minutes prior to arriving at vaccine delivery location, contact respective storage
personnel to cooperate in receiving vaccine. Step 4: Transferring vaccine
- Upon
arrival, transport personnel shall immediately transfer vaccine and relevant
documents (goods-dispatch note, record of delivery, dispatch permit) to storage
personnel of receiving facility. - Cooperate
with receiving storage personnel in examining and noting time of delivery and
temperature of cold boxes before transfer in record of delivery. - Transfer
adequate number of vaccine to receiving facility. - Cooperate
with storage personnel of receiving facility in inspecting quantity, batch,
expiry date of vaccine and diluents delivered. - Any
discrepancy in terms of quantity, batch, or expiry date of vaccine/diluents
found by storage personnel of receiving facility must be reported to storage
personnel of military regions or superior of storage facility for solution. ... ... ... - If
any irregularity is found during transfer process, receiving storage facility
has the right to reject the vaccine. In such case, receiving storage personnel
must produce record and state reason for rejection, request their superior to
confirm, and immediately inform superior of storage facility of military
regions for timely solutions. During the period awaiting
solution, vaccine must be preserved separately in cold boxes or refrigerators
as per preservation requirements. - Retrieve
cold boxes and temperature monitoring instrument, and return to distributing
storage facility. Step 5: Transferring cold
boxes, thermometer, documents, and backing up data on vaccine temperature
during transportation - After
returning to distributing storage facility, transport personnel are responsible
for immediately transferring cold boxes, thermometer, record of
delivery/goods-dispatch note of the delivery to storage personnel. Storage personnel shall
distribute and back up data on vaccine preservation temperature in cold boxes
during vaccine delivery. If vaccine temperature reading during delivery process
is not satisfactory to manufacturer’s requirements (i.e. situating outside of
+2 oC to +8 oC), transport personnel and storage
personnel must acknowledge the situation, report, and clarify the cause. At the end of each delivery
session, storage personnel shall submit reports to heads of military region. Form: ... ... ... RECORD
OF VACCINE DELIVERY Vaccine deliverer: - Full
name of representative: ………………………. Titles: - Full
name of deliverer: ………………………. Titles: Vaccine recipient: - Full
name of representative: …………………………. Title: - Full
name of recipient: ………………………. Titles: At ………, …………………… (time and
date), the parties proceed to transfer vaccine as follows: Part I: Documents on vaccine
transfer: ... ... ... Number
of Official Dispatch on distribution of vaccine Date
of signing Official Dispatch Permit
of National Control Institute Goods-dispatch
note Before
receiving Yes
□ No □ ... ... ... Yes
□ No □ Yes
□ No □ Part II: Details on received
vaccine and diluents: Name
of vaccine Unit
Quantity
Number
of batch ... ... ... Manufacturer
Manufacturing
country ... ... ... Diluent
Unit
... ... ... Number
of batch Expiry
date Manufacturer
Manufacturing
country ... ... ... Part III. Conditions of
temperature monitoring instrument during transport ... ... ... Vaccine temperature: oC
Temperature monitoring
instrument: VVM
□ (stage
1, 2, 3, and 4) Freeze tags □ (write X or V) LogTag device Yes □ No □ Part IV: Remarks regarding
general conditions of the cargoes: (hygiene, package, label,
humidity, etc.): ... ... ... (Location
and date) Representative
of deliverer Deliverer
Recipient
Representative
of recipient Form: VACCINE
TRANSFER LOG ... ... ... 1/ Refrigerated truck –
License plate: ……………………. 2/ Date and time of
transfer: ……………………………………… 3/ Temperature at the time
of dispatch: ……………………………………………… 4/ Packaging conditions at
the time of dispatch: ……………………………………………… 5/ Transferring relevant
vaccine documents: - Notice
of dispatch: Yes No - Record
of vaccine transfer: ... ... ... No - Goods-dispatch
note: Yes No 6/ Details on vaccine
packaging: No. Name
of vaccine Number
of containers/boxes Number
of individual containers (if any) ... ... ... Note
1 2 ... ... ... 3 ... ... ... 5 ... ... ... 6 7 ... ... ... 8 ... ... ... 10 ... ... ... 11 12 ... ... ... 13 ... ... ... ... ... ... Total Countersignature
of driver ... ... ... GOODS-DISPATCH
NOTE (Location
and date) No.
Full name of recipient: Reason of dispatch: Dispatched commodities: No. ... ... ... Unit
Quantity
Unit
price Amount ... ... ... ... ... ... Total:
Total amount (in words): ... ... ... (Location
and date) Superior
Personnel
in charge of distributing storage facility Dispatch
note producer Recipient
Storage
keeper GUIDELINES ON MAINTAINING TCW 4000AC REFRIGERATOR ... ... ... These guidelines aim to
provide instructions on how to perform daily and monthly maintenance for TCW
4000AC refrigerator in order to reduce possible risks that affect vaccine
quality. 2. Equipment
and relevant documents - Required
equipment: soft brush, clean cloth, and tray. - Instruction
manual of TCWC 4000AC refrigerator - Operational
diary. - Cold
boxes containing prepared ice-packs - Refrigerators
at required temperature for vaccine preservation in case of temporary transfer
for maintenance. 3. Procedures
3.1. Daily tasks ... ... ... - Clean
dust collected on the outside of the refrigerator. 3.2. Weekly tasks - Examine
the drip pan, discard collected water, and examine any water collected in
refrigerator compartment. Clear water drainage pipe in case of clogged drainage
pipe. - Examine
airtightness of refrigerator washers and clean the washers. - Examine
frosting and defrost if frost is collected in the evaporator or on the
refrigerator above 0.5 cm. Defrost as follows: + Step 1: Transfer vaccine
and diluents to safe storage space: cold boxes containing ice-packs OR another
refrigerator. + Step 2: Cut power source
of the refrigerator and unplug the power plug. + Step 3: Open refrigerator
door and wait until frost has completely melted. Do not use knife or other
pointy object to pry the frost. + Step 4: Wipe the inside of
the refrigerator with clean cloth. ... ... ... + Step 6: Close the
refrigerator door. + Step 7: Turn on power
source. Monitor refrigerator temperature until required temperature is achieved
and maintained (usually after 24 hours). + Step 8: Transfer vaccine
and diluents back in the refrigerator 3.3. Monthly tasks a. Clean refrigerator cover
or door with diluted soap water. b. Clean a TCW 4000AC
refrigerator as follows: NOTE: Prior to cleaning a
TCW 4000AC refrigerator, remove all vaccine from the refrigerator in order to
temporarily store in a cold box containing ice-packs OR another functional
refrigerator. • Shut the power and unplug
the power plug. • Prepare temporary storage
equipment and transfer vaccine from the refrigerator to the backup storage
equipment kept at required temperature. ... ... ... • Use warm water and neutral
cleaning solution to clean all equipment of the refrigerator, its cover ,and
washers. Wipe dry with care. • After cleaning the TCW
4000AC refrigerator, place inner container back to its position and install the
temperature monitoring piece. Reattach the plastic cover
of the container. Close the refrigerator door. • Examine compressor and
thermostat. The refrigerator would not function properly if these equipment
collect dirt. Clean compressor and thermostat as follow: + Expose the side of the
refrigerator that house the hot equipment and the compressor compartment. + Use a screw driver to
unscrew the compressor and remove the protective cover. + Remove dust collected on
the thermostat and in the compressor compartment with a soft brush. + Close the protective cover
and fix the screw. • Plug into power source and
turn the power on. • Operate the refrigerator
and monitor temperature displayed on the monitor and automatic Fridge-tag 2. ... ... ... c. Storage personnel shall
supervise implementation while maintenance personnel specify date and details
of maintenance work in Operational diary, provide feedback on operation period
and conditions of the refrigerator. Operational diary sample REFRIGERATOR
INFORMATION NAME
OF
REFRIGERATOR:................................................................................. REFRIGERATOR
INFORMATION I. GENERAL INFORMATION 1. Manufacturer/Origin:
.................................................................................................. 2. Refrigerator
model, type: …………………………………………………………………… ... ... ... 4. Date
of bringing into use: …………………………………………………………………… II. TECHNICAL
SPECIFICATIONS: 1. Voltage:
………………………………………………………………………….. 2. Capacity:
……………………………………………………………………………………… 3. Dimension:
……………………………………………………………………………………. 4. Weight:
…………………………………………………………………………………… 5. Other
information: ………………………………………………………………………………. Entity
in charge: III. INFORMATION
ON SUPPLIER AND WARRANTY PROVIDER ... ... ... Name of
supplier:........................................................................................... Address:
…………………………………………………………………………………………… Phone number:
………………………………………………………… 2. Warranty
provider: Name of warranty provider:
........................................................................................... Address: ………………………………………………………………………………………… Phone number:
…………………………………………………………………………………… IV. MANAGEMENT/REPAIR,
REPLACEMENT/MAINTENANCE: TIME ... ... ... WORK
ENTRY NOTE
... ... ... ... ... ... ... ... ... GUIDELINES FOR RESPONDING TO EMERGENCIES OF VACCINE PRESEREVED
IN REFRIGERATORS 1. Objectives
These guidelines aim to
instruct how to respond in case of emergencies (prolonged power outage, fire,
natural disasters, flood, malfunction, etc.) in order to maintain safety of
vaccine preserved in refrigerators and safety for humans. 2. Relevant
equipment and tools - Backup
generators and fuel. - Firefighting
regulations posted in storage and firefighting facilities. - Operational
diary. - List
of name and phone number for contact in an emergency of storage keepers,
specialized storage personnel, superiors of storage, and superiors of entities.
... ... ... Principles: In
case of an emergency, maintain preservation temperature from 2 oC to
8 oC for all vaccine. 3.1. Scenario 1: PROLONGED
POWER OUTAGE In case of prolonged outage
or case where specific time of power resupply is unknowable which may affect
vaccine quality, proceed as follows: No. Entry Assignment
1 Immediately inform direct
superiors. Individuals discovering
the incident ... ... ... Operate backup generator(s)
(if any) and guarantee sufficient fuel for the generator(s). If the entity does not
have any backup generator, treat vaccine as per procedures applicable to
malfunctioning refrigerator. Refrain from opening
refrigerator door during the period of power outage Technician in charge 3 Once backup power supply
is restored, specify refrigerator temperature at the time of backup power
restoration in operational diary. Cooperate with technicians
in inspecting operational conditions of refrigerator. - In
case of functional refrigerator: Continue to preserve vaccine as per
regulations. - In
case of non-functional refrigerator: Inform personnel directly in charge to
rectify and remediate. ... ... ... 4 Upon receiving grid power.
Storage personnel must inspect, monitor operation of all refrigerators, and
guarantee functional operation. Record refrigerator temperature (30 minutes
after grid electricity has been provided and once every following 30 minutes
for the first 2 hours to guarantee functional operations) and operating
conditions of the refrigerator(s) in operational diary. Storage
personnel/technicians 3.2. Scenario 2: FIRE
AND/OR EXPLOSION IN COLD STORAGE When cold storage is met
with fire, comply with following steps: No. Entry Assignment
1 ... ... ... Individuals discovering
the incident 2 Move the refrigerator(s)
to safety (if possible). Note: Do not open the refrigerator. All personnel 3 Once firefighting is
completed. - If
the refrigerator(s) can operate functionally: Operate the refrigerator(s) as
usual. List and examine vaccine and refrigerator temperature. - If
the refrigerator(s) cannot operate functionally: + Transfer vaccine in
damaged refrigerator(s) to other cold equipment and place in separate
positions. ... ... ... Storage
personnel/technicians 3.3. Scenario 3: TEMPERATURE
FALLS OUT OF REGULATED RANGE DUE TO MALFUNCTIONAL REFRIGERATOR Upon detecting refrigerator
temperature falls out of safety range for preserving vaccine, comply with
following steps: No. Entry Assignment
1 Record refrigerator at the
time of discovery in operational diary. Storage personnel ... ... ... 2 Immediately inform
personnel in charge and technicians to rectify in a timely manner. Storage personnel Specialized personnel of
storage Technicians 3 Cooperative solutions: - If
temperature drops below 2 oC: open the refrigerator door until
temperature reaches 7 oC and close, then monitor closely. If
suspecting vaccine is frozen, perform “shake test” for all vaccine
susceptible to freezing. - If
temperature surpasses 8 oC: Purchase ice and place in close nylon
bags or trays, put in the refrigerator(s), and monitor temperature once every
30 minutes in order to maintain temperature within 2 oC and 8 oC
... ... ... - In
case of transferring vaccine to a cold box, vaccine must be packed as per
procedures for packing vaccine into cold box - In
case of transferring vaccine to another refrigerator, the refrigerator must
be operating functionally at required temperature prior to transferring the
vaccine Storage personnel Specialized personnel of
storage 4 Report to superiors for
further solutions. Specialized personnel of
storage 3.4. Scenario 4: OTHER
IRREGULARITIES (falling trees, flood, etc.) - Step
1: Alert the entire facility ... ... ... ○ If
affected cold storage is facing risks of power outage, fire, explosion, or
flood: Cut the power source that supplies the cold storage system ○ Employ
available means to remediate the incident and cooperate in transporting vaccine
from damaged refrigerator to safe location: E.g. transport vaccine from the
first story to the second story (in case of flood) or cover the roof with
flexible sheet (in case of blown off roof) or deal with unstable temperature as
instructed under scenario 3. GUIDELINES ON ALLOCATING AND DISTRIBUTING VACCINE 1. Objectives
These guidelines aim to
provide instructions on how to allocate and distribute vaccine in the facility
in a manner that guarantees sufficient amount of vaccine in a timely fashion. 2. Equipment
and documents - Plans
on vaccine distribution, vaccine logbook, records of delivery/goods-dispatch
note. - Cold
boxes, ice-packs (or ice), temperature monitoring instrument. ... ... ... 3. Procedures
3.1. Prepare
cold boxes and ice-packs (or ice) in adequate amount and volume to preserve
vaccine each time: Storage personnel or vaccine delivery/recipient shall
implement. 3.2. Washing
hands: Personnel must wash hands before holding vaccine containers and vials. 3.3. Vaccine
delivery/receipt area must be able to avoid weather affect such as: direct
sunlight, rain, dust, etc. 3.4. Distribute
vaccine and/or diluents No. Entry Assignment
1 ... ... ... Officials in charge of
vaccine storage specialty 2 Transfer Official
Dispatch/Decision on distribution to accounting department and vaccine
storage in order to produce vaccine dispatch and distribution note. Officials in charge of
vaccine storage specialty 3 Examine Official
Dispatch/Decision on distributing vaccine and diluents regarding recipient,
type of vaccine, quantity, batch number, expiry date. Vaccine storage personnel 4 Record of vaccine
delivery. ... ... ... 5 Calculate number of cold
boxes and ice-packs to prepare in advance Prepare cold boxes and
ice-packs as per Procedures for packing vaccine into cold boxes. Vaccine storage personnel Assistant personnel 6 Inspect temperature
monitoring instrument of the refrigerator at the time of distribution. Record
temperature data in dispatch note/record of delivery. Vaccine storage personnel Vaccine delivering
personnel ... ... ... Collect necessary vaccine
by type, quantity, batch number from the refrigerator. Cross check, deliver/receive
each type of vaccine based on dispatch note, and pay attention to number of
batch and expiry date of vaccine Arrange and pack vaccine
into cold boxes as per Procedures for packing vaccine into cold boxes. Vaccine and diluents shall
be packed in cold boxes of their corresponding manufacturers. Specify type of packaging.
Vaccine storage personnel Assistant personnel 8 Sign transfer log, record
of delivery/goods-dispatch note. ... ... ... Vaccine delivering
personnel 9 Record distributed
facility, distributed amount, temperature, and time of distribution in
vaccine logbook Vaccine storage personnel 10 Store Official
Dispatch/Decision on distribution, dispatch note, and record of vaccine
delivery in storage. Vaccine storage personnel GUIDELINES ON EXAMINING VACCINE AND DILUENTS ... ... ... Examination of vaccine and
diluents aims to accurately identify quantity, batch, expiry date, and current
conditions of each type of vaccine and diluents in store in order to allow a
more effective management and distribution of vaccine, guarantee sufficient vaccine,
and limit expiration of vaccine. These guidelines provide steps for examining
vaccine and diluent storage on a quarterly basis or after every vaccine
receipt/supply. 2. Equipment
and relevant documents - Decision
on establishment of Council for examination (if necessary/in inspection and
examination session). - Note
of receipt/dispatch of vaccine, diluents. - Record
of receipt/transfer of vaccine, diluents. - Vaccine
accounting book (if any). - Vaccine,
diluent log. - Examination
record of the previous examination. 3. Procedures
... ... ... No. Entry Assignment
1 Prepare: vaccine and
diluent log, note of receipt/dispatch of vaccine, vaccine receipt/transfer
record Vaccine storage personnel 2 Examine at vaccine storage
Officials in charge of
vaccine storage specialty ... ... ... Vaccine storage assistants
2.1 Examine each type of
vaccine and diluent: + Quantity. + Batch number. + Expiry date. + Conditions of labels of
vaccine vials, color, and consistency of vaccine, diluents. + Indicators on vaccine
labels (if any) 2.2 ... ... ... 4 Record post-examination
figures in vaccine, diluent log Any discrepancy requires
identification of cause and appropriate solutions. Officials in charge of
vaccine storage specialty Vaccine storage personnel 3.2. Quarterly examination: No. Entry Assignment
... ... ... Inform examination plans,
and prepare record of examination. Officials in charge of
vaccine storage specialty Vaccine storage personnel 2 Prepare: vaccine and
diluent log, note of receipt/dispatch of vaccine, vaccine receipt/transfer
record, inspection record of the previous inspection. Vaccine storage personnel 3 Examine at vaccine storage
Superior of officials in
charge of vaccine storage specialty ... ... ... Relevant personnel Vaccine storage assistants
3.1 Examine each type of
vaccine and diluent: + Quantity. + Batch number. + Expiry date. + Conditions of labels of
vaccine vials, color, and consistency of vaccine, diluents. 3.2 ... ... ... 4 Complete examination
record. Any discrepancy requires
identification of cause and appropriate solutions. Officials in charge of
vaccine storage specialty Vaccine storage personnel Submit examination report
to superior and store in department. Officials in charge of
vaccine storage specialty Vaccine storage personnel ... ... ... 1. Objectives
These guidelines aim to
provide steps for retrieving and storing vaccine in isolation for vaccine
suspected in terms of quality or vaccine awaiting disposal to ensure adequate
retrieval, avoid using such vaccine batches, and ensure safe, effective vaccine
use. 2. Equipment
and relevant documents - Decisions/documents
of Ministry of Health informing and guiding temporary cessation of use or
retrieval of a type or a batch of vaccine. 3. Procedures
- Designate
an area/position in the storage to store vaccine in isolation awaiting
disposal: install locks or physical separation for unqualified vaccine. - Designate
a refrigerator or several sections in a refrigerator to store vaccine awaiting
resolution (awaiting inspection/direction from superior) - In
case of storage in the same refrigerator with other vaccine, pack and seal
separately, install physical separation with distinctive marking to avoid
confusion No. ... ... ... Assignment
1. After receiving documents
notifying retrieval/temporary cessation of use of vaccine, receiving entity
must examine and submit detail notice on type of retrieved/ceased vaccine
(batch number, expiry date, preservation/transport solutions (preservation in
cold temperature or regular temperature)) and deadline for retrieval to
relevant entities. Entity in charge of
retrieving Relevant entity 2. List quantity of
vaccine/diluents to be suspended or retrieved of each entity and report to
superior Specialized personnel of
storage Vaccine storage personnel ... ... ... Prepare a separate storage
area in the entity or separate refrigerator with appropriate cold storage
volume to store vaccine suspended/retrieved and stored in isolation awaiting
resolution In case separate
refrigerator is not available, prepare a separate section in a refrigerator
with physical separation and distinctive marking to store vaccine which must
be packed, sealed, and stored in isolation to avoid confusion. Vaccine storage personnel 4 Retrieve vaccine: in case
of retrieving vaccine from entities in order to preserve in storage of
military regions, transfer/receive vaccine as per Procedures No. 9 and
Procedures No. 1. Vaccine storage personnel Vaccine transfer/receipt
personnel Specialized personnel of
storage 5. ... ... ... - In
case suspended vaccine must be stored in isolation awaiting disposal: + Preserve vaccine in
refrigerator or separate sections in a refrigerator as per Procedures No. 2
until disposal measures are provided. + Attach a yellow sign
with black letters “Vắc xin biệt trữ chờ xử lý” (Vaccine stored in isolation
awaiting disposal) on the refrigerator or containers of said vaccine. + For distributed vaccine
that must be returned to storage due to incidents during transportation,
after inspection and confirmation have been performed and removal from cold
boxes and/or refrigerated trucks has been done, assign separate sections in
refrigerator, monitor quality and prioritize this vaccine for distribution - For
vaccine stored in isolation awaiting disposal: + Bring vaccine awaiting
disposal out of cold chain and into isolation storage awaiting disposal in
storage with red sign and black letters that reads “Vắc xin biệt trữ chờ hủy”
(Vaccine stored in isolation awaiting disposal). + Pack and seal vaccine
containers, specify information such as name of vaccine, quantity, batch
number, and expiry date on containers. + Adopt procedures for
disposing vaccine as per procedure to ensure safety for humans and the
environment. Vaccine storage management
personnel. ... ... ... 6. Adopt procedures for
disposing vaccine as per procedure to ensure safety for humans and the environment.
Submit report on
retrieval, storage in isolation/disposal of vaccine to heads of Military
Region and Steering Committee of the campaign. Specialized personnel Head of entity GUIDELINES ON RESPONDING TO INCIDIENTS DURING TRANSPORTATION 1. Objectives These guidelines provide
instructions on how to respond to incidents during transportation of vaccine
with refrigerated trucks in order to minimize adverse effect during
transportation that effects vaccine quality; maintain preservation temperature
of +2 °C to +8 °C during transportation period. ... ... ... - Mobile
phone - List
of recipients on transport route - Procedures
for responding to incidents in preservation vaccine in refrigerators. - Backup
costs for purchasing fuel and repairing vehicles 3. Steps
of implementation No. Entry
Assignment
4.1. Incidents that occur
on the road ... ... ... 1 Call superior/specialized
personnel of storage to inform about the situation and request solutions Driver/vaccine transporter
2 a. For refrigerated
trucks: Immediately adopt necessary measures depending on
situations below: * In case of engine
malfunction: - Refrigerated
trucks are located near a power source: Operate refrigeration system with
said power source. - Refrigerated
trucks are not located near any power source or cannot operate on a power
source: If temperature of refrigerated compartment exceeds 8 oC,
purchase ice along the way to maintain preservation temperature. Do not use
dry ice which can cause preservation temperature to drop below 0 oC
and cause poisoning. - In
case vehicle repair takes little time, repair vehicle engine in order to
transport vaccine to receiving facility. ... ... ... * In case of refrigeration
malfunction - If
temperature of refrigeration compartment exceeds 10 oC, purchase
ice along the way to maintain preservation temperature. - If
refrigerated trucks are located near the storage, drivers must immediately
return to the storage and inform superior of vaccine storage for plans for
receiving vaccine. - In
case refrigerated trucks are not located near the storage + Contact the nearest
entities for support and send vaccine to local storage or request
refrigerated trucks of local governments for vaccine transport. In case of
sending vaccine to local storage, drivers must transfer the vaccine to
storage keepers and request storage keepers to preserve vaccine as per
required temperature. + Contact superiors to
dispatch vehicles from the Military Region to continue the transport. - When
transferring vaccine to another refrigerated truck, drivers must also
transfer the temperature monitoring instrument that comes with the vaccine. - Repair
refrigeration system to continue to transport vaccine to receiving facility
(if possible). During period of incident,
transporters/drivers must frequently contact specialized personnel of storage
for recommendations. ... ... ... Driver/vaccine transporter
Storage personnel Specialized personnel of
storage Head of entity 3. b. For regular
trucks: Adopt necessary measures in case of engine malfunction as
follows: - In
case vehicle repair takes little time, repair vehicle engine in order to
transport vaccine to receiving facility. - In
case repair takes too much time or cannot be done: + Contact the nearest provincial
entities for assistance and assignment of local vehicles for transport or
contact heads of storage for assigning vehicles of the Military Region to
assist. ... ... ... Driver/vaccine transporter
Storage personnel Specialized personnel of
storage Head of entity 4.2. Upon returning to
storage 1 Driver/transporter must
immediately submit detail report on the situation to their
superior/specialized personnel while transferring vaccine delivery record and
temperature monitoring instrument to vaccine storage management personnel. In case vaccine is
returned to storage, classify and deal with vaccine as per Procedures No. 11
and Procedures No. 14. Driver/vaccine transporter
... ... ... Specialized personnel of
storage Head of entity 2 Vaccine storage management
personnel shall read the temperature monitoring instrument, review the
documents, and submit reports to heads of entities/Military Region for
presentation to Steering Committee of the campaign Specialized personnel of
storage Head of Military Region List of contact in case of
emergency (name/phone number): + Head of storage:
……………………………………………….. + Specialized personnel of
storage: ………………………. ... ... ... GUIDELINES ON TRANSPORTING COVID-19 VACCINE FROM AIRPORTS TO
STORAGE FACILITIES 1. Objectives
The COVID-19 vaccines
licensed for use in Vietnam have 3 recommended temperature ranges: from 2 oC
to 8 oC, from –25 oC to –15 oC, and
negative/ultra-low temperature. Time for preservation of each type of vaccine
in each temperature range varies. Vaccines recommended for preservation in
ultra-low temperature after thawing are generally usable within up to 30-31
days. Thus, transportation of vaccine should be prioritized and promoted to
ensure vaccination safety and effectiveness. In order to ensure effectiveness
in vaccine transportation and preservation as well as maximize preservation
capacity, and the fastest delivery time to vaccination facilities, procedures
for transporting COVID-19 vaccine must be complied under close cooperation
between entities affiliated to Ministry of National Defense and entities
affiliated to Ministry of Health in the COVID-19 vaccination campaign in
2021-2022. 2. Procedures
2.1. Vaccine to be preserved
within 2 oC to 8 oC:
Military regions
No. 1, No. 2, No.3, and No. 4, and Capital High Command The NIHE ... ... ... Vaccine must be preserved within 2
oC to 8 oC during preservation and transportation. Do
not allow vaccine to freeze. Vaccine storage facility
of the NIHE Vaccine storage
facilities in Military regions Vaccine storage
facility of Pasteur Institute of Ho Chi Minh City Pasteur Institute
of Ho Chi Minh City Airport/supplier - The
National Institute of Hygiene and Epidemiology (NIHE) shall complete procedures
for importing COVID-19 vaccine to be preserved within 2 oC to 8 oC
from overseas, sponsors, or distributors in Vietnam. After which point, vaccine
will be transported to vaccine storage facility in the NIHE and Pasteur
Institute of Ho Chi Minh City. - Once
notice of release is issued and decision on vaccine distribution of Ministry of
Health reaches military regions and provinces, the NIHE shall inform the
General Department of Logistics, Department of Military Medicine, and Military
regions affiliated to Ministry of National Defense about receiving and
transporting vaccine, including: contact point, time, type of vaccine, number
of doses, number of containers, etc. - Based
on information above, the General Department of Logistics must direct relevant
entities to develop plans for receiving and transporting vaccine using
refrigerated trucks maintained at a temperature from 2 oC to 8 oC from vaccine
storage facility at the NIHE and Pasteur Institute of Ho Chi Minh City to
storage facilities of Military regions. ... ... ... - Vaccine
shall be preserved at a temperature from 2 oC to 8 oC in
specialized refrigerators in storage facilities of Military regions. 2.2. Vaccines
preserved in negative/ultra-low temperature and eligible for preservation at 2 oC
to 8 oC:
Vaccine
must be preserved in negative/ultra-low temperature during preservation and
transportation. Supplier Vaccine storage
facility in ultra-low temperature in Military regions Airport/supplier - Once
notice on receiving COVID-19 vaccine to be preserved in negative/ultra-low
temperature from overseas, sponsors, or distributors in Vietnam is received,
Ministry of Health shall issue decision on distributing vaccine. - Once
the NIHE has completed procedures for receiving vaccine, based on decisions on
vaccine distribution of Ministry of Health, distributors shall transport
vaccine at negative/ultra-low temperature and transfer to storage facilities in
Military regions. - Officials
in storage facilities of Military regions shall unload, categorize into
batches, examine, and include in reports on receipt: type of vaccine, number of
batches, quantity, expiry date, conditions upon receipt, etc. and submit to the
NIHE after receiving (Annex 1). ... ... ... - Vaccine
shall be preserved in ultra-low freezers in storage facilities in Military
regions. Apply the label that reads “Vắc xin chờ kiểm định, chưa được cấp phát”
(Vaccine awaiting examination. Do not distribute). - Collect
specimen for examination: In case multiple vaccine batches are different from
vaccine batches in preservation at the NIHE/Pasteur Institute: + After receiving report on
receiving vaccine from Military regions, the NIHE shall immediately issue
notice on number of vaccine doses to be collected from each batch for
examination. + Military regions are
responsible for transporting the specimen to the NIHE, the Pasteur Institute of
Ho Chi Minh City, or National Institute for Control of vaccine and biologicals within
2 days after receiving the notice. Vaccine specimen collected for examination
must be preserved at 2 oC to 8 oC during transportation. - Once
notice of dispatch is issued, Military regions are then allowed to distribute
vaccine. 2.3. Vaccine to be preserved
within -25 oC to -15 oC:
Vaccine storage facility
of the NIHE Airport/supplier Vaccine storage
facilities in Military regions ... ... ... Military regions
No. 5, No. 7, and No. 9 Pasteur Institute
of Ho Chi Minh City The NIHE Military regions
No. 1, No. 2, No.3, and No. 4, and Capital High Command - The
National Institute of Hygiene and Epidemiology (NIHE) shall complete procedures
for importing COVID-19 vaccine to be preserved within -25 oC to -15 oC
from overseas, sponsors, or distributors in Vietnam. After which point, vaccine
will be transported to vaccine storage facility in the NIHE and Pasteur
Institute of Ho Chi Minh City for preservation at a temperature from -25 oC
to -15 oC. - Once
notice on dispatch is issued, Ministry of Health shall issue decisions on
vaccine distribution. - The
NIHE shall inform the General Department of Logistics, Department of Military
Medicine, and Military regions affiliated to Ministry of National Defense about
receiving and transporting vaccine, including: contact point, time, type of
vaccine, number of doses, number of batches, etc. - Based
on information above, the General Department of Logistics must direct relevant
entities to develop plans for receiving and transporting vaccine using
refrigerated trucks maintained at a temperature from 2 oC to 8 oC
from vaccine storage facility at the NIHE and Pasteur Institute of Ho Chi Minh
City to storage facilities of Military regions. After receiving vaccine,
officials in storage facilities of Military regions shall unload, categorize
into batches, examine, and include in reports on receipt: type of vaccine,
number of batches, quantity, expiry date, conditions upon receipt, etc. and
submit to the NIHE (Annex 1). ... ... ... GUIDELINES ON RETURNING VACCINE CONTAINERS TO MANUFACTURERS Step 1: Receiving
vaccine containers from suppliers - Transporting
DHL unit: Lift cardboard cover of vaccine containers, collect the purple
instruction manual and printed return label on the top side of the container
cover. Place the printed return label in nylon bags (transparent nylon bags
that come with adhesives) provided by the DHL Company (return labels must
come with the correct containers) together with invoices printed from
available files. Turn of temperature
monitoring instrument Controlant logger by holding the button Stop shipment for
5 seconds, the device will blink 4 times before shutting down, at which point,
release the button. Make sure that temperature
monitoring instrument Controlant logger is placed back into the
containers in the original positions. ... ... ... Use white labels to cover
the dry ice marker UN1845 & the 9-shaped rhombus as the containers no
longer contain dry ice. Note: All hazardous
commodity labels (including those of transporting units) must be covered. DO NOT COVER the lithium
UN3481 battery label in red outline. Step 3: Apply
seal to cover the dry ice markings Seals are taken from the
backside of the purple instruction manual that comes with each container. Note: DO NOT COVER the
lithium UN3481 battery label in red outline. Step 4: Apply
nylon bags containing printed labels and invoices to the top left corner of a container
(apply over the label covering the dry ice note) ... ... ...
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Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
(Signature, full name and seal)
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
AND OPERATIONAL DIARY
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Mọi chi tiết xin liên hệ: ĐT: (028) 3930 3279 DĐ: 0906 22 99 66
Được hướng dẫn ()
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Bị hủy bỏ ()
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Được bổ sung ()
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Đình chỉ ()
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Bị đình chỉ ()
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Bị đinh chỉ 1 phần ()
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Bị quy định hết hiệu lực ()
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Bị bãi bỏ ()
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Được sửa đổi ()
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Được đính chính ()
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Văn bản hiện tại
Số hiệu
478/QD-QLD
Loại văn bản
Quyết định
Cơ quan
Cục Quản lý dược
Ngày ban hành
10/08/2021
Người ký
Lê Việt Dũng
Ngày hiệu lực
10/08/2021
Tình trạng
Còn hiệu lực
Hướng dẫn ()
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Hủy bỏ ()
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Bổ sung ()
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Đình chỉ 1 phần ()
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Quy định hết hiệu lực ()
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Bãi bỏ ()
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Sửa đổi ()
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Đính chính ()
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Thay thế ()
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Điều chỉnh ()
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Dẫn chiếu ()
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