Maine Immunization Program Update June 2019

Maine Immunization Program Update

June 2019

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ImmPact System Enhancements and Upcoming Requirements

Several changes have taken effect within the Maine Immunization Program Information System, ImmPact, which began the week of May 20, 2019. We also had changes to the Provider Agreement and annual documentation requirements. Please ensure that your practice is up-to-date on these updates and requirements by referring to the documentation that was sent out to providers on May 23, 2019.

This information is located on our website.


New Temperature Logs Available

New temperature logs are now available on our website. Min/Max temperature readings must be recorded at the start of each workday. Documentation must include date, time, min/max temperatures since the previous reading, initials of person checking temperature, and a summary of any follow up required as a result of out of range temperatures. The ImmPact cold chain screen has also been updated to reflect these changes. 
temp log

Measles Guidance & Resources

Measles Outbreak Toolkit for Healthcare Providers

Measles CDC home page

Measles for Healthcare Professionals (Includes post-exposure prophylaxis for healthcare personnel)

Strategies for Overcoming Barriers to Healthcare Personnel Immunization, April 25, 2019 webinar

CDC Measles For Public Health Professionals

CDC Measles Resources

Measles, Mumps, and Rubella (MMR) Vaccination: What Everyone Should Know

IAC: Talking About Measles

Resources for frequently asked questions about measles:

CDC Measles Web Graphics: 

infographics

Education Corner


pentacel

Pentacel Errors

"We inadvertently gave a child only the DTaP‐IPV component of Pentacel not realizing that this component was intended to reconstitute the Hib component. Does this count as a valid dose of DTaP and IPV? Can we mix the unused Hib component with sterile water and give it separately?”

The DTaP‐IPV component will count as valid doses of DTaP and IPV vaccines, but take measures to prevent this error in the future. You cannot mix the Hib component with sterile water. ActHib must ONLY be reconstituted with either the DTaP‐IPV solution supplied with Pentacel,
or with a specific ActHib saline diluent.

"A 5-year-old patient received Pentacel (DTaP-IPV/Hib) for the 5th dose of DTaP instead of Quadracel (DTaP-IPV). Can I count the Pentacel as a valid dose or will we need to revaccinate this patient?"

While administration of Pentacel to a 5-year-old would be considered off-label and a vaccine administration error, the doses of DTaP and IPV can be counted as valid and do not need to be repeated. Hib vaccine is not routinely administered after a child has reached the age of 5 years so it is also a vaccine administration error. You should explain this error to the parents and assure them that the extra Hib dose will cause no harm.

"Although licensed by the Food and Drug Administration for use through age 4 years, a dose of Pentacel was inadvertently given to a six-year-old. Do any components of the Pentacel dose need to be repeated?"

Pentacel (DTaP-IPV/Hib) inadvertently administered to children six years of age and older is considered a vaccine administration error. However, none of the vaccine components need to be repeated.


Proper Vaccine Storage & Handling Reminders

  1. Place the vaccines in trays or containers for proper air flow.
  2. Put vaccines that are first to expire in front.
  3. Keep vaccines in original boxes with lids closed to prevent exposure to light.
  4. Separate and label by vaccine type and public (VFC) or private vaccine.

Don’t Be Guilty of These Preventable Errors in Vaccine Storage and Handling!

vaccine tray

Data Logger Webinar

Our Data Logger PowerPoint, originally presented in April as a webinar, has been posted to the webinar section of our website. The information covered included: how to set up your data logger, configure it, download temperatures, analyze reports and device maintenance.