Learning Objectives
At the completion of this module, participants will:- Understand why it is important to monitor vaccine cold chain
- Have the ability to implement some strategies which opitmise the cold chain
- Have knowledge of what action to take if the cold chain has been breached
Cold Chain
Vaccinations not only protect individuals but also others in the community by increasing the general level of immunity and minimising the spread of infection. It is vital that healthcare professionals take every available opportunity to vaccinate children and adults. The Australian Immunisation Handbook 9th Edition 2008Access to the electronic version of the 9th edition of The Australian Immunisation Handbook can be accessed by the following link immunise.health.gov.au
What is the cold chain?
The cold chain is the system of transporting and storing vaccines within the temperature range of +2 to +8 degrees celsius from the place of manufacture to the point of administration. (The Australian Immunisation Handbook 9th Edition 2008)

Why is maintaining the cold chain important?
- To avoid administering compromised vaccine
- Ensures best practice for patient immunisation of vaccine preventable diseases
- Reducing risk of wastage
Cold Chain breaches
If vaccines are exposed to temperatures below +2 degrees or above +8 degrees Celsius- Do not use until obtaining further advice
- Do not discard the vaccines until obtaining further advice
- Isolate under cold chain conditions until further action is advised by the Vaccine Centre
Steps for optimal storage of vaccines
All immunisation service providers should adhere to the National Vaccine Storage Guidelines: Strive for 5 www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/provider-store
The 9th Edition of the Australian Immunisation Handbook promotes the following activities to ensure optimal storage of vaccines:
- Designate one staff member as the primary administrator to monitor vaccine temperature
- Designate a back up monitor of vaccine temperature to take responsibility for vaccines in the absence of the primary administrator
- Develop a written Vaccine management policy and protocol
- Monitor and record daily minimum / maximum temperatures
- Maintain refrigerator temperatures between +2 degrees Celsius and +8 degrees Celsius
- Using a purpose built vaccine refrigerator for the purpose of storing vaccines is best practice but if using a domestic refrigerator ensure a Celsius digital minimum / maximum thermometer is used correctly and recorded.
Transporting vaccines and maintaining the cold chain.
Sometimes vaccines have to be transported to outreach services. It is particularly important to maintain the cold chain and the powerpoint at the end of this model will help guide you through the issues around cooler packing and the optimum way of packing vaccines to ensure vaccines are not compromised during transportation.
Data Logging
Some providers of immunisation programs have special purpose vaccine storage fridges which monitor and record temperature variations.If your program or service does not have a special purpose vaccine fridge you are probably using a domestic fridge.
To ensure the fridge temperature is consistently maintaining a range between + 2 degree Celsius and + 8 degree Celsius over a long period of time, small monitoring devices using computer technology called Data loggers are palced into the fridge for a period of time, during which time temperature is recorded and stored within the data logger. After a pre determined time the data logger can be removed and stored data can be retrieved. A report can then be generated on the effectiveness of your fridge.
If you would like more information to data logging contact the Division Contact Us
Authority to immunise
Practice Nurses may administer vaccines following an order of the GP or administer independantly if the nurse has completed the requirements of the Immunisation course conducted by the College of Nursing www.nursing.edu.au
Quick Quiz
Write a short response to each question in the provided answer sheet.- Between what temperatures should vaccines be stored?
- Why is it important to maintain the National Vaccine Storage Guidelines?
- What should you do after a cold chain breach?
