Immunization Branch
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ADVANCE PLANNING
Clinic Design
III. Resources/Supplies
Create a supply list (see figure 6) for the entire
jurisdiction. Maintain centralized inventory of difficult to obtain items.
Identify appropriate storage facilities. Ensure personnel and protocols are
in-place for quality assurance: monitoring and maintaining appropriate storage
temperatures, checking lot numbers and expiration dates. Develop guidelines for
vaccine/prophylactic medication distribution and redistribution within the
region/county or to surrounding counties with the assistance of the BIP.
Establish contacts and procedures for obtaining all other necessary supplies
within 24 hours of an emergency. When appropriate, share clinic site plans and
anticipated needs with contractors (i.e. for delivery of refrigerators, portable
restrooms, tables, chairs, etc…) in advance.
Establish inventory control systems. Use a form similar to Figure 6 to distribute supplies to clinics. BIP recommends
using existing forms for managing vaccine inventories (see FORMS AND DOCUMENTATION). Establish a primary point
of contact for clinic Supply Managers. Procedures should be developed to check
each request for supplies carefully based on available information about the
scope of response, clinic capacity, and existing on-site inventory. The Supply
Manager at each clinic is responsible for maintaining inventory at each clinic.
Supply Managers should be trained in advance on procedures for ordering supplies
and maintaining inventory. The correct procedures for handling medications and
vaccines should be emphasized.
Develop security procedures for storage facilities and transportation
systems. Determine criteria for entry into centralized storage depots for
vaccines, prophylactic medications, and other supplies. Work with law
enforcement to develop a transportation plan to service clinics in the event of
a crisis.
Figure 6. Advance Planning Supply List for Region/Local Health Department
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Amount
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ITEM
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VACCINES/PROPHYLAXIS
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INFORMATION STATEMENTS
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Informed consent slips
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Vaccine/Drug Information Statements
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SUPPLIES
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Biological waste containers (i.e. 12 gallon
size)
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Syringes, needles
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Sterilized bifurcated needles (smallpox clinics)
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Latex gloves
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Latex-free gloves
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Alcohol wipes
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Acetone
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Spot band aids
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Rectangle band aids
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Rectal thermometer
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Oral thermometer
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Probe covers for thermometers
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Table pads and clean paper to cover table for work
site
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Antibacterial hand washing solutions
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Cloth towels
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Paper towels
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Gauze
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Adhesive tape
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Bleach solution and spray bottle
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Acetaminophen elixir samples
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Acetaminophen drops samples
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Acetaminophen children's chewable (80 mg)
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Acetaminophen adult tablets
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Refrigeration; storage for vaccine; storage for
transport/handling of vaccine
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Pill-counting machines and/or trays (if needed)
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Pill Bottles and Lids
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Spatulas
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Labels
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Box cutters
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Hand Truck
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Small two tiered cart for moving supplies
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Janitorial supplies (mop, bucket, broom, etc.)
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Reusable ice packs (3-5 per station)
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Yellow "caution" tape or something similar to define waiting
lines/areas
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EMERGENCY KIT
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Standing orders for emergencies
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Ampules epinephrine 1:1000 SQ
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Ampules diphenhydramine (Benadryl) 50 mg IM
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3cc syringes with 1", 25-gauge needles
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1 ½" needles
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tuberculin syringes with 5/8" needle, for
epinephrine
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0.9% Sodium Chloride
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5% Dextrose
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IV Starter Kits
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Spirit of ammonia
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Alcohol swabs
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Tongue depressors
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Pediatric pocket mask with one-way valve
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Adult pocket mask with one-way valve
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Pediatric airways
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Adult airways
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Tourniquets
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Flashlights and extra batteries
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Portable power sources for backup—portable
generators
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Radio (preferably at least one hand crank radio or radio with
fresh batteries)
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Gurney
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Stethoscope
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Blood Pressure Cuff (Adult and pediatric)
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Cots
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Blankets
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Pillows
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PAPERWORK AND OFFICE SUPPLIES
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Standing orders for prophylaxis/vaccination
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Regional contact list (multiple copies)
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Signage (English, Spanish, and other languages)
External—entrances and exits
Internal—Clearly marked areas, lines, stations
Biohazard
TDH contraindications posters, other posters specific to
vaccine/prophylactic medication
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Public information materials in English, Spanish, and other
languages
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Screening questionnaires
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Clinic vaccination administration record
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Reminder/recall/vaccine "take" cards for clients—specific to
Vaccine/Prophylactic Medication being administered
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Vaccine Adverse Event Report (VAERS) forms
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Calendars
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Sound systems
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Sound barriers
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Clipboards
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Extra pens
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Envelopes
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Rubber bands
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Tape
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Post-it notes
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Date stamps
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Paper Clips
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Staplers/staples
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Scissors
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Cell phones, Extra plug-in telephone
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Two-way radios
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Pagers
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Boxes/ice chests for storage and transport
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File boxes
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MISCELLANEOUS MATERIALS
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Containers for drinking water; cups
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Portable restrooms
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Snacks
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Toys, stickers, children's books; small TV with VCR and
children's tapes
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Garbage containers and trash
bags
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