Cold chain

cold chain is very important for the health care system

1. Cold chain

2. Vaccines Beneficiary Communication VVM KEY WORDS

3. Introduction This is a system of storing and transporting vaccines at recommended temperatures from the point of manufacture to the point of use.

4. DEFINITION “ Cold Chain is a system of keeping Vaccines at their recommended temperature from the point of manufacturing to the point of vaccination of the beneficiary.

5. Importance of cold chain 1 . Obtaining the vaccines from the manufacturers 2. Storing and transporting the vaccine 3. Maintaining the supply of vaccine 4. keeping the vaccine at low temperature 5. Protecting the vaccine from sunlight exposure 6. Maintain the patency of vaccine 7. Repetitive exposure to heat episodes results in a cumulative loss of potency that is not reversible

6. Component of cold chain 1. Apparatus 2. Supplies 3. Manual efforts 4. Transportation 5. Communication

7. Apparatus 1. Apparatus which keep the vaccine at 4 to 8 degree Celsius. 2. Equipments which freezes the vaccines.

8. Type of equipments 1. Vaccine carrier 2. Cold packs 3. Day carriers 4. Refrigerators 5. Walk in cooler

9. Vaccine carrier

10. COLD PACK

11. VACCINE DAY CARRIER

12. WALK IN COOLER

13. TRANSPORTATION 1 . To maintain the patency of vaccine rapid means of transport should be used in a specific temperature 2. Refrigerator should be arranged in the trucks with a heat resistant equipments 3. Aeroplanes are used to save time

14. COLD CHAIN MONITORING EQUIPMENT Vaccine vial monitors Freeze indicators The shake test Thermometers

15. SHAKE TEST

16. The Effective Cold Chain Three main elements combine to ensure proper vaccine transport, storage, and handling. Trained personnel Transport and storage equipment Efficient management procedures Equipment People Procedures

17. Summary Cold chain  is a temperature-controlled  supply chain . An unbroken  cold chain  is an uninterrupted series of refrigerated production, storage and distribution asctivities , along with associated equipment and logistics, which maintain a desired low-temperature range.

18. Bibliography Teacher references :- “Dash Bijaylashami ” A Comprehensive Textbook Of Community Health Nursing, Ist edition,Jeypee Brothers Medical Publication , page no.501-504 “K Park” textbook of Park’s textbook of preventive and social medicine 22st edition , M/S Banarsudas Bhanot publication page no.536 “Ravi Prakash Saxena ” textbook of Community health nursing –II” 2nd edition , Lotus Publishers page no.511 “ S.Kamalam ” Essentials in Community Health Nursing Practice, 3rd edition page no.520 Net references :- https://www.slideshare.net/PreetikaMaurya/cold-chain-63550429 https://en.wikipedia.org/wiki/Cold_chain # Student reference :- 1. “Dash Bijaylashami ” A Comprehensive Textbook Of Community Health Nursing, Ist edition,Jeypee Brothers Medical Publication , page no.501-504

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