[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-164911-en":3,"doc-seo-164911-105":30,"detail-sidebar-cat-1-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":11,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},164911,34359740700684,"Finn","https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487",1,17,"Forms","Vaccine Management Plan Template - Section 1 - Provider Information","Vaccine Management Plan Template supports New Jersey Vaccines for Children (VFC) and 317 Adult Program providers in maintaining a vaccine management plan for routine and emergency situations. The template specifies required provider information, designations of a primary and backup vaccine coordinator, and staffing acknowledgement procedures. It also outlines facility compliance expectations for vaccine storage units, temperature monitoring and DDL organization, escalation steps for temperature excursions, and a suggested timeline for daily, weekly, bi-weekly, and monthly storage and handling activities.","Vaccine Management Plan Template\nKEEP THIS MANAGEMENT PLAN NEAR VACCINE STORAGE UNITS\nThe New Jersey Vaccine-Preventable Diseases and Immunization Program (VPDP) requires Vaccines for Children (VFC) and 317 Adult Program providers to maintain a vaccine management plan for routine and emergency situations. This document is a template for information.  It includes guidelines, protocols, contact information, and staff training. At a minimum, all identified information in this template must be in your final plan.\nReview and update the plan at least once a year, when program requirements change, and when staff with designated vaccine management responsibilities change. Key practice staff must sign and acknowledge the signature log annually and whenever the plan is revised.\nNJ Immunization Program Field Representatives will ask to review this plan during routine and unannounced site visits.\nSection 1: Provider Information\nEach facility must designate a primary and backup vaccine coordinator responsible for the vaccine management plan and for maintaining program compliance. Any personnel changes to the Medical Director, primary vaccine coordinator, or backup vaccine coordinator will need to be communicated by email to \u0013 HYPERLINK \"mailto:VFC@doh.nj.gov\" \u0014VFC@doh.nj.gov\u0015\nFacility Name: ________________________________________________________________________\nFacility Address: ______________________________________________________________________\nFacility Phone Number: ______________________________________________ PIN: ______________\nStaff must sign and date the Acknowledgement and Signature Log at the end of this document to confirm that they understand and agree to the duties assigned to them.\n\u000f\nSection 2: Routine and Emergency Contacts\nFill in chart below with contact information and add any additional helpful contacts.\n\u000f\nSection 3:  Vaccine Storage Units\nAll primary and backup vaccine storage units must meet the storage and temperature monitoring requirements outlined in the New Jersey VFC/317 Provider Manual and \u0013 HYPERLINK \"https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html\" \u0014CDC Storage & Handling Toolkit\u0015 to ensure the proper storage and handling of vaccines.\nNote: Backup units must meet the same criteria as primary storage units. Refer to the CDC’s \u0013 HYPERLINK \"https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html\" \\h \u0014Storage & Handling Toolkit\u0015 for full guidelines and recommendations.\nSection 4: Temperature Monitoring\nThis section contains information that will be helpful when providers need to quickly identify where temperature monitoring information or equipment is located, and to have all Digital Data Logger (DDL) information in a central location. Complete information in this section to assist with temperature monitoring and documentation.\nDigital Data Logger Information\nTEMPERATURE EXCURSION: If you experience a temperature excursion, notify the New Jersey Immunization Program via email at \u0013 HYPERLINK \"mailto:VFC@doh.nj.gov\" \u0014VFC@doh.nj.gov\u0015 within one business day. Be sure to include your VFC/317 PIN # in the subject line.\nSection 5: Timeline for Routine Storage and Handling Activities\nThis section outlines a suggested timeline for storage and handling activities.  Include facility specific information as needed.\nINITIAL ACTIONS AND EQUIPMENT SETUP\nReview requirements in the VFC/317 Provider Agreement, NJ VFC/317 Provider Manual, and \u0013 HYPERLINK \"https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html\" \\h \u0014CDC Storage and Handling Toolkit\u0015. Ensure pertinent staff are trained on program requirements.\nUse or purchase vaccine storage units that meet \u0013 HYPERLINK \"https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html\" \\h \u0014CDC requirements\u0015.\nDo not store vaccines in storage units until temperatures are stable for at least 2 consecutive days. It may take 2-7 days for temperatures to stabilize.\nNote: vaccines should never be stored in the freezer portion of a household combinati","cbCaiqyhFQFI1vVR","https://ap.wps.com/l/cbCaiqyhFQFI1vVR","docx",388886,13,"English","en",105,"# Section 1: Provider Information\n## Section 2: Routine and Emergency Contacts\n## Section 3: Vaccine Storage Units\n## Section 4: Temperature Monitoring\n## Section 5: Timeline for Routine Storage and Handling Activities\n### INITIAL ACTIONS AND EQUIPMENT SETUP\n### DAILY TASKS\n### WEEKLY TASKS\n### BI-WEEKLY TASKS\n### MONTHLY TASKS","[{\"question\":\"Who must be designated for the vaccine management plan at each facility?\",\"answer\":\"Each facility must designate a primary and a backup vaccine coordinator responsible for the vaccine management plan and program compliance.\"},{\"question\":\"What information is needed when a temperature excursion occurs?\",\"answer\":\"Notify the New Jersey Immunization Program within one business day by email and include the facility’s VFC/317 PIN number in the subject line.\"},{\"question\":\"How should temperature monitoring records be handled daily?\",\"answer\":\"Record MIN and MAX temperatures for all vaccine storage units and log temperatures either on paper temperature logs or directly into NJIIS, with DDL minimum/maximum reset as required by the device specifications.\"}]","Vaccine Management Plan Template - Section 1 - Provider Information | DOCX",1788163044,5,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":28},"vaccine-management-plan-template-section-1-provider-information","",{"@graph":36,"@context":86},[37,54,69],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/template/","Template",2,{"item":49,"name":13,"@type":43,"position":50},"https://docshare.wps.com/template/forms/",3,{"item":52,"name":14,"@type":43,"position":53},"https://docshare.wps.com/template/vaccine-management-plan-template-section-1-provider-information/164911/",4,{"url":52,"name":14,"@type":55,"author":56,"headline":14,"publisher":58,"fileFormat":61,"inLanguage":23,"description":15,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-02","2026-08-31",true,{"@type":66,"interactionType":67,"userInteractionCount":50},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"Who must be designated for the vaccine management plan at each facility?","Question",{"text":76,"@type":77},"Each facility must designate a primary and a backup vaccine coordinator responsible for the vaccine management plan and program compliance.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"What information is needed when a temperature excursion occurs?",{"text":81,"@type":77},"Notify the New Jersey Immunization Program within one business day by email and include the facility’s VFC/317 PIN number in the subject line.",{"name":83,"@type":74,"acceptedAnswer":84},"How should temperature monitoring records be handled daily?",{"text":85,"@type":77},"Record MIN and MAX temperatures for all vaccine storage units and log temperatures either on paper temperature logs or directly into NJIIS, with DDL minimum/maximum reset as required by the device specifications.","https://schema.org",{"og:url":52,"og:type":88,"og:title":14,"og:site_name":59,"og:description":15},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":93},[94,99,104,109,114,119,122,127,131],{"id":95,"doc_module":11,"doc_module_name":46,"category_name":96,"show_sort_weight":97,"slug":98},11,"Presentations",90,"presentations",{"id":100,"doc_module":11,"doc_module_name":46,"category_name":101,"show_sort_weight":102,"slug":103},12,"Resumes",80,"resumes",{"id":105,"doc_module":11,"doc_module_name":46,"category_name":106,"show_sort_weight":107,"slug":108},14,"Invoices",70,"invoices",{"id":110,"doc_module":11,"doc_module_name":46,"category_name":111,"show_sort_weight":112,"slug":113},15,"Posters",60,"posters",{"id":115,"doc_module":11,"doc_module_name":46,"category_name":116,"show_sort_weight":117,"slug":118},16,"Social Media",50,"social-media",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":120,"slug":121},40,"forms",{"id":123,"doc_module":11,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},18,"Letters",30,"letters",{"id":128,"doc_module":11,"doc_module_name":46,"category_name":129,"show_sort_weight":29,"slug":130},21,"Paper Templates","papers-templates",{"id":132,"doc_module":11,"doc_module_name":46,"category_name":133,"show_sort_weight":4,"slug":134},158,"General","general-158"]