Understanding Quebec Vaccine Management Requirements
The Guide des normes et pratiques de gestion des vaccins is Quebec’s official reference document for vaccine quality standards. Published by the Ministère de la Santé et des Services sociaux (MSSS), it establishes the standards to be followed to ensure vaccine quality from the moment they leave the manufacturer until administration.
Regulatory Framework
Quebec’s vaccine management system operates at three levels:
- Provincial (DGAPSP du MSSS): Establishes standards and guidelines
- Regional (DSPublique): Oversees compliance across CISSS/CIUSSS and vaccination sites
- Local (Vaccination Sites): Implements procedures and maintains cold chain
Key Storage Requirements
Refrigerated Vaccines (+2°C to +8°C) Most routine vaccines require storage between +2°C and +8°C. This includes:
- Routine childhood vaccines
- Influenza vaccines
- Most adult immunizations
Frozen Vaccines Certain vaccines require frozen or ultra-low temperature storage:
- Comirnaty (Pfizer): May require storage at -90°C to -60°C, depending on the formulation (specialized freezer required)
- Imvamune (Smallpox): Stored at -90°C to -70°C, -60°C to -40°C, or -25°C to -15°C (max 3 months at this range); once thawed, may be refrigerated at 2-8°C for a maximum of 8 weeks
- COVID-19 vaccines (Comirnaty and Spikevax) each have distinct protocols including ultra-cold freezing options, refrigeration windows, and specific thaw timelines varying by format
Cold Chain Breach Procedures
When a temperature excursion occurs, Quebec’s protocol requires:
- Immediate Segregation: Mark affected vaccines and segregate from usable inventory
- Documentation: Record all incident details including duration and temperature readings
- Regional Notification: Contact DSPublique using the official evaluation form
- Await Authorization: Do not discard or use vaccines until regional public health provides guidance
ATEK automatically captures all data required for the MSSS evaluation form, including:
- Exact excursion start and end times
- Minimum and maximum temperatures
- Duration of the deviation
- Complete audit trail
How ATEK Supports Quebec Compliance
Continuous Monitoring
ATEK monitors vaccine storage temperatures continuously, providing:
- Real-time visibility into all storage units
- Early warning of developing temperature issues
- Complete temperature history for audit purposes
Multi-Site Management
For CISSS, CIUSSS, and pharmacy chains, ATEK offers:
- Centralized dashboard for all locations
- Regional coordinator oversight capabilities
- Site-level access for local staff
- Consolidated reporting across the network
Documentation for DSPublique
ATEK maintains records required by regional public health:
- Continuous temperature logs with timestamps
- Calibration certificates
- Excursion reports with corrective actions
- Equipment maintenance records
Community Pharmacy Requirements
Since March 2020, pharmacists and nurses in community settings must consult the Order of Pharmacists of Quebec regarding:
- Professional practice for vaccine administration
- Cold chain maintenance according to MSSS standards
- Immunizing product management
ATEK helps pharmacies meet these requirements with affordable, easy-to-deploy monitoring solutions.