______9) I agree to use the continuous digital monitoring devices provided by the NSIP to monitor vaccine storage
units containing federal- and/or state-supplied vaccines. The NSIP will provide at least two (2) LogTag
TRED30-7R continuous monitoring devices with capabilities of alarming for out-of-range temperatures,
provides current temperatures and minimum/maximum temperatures, low battery indicator, accuracy of
+/- 1°F (0.5°C), has memory storage capacity of at least 4,000 readings, used in conjunction with a
detachable biosafe glycol-encased probe and comes with current certificates of calibration accredited by an
ILAC MRA signatory body or meets ISO/IEC 17025 international standards. I understand it is the clinic’s
responsibility to pay for the biennial recalibration of the data loggers. If I cannot use the digital
monitoring devices supplied by the NSIP, then I agree to use a NSIP-approved alternative. I agree to return
all equipment supplied to my office through federal or state funds to the NSIP upon termination of this
agreement.
_____10) I agree to purchase at least one (1) backup digital monitoring device (data logger) with a valid and current
certificate of calibration accredited by an ILAC MRA signatory body or meets ISO/IEC 17025
international standards, capable of alarming (visually or audibly) for out-of-range temperatures, provides
current temperatures and minimum/maximum temperatures, low battery indicator, accuracy of +/- 1°F
(0.5°C), used in conjunction with a detachable biosafe glycol-encased probe and have it readily available
to ensure that twice a day temperature assessment and recording can be performed in the event the NSIP-
supplied data logger is no longer working or has been sent out for recalibration.
_____11) In the event the NSIP Program Manager, Vaccine Manager, Provider Quality Assurance Manager, and/or
the Vaccine Storage & Handling Coordinator recommends to my Primary or Backup Vaccine Coordinator
and/or myself, the Medical Director, that I purchase a stand-alone refrigerator and/or freezer unit as a
result of reviewing long-term continuous temperature monitoring data, and the office does not purchase the
recommended storage unit type, then I WILL BE HELD ACCOUNTABLE for replacing all 317-
funded vaccine doses (at private cost) that are spoiled or wasted as a result of temperature
excursions in the non-recommended unit.
_____12) I will maintain clients’ immunization records for a period specified by NRS 629.051 “Health care records:
Retention; disclosure to patients concerning destruction of records; exceptions; regulations. #1: …Each
provider of health care shall retain the health care records of his or her patients as part of his or her
regularly maintained records for 5 years after…their receipt or production. Health care records may be
retained in written form, or by microfilm or any other recognized form of size reduction, including,
without limitation, microfiche, computer disc, magnetic tape, and optical disc…Health care records may
be created, authenticated and stored in a computer system which limits access to those records. #7: A
provider of health care shall not destroy the health care records of a person who is less than 23 years of
age on the date of the proposed destruction of the records. The health care records of a person who has
attained the age of 23 years may be destroyed in accordance with this section for those records which
have been retained for at least 5 years or for any longer period provided by federal law. If requested, I
will make such records available to the Nevada Department of Health & Human Services and/or the U.S.
Department of Health & Human Services. I will make such records available to the health authority and/or
their designee, if requested (per NAC 441A.750). This includes the collection of data for quality
improvement assessments.
_____13) I will record all vaccines that our office administers to children and adults into Nevada’s immunization
information system, NV WebIZ, unless the patient has chosen not to participate. In order for a patient to
opt-out of NV WebIZ, a form must be completed and sent to the NV WebIZ Help Desk. Providers with an
undue hardship (i.e., no internet access) can comply by completing a NV WebIZ paper reporting form and
mailing to the NV WebIZ Program. Please contact the NV WebIZ Help Desk to obtain this form. These
requirements are in reference to Nevada Revised Statute (NRS) and corresponding Nevada Administrative
Code (NAC) R094-09A. View these laws at:
• NRS: http://www.leg.state.nv.us/NRS/NRS-439.html#NRS439Sec265
• NAC: http://leg.state.nv.us/NAC/NAC-439.html#NAC439Sec870
• NV WebIZ: http://dpbh.nv.gov/Programs/WebIZ/WebIZ_-_Home/