(Maintaining the Cold Chain) For - Halton and St Helens PCT

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REFRIGERATOR TEMPERATURE MONITORING SHEET Appendix 1Clinic location / GP practice………………………………………..…………………………….PCT Service ……………………………..………………………………..Month / Year……………………………………….Day ActualTemp ˚CMinimumTemp ˚CMaximumTemp ˚CResetthermometer Print name Signature CommentsGuidelines if out of temperature range1 st2 nd3 rd4 th5 th6 th7 th8 th9 th10 th11 th12 th13 th14 th15 th16 th17 th18 th19 th20 th21 st22 nd23 rd24 th25 th26 th27 th28 th29 th30 th31st9am 4pm 9am 4pm 9am 4pm 9am 4pmKeep refrigerator monitoring sheet for TWO YEARSHas the refrigerator been disconnected /turned off or has there been a powercut?Has the refrigerator door been left open?Has the refrigerator been openedfrequently in the last few hours or wasthere a session the previous day?Is the automatic defrost in currentoperation (if applicable)Is the thermostat set too high or too low?(if applicable)Was the thermometer reset correctlyafter the last reading?If used, is the temperature probecorrectly placed in the refrigerator?Has refrigerator been overfilled ( mustallow sufficient air circulation)Does the refrigerator need defrosting?(if applicable)Has the thermometer been accidentallydamaged e.g. fallen off the refrigerator?Does the refrigerator need servicing?Temperatures should be between 2˚C to 8˚C. If temperature is outside the recommended range, take appropriate action as indicated in the Cold Chain Policy and Flow Chart forMonitoring the Temperature of Medicine RefrigeratorsOctober 2008 page14
Flow Chart - Monitoring the Temperature of Medicine RefrigeratorsDo not overfill therefrigerator Allow sufficientair circulationBefore signing for vaccine delivery -Check for leakage, damage, discrepanciesDo not storeIn the door orthe bottomdrawers (unlessrecommended byrefrigeratormanufacturer)Next to thefreezer plateNext torefrigerator fan /air ventVaccinessafely storedRe-setmaximumminimumthermometerYESRefrigerate the vaccinesimmediately on receipt (Rotatestock, ensuring shortest datedvaccines are used first)Record number and batch of anyvaccines returnedRecord refrigerator temperature at9.00am and 4pm each day: actual temperature minimum temperature maximum temperatureCurrent temperature andmaximum- minimumtemperature between2 o and 8 o C?NORecordVaccine typeBrandQuantityBatch numberand expiry dateDate and timereceivedQuarantinerefrigerator stockimmediatelySeal refrigeratorSeek adviceInform immunisationco-ordinatorMedicines Information Department – for vaccine stabilityinformation and adviceWarrington Hospital 01925 662238Whiston Hospital 0151 430 1565Estates – to arrange a fridge service visitTom Cheetham (for Halton and St Helens)Helpdesk 01925 715795Immunisation co-ordinator 01928 593666MM pharmacist 01928 593755Give details ofVaccines affectedTemperatures recordedAny other relevant informationAction anddocumentadvice receivedand completePCT IncidentForm IR1Page 15 of 23
Page 2 and 3: CONTRIBUTION LISTKey individuals in
Page 5 and 6: 6. DefinitionsVaccine - noun a subs
Page 7 and 8: Process Document for The Safe Distr
Page 9 and 10: If incident occurs in general pract
Page 12 and 13: Vaccines can be returned to the ref
Page 16 and 17: Appendix 3Refrigerator DiagramVacci
Page 19 and 20: e. R & L Slaughter Ltd.,Units 11 &
Page 21 and 22: APPENDIX 5EQUALITY IMPACT ASSESSMEN
Page 23: Medicines Management carry out Safe

(Maintaining the Cold Chain) For - Halton and St Helens PCT

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