Supplementary Procedures

STANDARD OPERATING PROCEDURE SUPPLEMENTARY PROCEDURES FRIDGE TEMPERATURE MONITORING DISPENSARY

PURPOSE: SCOPE:

 To keep a written record of the  This procedure covers the daily recording daily minimum and maximum of the fridge temperature of the Dispensary temperature of the dispensary refrigerator, used for storing thermolabile refrigerator, in order to main the cold products in the Dispensary. chain supply, and to protect patients and the public  To ensure the correct conditions for the storage of thermolabile products.  To ensure that appropriate action is taken, to ensure that the temperature of the refrigerator is maintained in the range +2˚C and +8˚C.

Preparations  The Dispensary Clinical governance lead1 is accountable for the completion of Fridge temperature monitoring.  The dispensary Clinical governance lead may delegate the responsibility of completing the Fridge temperature monitoring to a trained member of staff.  All staff responsible for this task , should be trained in using the thermometer (mercury and digital thermometers)  If possible, the Dispensary must make sure that emergency power supply is available, in the event of a power cut. Emergency power supply should supply power for a minimum of 24 hours.  A Dispensary fridge used for storing medicines, but is used exclusively for the storage of medicines, i.e. no food products should be stored in the fridge to minimize the risk of changes in temperature and risk of contamination.

PROCEDURE RESPONSIBILITY

1. Check the fridge temperature (min & Max) daily, and record in the refrigerator Temperature record sheet (Appendix 1).

2. Press the reset button after recording the temperature each day, in order to obtain new baseline.

© Practice Services UK Limited. For use within your practice only. You are not permitted to supply this to any other organisation. Page 1 of 5 3. If the temperature is between +2˚C and +8˚C, then complete the Fridge temperature record sheet and add your initials.

PROCEDURE RESPONSIBILITY

4. Check fridge working correctly, and defrost regularly. Record the date the fridge was defrosted (see bottom half of Fridge temperature record sheet) Reading below +2˚C and above +8˚C 5. Inform The Dispenser and/or the clinical governance lead 6. Take action-  Review the training and competence of the member of staff reading the temperatures,  Ensure the fridge is working correctly.  If using a digital thermometer make sure the probe is in a suitable position. Review of temperature Record sheets 7. Review recording on a monthly basis  Check the fridge temperature is checked every day  Has the necessary action been taken, if reading are outside the normal range  When a remedial action has been taken-has that been recorded.  Sign and date the review

REVIEW PROCEDURE: KNOWN RISKS:

This procedure will be reviewed in the light  New or untrained staff/locums of staff changes, and incidents/events.

In the absence of any events it will be reviewed on or before the date shown below.

PREPARED BY:

SIGNATURE:

DATE OF PREPARATION:

DATE EFFECTIVE FROM:

VERSION NUMBER:

© Practice Services UK Limited. For use within your practice only. You are not permitted to supply this to any other organisation. Page 2 of 5 DATE OF REVIEW: STANDARD OPERATING PROCEDURE SUPPLEMENTARY PROCEDURES FRIDGE TEMPERATURE MONITORING I have signed to say that I have read the procedure and understand its implications.

NAME SIGNATURE DATE

Dispensary Stamp DISPENSARY REFRIGERATOR TEMPERATURE RECORD

MONTH ______YEAR ______

Date/Day Max Min. Action take if Checked by Thermometer Temp Temp. Outside (initials) reset (tick) ˚C ˚C range2˚-8˚ C

Record of Fridge Defrosting Date/day Completed by Date/day Completed by (initials) (initials)