refrigerator temperature log nyc health
8C 7C 6C Aim for 5C 4C 3C 2C If temperature is unacceptable below. Do not leave vaccine in non-functioning storage unit.
Fillable Temperature Log Sheet Pharmacy Forms And Document With Best Refrigerator Temperature Log Templ Refrigerator Temperature Best Refrigerator Temperatures
If temperature is unacceptable below -50ºC or above -15ºC take action see below.
. 15 days following the date the temperature was observed eg a June 1 temperature cannot be entered after June 15. Write the temperature in the row that corresponds to the refrigerators temperature. Document these temperatures by writing an X in the row that corresponds to the refrigerator temperature under the appropriate day of the month.
Write your initials and the time of day. Alert your supervisor immediately. Review the continuous DDL temperature data daily.
Vaccine Refrigerator Temperature Log. Record the minmax temps once each workday. Massachusetts Department of Public Health.
REFRIGERATOR TEMPERATURE MONITORING LOG. See example at bottom right Write the temperature below. Write an X next to the current temperature in the table below.
Maintain printed data logger data and temperature. Days 1 to 15 1. Check and record the current temperature at the start and end of the workday.
32018 If temperature is unacceptable below 36ºF or above 46ºF. 5F 4F 3F 2F 1F 0F-1F-2F-3F-4F - 58F to - F Write any out-of-range temps above 5ºF or below -58ºF here. Put a Do Not Use Vaccines sign on the refrigerator.
Sta initials Day of month Time AM. Menu Promoting and Protecting the Citys Health. Write an X next to the current temperature in the table below.
Place an X next to the current temperature. Date Action Min temperature Max temperature Record temperatures once per day when using a digital data logger thermometer. Action Room Temperature Temperature Log for Freezer Fahrenheit Page 1 of 3 DAYS 1 15.
A daily temperature log must be kept at every VFC vaccine storage location and must be submitted at the end of each month to the. If you have any problems with your refrigerator andor VFC vaccines please notify the NYC VFC program at 347-396-2404. Take action if temp is out of range too warm above 8ºC or too cold.
Refrigerator Freezer Temperature Log 12 Hours Record temperatures at least every 1 hour during clinic. Label exposed vaccine do not use and place them in a separate container apart from other products in. At the end of the month le this log and keep it for three years.
Sta initials Day of month Time AM. After each month has ended save each months log for 3 years unless statelocal jurisdictions require a longer period. 305 South St Jamaica Plain MA 02130.
022022 Print Names of ALL Staff Who Record Temperatures. Label exposed vaccine do not use and store it. Health Care Professional 800 609-4618.
List comments or dates and details of any actions taken or. At the end of the month le this log and keep it for three years. Record temps twice each workday.
Circle if you are recording in C or F on the temperature log. Record the out-of-range temps and the room temp in the Action area on the bottom of the log. Room Temperature Temperature Log for Freezer Celsius Page 2 of 3 DAYS 1631.
Do not discard vaccines unless directed to by the manufacturers andor your state health department. If a temperature is not entered into NYSIIS within the 15 day window a paper copy of that months Temp Log will need to be maintained in the providers office for a minimum of 3 years in order to comply with. If the temperature is too warm or too cold follow the actions steps below.
Notify your vaccine coordinator or call the immunization program at your state or local health department for guidance. Write your initials below in Staff Initials and note the time in Exact Time 2. Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately-15ºC-16ºC-17ºC-18ºC-19ºC-20ºC-21ºC-22ºC-50ºC to -23ºC action Write any out-of-range temps above -15ºC or below -50C here.
Between 2C and 8C or 36F and 46F At all times. Write your initials and the time of day. If temperature is unacceptable below -58ºF or above 5ºF take action see below.
Health 311 Search all NYCgov websites. Fax all temperature logs since previous order along with vaccine order and usage form to 617-983-6924. Refrigerator Temperature Log PDF Temperature Excursion Incident Report PDF Temperature Conversion Chart.
Temperature Log for Refrigerator Fahrenheit Page 2 of 3 DAYS 1631 Monitor temperatures closely. If any out-of-range temp observed see instructions to the right. NYC is a trademark and service mark of the City of New York.
For out-of-range temperatures see instructions to the right. Above 8ºC or too cold below 2ºC. At the end of the month.
Bimonthly download and print data logger data. Effective January 1 2020 all VFC providers must use stand-alone refrigerator and freezer units to store vaccine. Take action if temp is out of range too warm above 46ºF or too cold below 36ºF.
If any out-of-range temp observed see instructions to the right. Temperature Log for REFRIGERATOR-Celsius Rev. Write any out-of-range temps and room temp on the lines below and call your state or local health department immediately.
Put an X in the row that corresponds to the refrigerators temperature. Between -50C and -15C or -58F and 5F At all times Refrigerator Temperature. Place an X next to the current temperature.
Temperature log to post on your refrigerator includes troubleshooting record and two completed records for reference purposes 5 pages P3037F P3037C Healthcare professionals can document occurrence and resolution of questionable or unacceptable vaccine storage event s on this form electronically or can print the form and complete it. Refrigerator Temperature Log Record temperatures twice 2x a day. Chicago Department of Public Health Refrigerator Temperature Log Record CURRENT MIN and MAX temperatures twice a day.
Read the thermometer display. Record actions taken for unacceptable temperatures. Aim for 40F4C Yellow bar 3.
The freezer must be able to maintain temperatures at or below 5 Fahrenheit -15 Celsius and the refrigerator must be able to maintain temperatures consistently between 36 and 46 Fahrenheit 2 to 8 Celsius. Ad Browse Discover Thousands of Medical Book Titles for Less. Record actions taken for unacceptable temperatures.
Complete steps 1-4 Write your initials and time of day. Write an X next to the current temperature in the table below. Immediately move the vaccine to a working storage unit at proper temperature.
FRIDGE NAMENUMBER_____ CLINIC NAME_____ INSTRUCTIONS ON HOW TO RECORD TEMPERATURES. Aim for 40F4C Yellow bar 3. Refrigerator temperature range should be 2oC to 8oC or.
Not discard vaccines unless directed to by your statelocal health department andor the manufacturers. If any out-of-range temp see instructions to the right. Record the actions you take.
If temperatures are in the DANGER zone See zones below go to step 3. After each month has ended save each months log for 3 years unless statelocal jurisdictions require a longer period. Pin Facility Name.
Contact your VFC representative. After each month has ended save each months log for 3 years unless statelocal jurisdictions require a longer period.
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