COLD CHAIN POLICY. Review Date May 2016 Related Policies & other documents MMP001 Control of Medicines Policy Freedom of Information category Policy

Size: px
Start display at page:

Download "COLD CHAIN POLICY. Review Date May 2016 Related Policies & other documents MMP001 Control of Medicines Policy Freedom of Information category Policy"

Transcription

1 COLD CHAIN POLICY Policy Details NHFT document reference MMP-014 Version Version 2-6/5/14 Date Ratified Ratified by Trust Policy Board Implementation date Responsible Director Medical Director Review Date May 2016 Related Policies & other documents MMP001 Control of Medicines Policy Freedom of Information category Policy Cold chain policy 1 of 12 Implementation Date: 07/05 /14

2 TABLE OF CONTENTS 1. DOCUMENT CONTROL SUMMARY INTRODUCTION PURPOSE DEFINITIONS DUTIES Medicines Management Committee Ward or unit manager Nurse in charge of the shift/ designated person Nurses working out of non-nhft sites POLICY MAIN BODY Transport From Acute Trust to NHFT sites From departments to satellite clinics/berrywood pharmacy to inpatient wards/units Management of vaccines in clinics where no refrigerator is available Storage Cleaning the Interior Monitoring DISRUPTION OF THE COLD CHAIN Disposal TRAINING Mandatory Training Specific Training not covered by Mandatory Training MONITORING COMPLIANCE WITH THIS DOCUMENT REFERENCES AND BIBLIOGRAPHY RELATED TRUST POLICY APPENDIX 1 FRIDGE MONITORING CHART Cold chain policy 2 of 12 Implementation Date: 07/05 /14

3 1. DOCUMENT CONTROL SUMMARY Document Title Document Purpose (executive brief) Cold Chain Policy To support the safe storage and use of all medication which are required to be stored between 2 and 8 degrees Status: - New / Update/ Review Areas affected by the policy Policy originators/authors Consultation and Communication with Stakeholders including public and patient group involvement Review All patients/departments within Northamptonshire Healthcare NHS Foundation Trust Russell ParsonsSenior Pharmacist Community Services Medicines Management CommitteeDistrict nursing teams, Immunisation coordinator, infection control Archiving Arrangements and register of documents Equality Impact Assessment (including Mental Capacity Act 2007) Training Needs Analysis See section 7 The Trust Policy Lead is responsible for the archiving of this policy and will hold archived copies on a central register See MMP001 Control of Medicines Policy Monitoring Compliance and Effectiveness Meets national criteria with regard to NHSLA NICE NSF Mental Health Act CQC Other Further comments to be considered at the time of ratification for this policy (i.e. national policy, commissioning requirements, legislation) If this policy requires Trust Board ratification please provide specific details of requirements See section 8 N/A N/A N/A N/A N/A N/A NPSA/2010/RRR008 Vaccine Cold Storage Trust Policy Board Cold chain policy 3 of 12 Implementation Date: 07/05 /14

4 2. INTRODUCTION This policy applies to all medicines that must be refrigerated between 2-8ºC. The cold chain is the process of maintaining medication at this temperature throughout the supply chain. Temperatures outside this range may reduce potency leading to lack of desired response e.g. reduced immunity. Freezing can cause deterioration of refrigerated medicines and also lead to hairline cracks in the ampoule, vial or pre-filled syringe, which potentially allows the contents to become contaminated. Note - Storage outside of these temperatures during any part of the cold chain renders the product unlicensed 3. PURPOSE To provide assurance to Northamptonshire Healthcare Foundation Trust and its patients that medicines requiring cold storage are transported, stored and administered within the limits set and as such are supplied and administered with optimal benefits. 4. DEFINITIONS NHFT - Northamptonshire Healthcare NHS Foundation Trust LTF- Locality Health Visitor Team Facilitator GP- General Practice 5. DUTIES 5.1. Medicines Management Committee Will approve the policy prior to being ratified by the Policy Board. Is responsible for the implementation and dissemination of this policy 5.2. Ward or unit manager It is the responsibility of the ward/unit manager/health visitor to ensure: a member of staff is designated as responsible for the fridge in that area a member of staff is designated as cover in times of absence the fridge temperatures are checked and recorded daily and that the fridge thermometer is calibrated annually records of fridge temperatures are accessible for easy reference and kept for one year in the event of fridge temperatures falling outside of the temperature range e.g. due to fridge failure/breakdown or when there is any disruption of the cold chain, an incident form is Cold chain policy 4 of 12 Implementation Date: 07/05 /14

5 completed. Within Community Services this should be reported to the appropriate senior nurse and manager Nurse in charge of the shift/ designated person It is the responsibility of the nurse in charge of the shift/ designated person in charge to ensure: all products requiring cold storage, received during the shift, are handled and stored appropriately any issues with storage or the fridge temperature are reported to the ward/unit manager as soon as possible 5.4. Nurses working out of non-nhft sites Where mediciness are stored in a fridge which is not the responsibility of NHFT (e.g. vaccines in a GP practice) it is the responsibility of the administering nurse to ensure: the vaccines have been stored at the appropriate temperature and are fit for purpose. all concerns are reported to GP Practice manager and an incident form completed. 6. POLICY MAIN BODY 6.1. Transport From Acute Trust to NHFT sites All medication requiring cold chain transport will be transported between the acute trusts and NHFT in line with the Cold Chain Policies of the Acute Trusts. Responsibility for the medication becomes the responsibility of NHFT when: o It is accepted for delivery and transported by NHFT staff o It is accepted within ward/clinical areas. Where concerns are identified regarding the suitability of the medication it should not be accepted by staff. Once accepted by NHFT staff vaccines/medication should be taken to the end destination as soon as possible and unpacked and placed in a fridge immediately From departments to satellite clinics/berrywood pharmacy to inpatient wards/units Cold chain policy 5 of 12 Implementation Date: 07/05 /14

6 Only the minimum quantity of vaccine or medication should be transferred between sites Rigid type cool boxes should be used for transportation Cool boxes and packing material should be stored at the lowest temperature possible prior to packing Vaccines/medication should be placed in the cool box as late as possible before departure to minimise exposure time out of the fridge Appropriate cool packs should be used relevant to the type of cool box. Where frozen cool packs are used these must be insulated to prevent direct contact with the drugs Cool packs should be arranged in accordance with the manufacturers instructions or on the top and the bottom of the cool box Space left within the cool box should be loosely filled to minimise air circulation On arrival at clinic contents should be transferred to a refrigerator Management of vaccines in clinics where no refrigerator is available Contents should remain in the closed cool box until required During large vaccination sessions access to the cool box should be minimised to reduce the risk of temperature variation Any unused vaccine should be marked with the date of return and replaced in the base fridge as soon as the clinic session is over. If the appropriate storage procedure has been followed the returned refrigerated medicines may be taken out on one further occasion. Care should be taken to use these returned refrigerated medicines first. If they are not used at the second session, they must be discarded. If there is any doubt concerning the appropriateness of storage temperatures during transit, the vaccine should be discarded at the end of the day Storage The refrigerator must not be used to store food or drink nor for any pathology specimens. Pharmacy grade fridges must be used. Domestic fridges are not designed for the storage of refrigerated medicines and should not be used, as the temperature in different parts of the fridge may vary. The refrigerator should have a lock which must be used. Cold chain policy 6 of 12 Implementation Date: 07/05 /14

7 The refrigerator must not be over filled as this will stop air circulating and may result in hot spots within the refrigerator. Consideration should be given to year-round needs (influenza programmes). Medicines requiring refrigeration must be stored in line with manufacturers recommendations Stock should be rotated to ensure medicines with the shortest expiry dates are used first. Expiry date checks should be done on a monthly basis with medicines approaching expiry clearly labelled. Vials, ampoules or pre-filled syringes must not be taken from their packaging during storage. In addition to possible loss of information on batch number, expiry date etc., this could lead to damage of some medicines by exposure to light. Steps must be taken to ensure the fridge is not switched off accidentally. Plugs should be clearly marked with a Do not switch off label Cleaning the Interior Refrigerators must be cleaned and defrosted monthly and a record kept of this. NB If the refrigerator is a pharmacy grade auto defroster then it will only require to be cleaned monthly Before using for the first time and after defrosting, the interior of your appliance should be cleaned. Switch off and unplug from the mains supply. Remove all the shelves, baskets and door fittings. Wipe the inside with a soft cloth dampened with a solution of a teaspoon of bicarbonate of soda to one litre of warm water. Rinse with clean warm water and dry thoroughly. Avoid water getting into any electrical fittings, switches, lights etc as this may cause serious electrical damage. The magnetic door seal may be cleaned using warm soapy water and then dried thoroughly. Do not use wire wool, scouring powders or disinfectants of any kind Monitoring The fridge must have a maximum/minimum thermometer The temperature of each refrigerator should be recorded every working day. There should be a record for each refrigerator, detailing the following: a) Minimum and maximum temperatures b) Current temperature c) Signature of person who has performed the checks d) Date of cleaning e) Date of defrost (if applicable) Once all information has been recorded the maximum and minimum temperatures should be reset. THIS SHOULD OCCUR EVERY WORKING DAY. Cold chain policy 7 of 12 Implementation Date: 07/05 /14

8 See appendix 1 for example Temperatures outside the range 2-8ºC must prompt a check on the operating conditions of the fridge. If there is reason to believe that the temperature has been outside 2-8ºC range see below DISRUPTION OF THE COLD CHAIN (i.e. temperatures outside 2-8ºC) Do not use any vaccine that has been outside of the temperature range of 2 0 C to 8 0 C until suitability to use has been confirmed If the fridge failure is discovered out of hours move medications to a working fridge but ensure they are marked up Do not use stored outside of temperature range In the event of fridge failure the designated person/nurse in charge of shift must make a thorough assessment as follows: The plug should be checked to see if it is connected to the socket and whether the failure is a short-term electricity failure. Check the temperature of the refrigerator for vaccine viability. Take appropriate action to ensure a repair engineer is organised Where temperatures are out of range and the applicance has not been unplugged The temperature of refrigerator should be checked to establish how long the refrigerated medicines have been outside the correct temperature range. Make a list of all the refrigerated medicines affected including the manufacturer. (This may also be useful for subsequent insurance claims). Contact the pharmacy/local medicines information service immediately to check if the medicine can still be used. The following information will be required: How long the refrigerator has been switched off or has been malfunctioning if known. The actual, minimum and maximum temperature readings recorded on the thermometer. When the correct temperatures were last recorded. What the refrigerated medicines are. Complete and incident for in line with CRM002 policy for the Management of Incidents. A copy of the Fridge Temperature Monitoring form should be attached. For vaccines complete an on line wasted vaccines ImmForm Incident form (see Reorder refrigerated medicines according to need. If medicines are still viable for use, remove to another working refrigerator or suitable container Cold chain policy 8 of 12 Implementation Date: 07/05 /14

9 Once the vaccine refrigerator is working again and the correct temperature maintained replace the medicines into the refrigerator. Any stock destroyed should be replaced with new stock. All failures should be recorded, and the reasons for failure, in the record book. An incident form should also be completed Disposal When recommended by the manufacturer or pharmacy, either due to expiry or failure of cold chain, medicines must be disposed of in line with waste disposal policy: Sharps bins should be returned to the base clinic after each session unless they can be stored in a suitable locked cupboard with a key held by approved personnel. 7. TRAINING 7.1. Mandatory Training There is no mandatory training associated with this policy Specific Training not covered by Mandatory Training Ad hoc training sessions based on an individual s training needs as defined within their annual appraisal or job description. o Staff working to PGDs for immunisation and vaccinations will undertake training, including cold chain training in line with requirements of the PGD o Designated people responsible for fridge maintenance will undergo Cold Chain training o Cold Chain is also covered within Medicines Management Training 8. MONITORING COMPLIANCE WITH THIS DOCUMENT The table below outlines the Trusts monitoring arrangements for this document. The Trust reserves the right to commission additional work or change the monitoring arrangements to meet organisational needs. Aspect of compliance or effectiveness being monitored Method of monitoring Individual responsible for the monitoring Monitoring frequency Group or committee who receive the findings Group or committee or individual responsible for Cold chain policy 9 of 12 Implementation Date: 07/05 /14

10 or report completing any actions Temperature Monitoring Incident forms audit Chief Pharmacist Annually Medicines Safety Group Medicines Management Committee Spot checks on monitoring forms on wards/units 9. REFERENCES AND BIBLIOGRAPHY NPSA 2010 RR008 Vaccine Cold Storage DH Immunisation against Infectious Disease (The Green Book) Chapter updated version. Accessed on line February Accessed on line February 2014 UK Guidance on Best Practice in Vaccine Administration RELATED TRUST POLICY MMP-001 Control of Medicines Policy CRM-002- Policy for the Management of Incidents Cold chain policy 10 of 12 Implementation Date: 07/05 /14

11 APPENDIX 1 FRIDGE MONITORING CHART The temperature of the fridge should be monitored on a daily basis Once temperatures have been recorded reset the maximum and minimum temperature. All temperatures outside of the range of 2 o C to 8 o C should be reported immediately to line manager or pharmacist. Do not use any stock stored outside of this range until authorised to do so. Month..20. Date cleaned.. Date Time Current Temperature o C Max o C Min o C Checked by Thermometer reset ( ) Action taken if discrepancy Cold chain policy 11 of 12 Implementation Date: 07/05 /14

12 Policy for the Production and Management of all Policies Within NHFT 12 of 12 Implementation Date: / /

Protocol for ordering, storing and handling vaccines. March 2014

Protocol for ordering, storing and handling vaccines. March 2014 Protocol for ordering, storing and handling vaccines March 2014 Introduction This protocol applies to all staff involved in immunisation. It aims to ensure that vaccines are stored and managed properly

More information

HSE Guidelines for maintaining the vaccine cold-chain including maintenance of vaccine fridges and management of vaccines

HSE Guidelines for maintaining the vaccine cold-chain including maintenance of vaccine fridges and management of vaccines HSE Guidelines for maintaining the vaccine cold-chain including maintenance of vaccine fridges and management of vaccines Document reference number Revision number Approval date NIO01 Document developed

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Policy for the storage, handling, distribution and disposal of vaccines Version: Version 2 Reference Number: CL98 Supersedes Supersedes: Version 1 Description

More information

SECTION 7 STORAGE AND HANDLING OF IMMUNIZATION AGENTS

SECTION 7 STORAGE AND HANDLING OF IMMUNIZATION AGENTS SECTION 7 STORAGE AND HANDLING OF IMMUNIZATION AGENTS Table of Contents 1.0 STORAGE AND HANDLING OF IMMUNIZATION AGENTS... 1 1.1 ORDERING PROCEDURES... 1 1.2 RECEIVING SHIPMENTS OF IMMUNIZING AGENTS...

More information

1 Temperature Monitoring of Medication and Vaccine Fridges

1 Temperature Monitoring of Medication and Vaccine Fridges 1 Policy Fridges used to store medications and vaccines are monitored to ensure the viability of the medications and vaccines. Food and medications must be stored in separate fridges to guard against contamination.

More information

OBJECTIVE: To provide safe storage and handling for vaccines and medications that require refrigeration.

OBJECTIVE: To provide safe storage and handling for vaccines and medications that require refrigeration. Refrigerator / Freezer Temperature Policy #: ADM 134 APPROVED BY: Anthony Dallas, MD, CMO SUPERCEDES POLICY: ADOPTED: 05/2011 REVISED: REVIEWED: 12/2014 OBJECTIVE: To provide safe storage and handling

More information

The Cold Chain and Vaccine storage

The Cold Chain and Vaccine storage The Cold Chain and Vaccine storage Cliona Kiersey Chief Pharmacist National Immunisation Office Objectives To explain the cold chain and vaccine delivery service including importance of using vaccine returns

More information

11 MEDICATION MANAGEMENT

11 MEDICATION MANAGEMENT 1 11 MEDICATION MANAGEMENT OVERVIEW OF MEDICATION MANAGEMENT Depending on the size, structure and functions of the health facility, there may be a pharmacy with qualified pharmacists to dispense medication,

More information

The Cold Chain and Vaccine storage

The Cold Chain and Vaccine storage The Cold Chain and Vaccine storage Cliona Kiersey Chief Pharmacist National Immunisation Office Objectives To explain the cold chain and vaccine delivery service including use of vaccine returns service

More information

New York State Department of Health (NYSDOH) Bureau of Immunization Vaccine Storage and Handling Plan

New York State Department of Health (NYSDOH) Bureau of Immunization Vaccine Storage and Handling Plan Vaccines need to be properly stored and administered to ensure maximum efficacy and safety. Check yes or no for each item. Implement changes for items marked no. Personnel: 1. We have designated a primary

More information

Guidelines and Procedure for the Safe Administration and Management of Medicines

Guidelines and Procedure for the Safe Administration and Management of Medicines Appendix 7 Guidelines and Procedure for the Safe Administration and Management of Medicines 1. INTRODUCTION 1.1 This procedure must be read in conjunction with the Policy for the Administration of Medication

More information

Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy

Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy Contents: 1. Introduction and purpose 2. Period of Service 3. Aim of the Service

More information

Campus Services Hints and tips for residents

Campus Services Hints and tips for residents Campus Services Hints and tips for residents We have compiled this webpage to help University residents with simple tips and hints about cleaning kitchen areas - which are residents responsibility. We

More information

Best-Practice Guide Pharmaceutical-Chain Temperature Control and Recording

Best-Practice Guide Pharmaceutical-Chain Temperature Control and Recording Best-Practice Guide Pharmaceutical-Chain Temperature Control and Recording Introduction Medicinal products require controlled storage and transit conditions in order to ensure that their quality is not

More information

Margaret Wing, B.Sc. Pharmacy, MBA Alberta Pharmacists Association (RxA) Director of Professional Services September 19, 2009

Margaret Wing, B.Sc. Pharmacy, MBA Alberta Pharmacists Association (RxA) Director of Professional Services September 19, 2009 Margaret Wing, B.Sc. Pharmacy, MBA Alberta Pharmacists Association (RxA) Director of Professional Services September 19, 2009 A health care provider who is administering drugs by injection, should only

More information

Safe storage and handling of vaccines

Safe storage and handling of vaccines CONTINUING PROFESSIONAL CPDDEVELOPMENT 4 Page 53 Vaccines multiple choice questionnaire 4 Page 54 Read Lorna Young s practice profile on patient safety 4 Page 55 Guidelines on how to write a practice profile

More information

Professional Standards and Guidance for the Sale and Supply of Medicines

Professional Standards and Guidance for the Sale and Supply of Medicines Professional Standards and Guidance for the Sale and Supply of Medicines About this document The Code of Ethics sets out seven principles of ethical practice that you must follow as a pharmacist or pharmacy

More information

Children & Young People s Directorate. School Nursing Procedure For Administration of Immunisations

Children & Young People s Directorate. School Nursing Procedure For Administration of Immunisations Children & Young People s Directorate School Nursing Procedure For Administration of Immunisations Author Mrs Gladys Bleakley & Mrs Barbara Ervine Directorate responsible for Children & Young Peoples this

More information

Guidelines for the Management of Spillage of Cytotoxic Drugs. No changes have been made as evidence base remains current.

Guidelines for the Management of Spillage of Cytotoxic Drugs. No changes have been made as evidence base remains current. Guidelines for the Management of Spillage of Cytotoxic Drugs Date Approved by Network Governance May 2012 Date for Review May 2015 Changes Between Versions 3.0 and 4.0 No changes have been made as evidence

More information

Unit 205 Order, receive and store pharmaceutical stock

Unit 205 Order, receive and store pharmaceutical stock Element 1 Element 2 Element 3 Order pharmaceutical Receive pharmaceutical Store pharmaceutical 223 224 Element 1 Element 2 Element 3 Order pharmaceutical Receive pharmaceutical Store pharmaceutical Background

More information

Promoting safer use of injectable medicines

Promoting safer use of injectable medicines Promoting safer use of injectable medicines A template standard operating procedure for: prescribing, preparing and administering injectable medicines in clinical areas Introduction The use of injectable

More information

Guideline for the Safe Handling and Administration of Subcutaneous Cyotoxic Chemotherapy for Adults in the Community Setting

Guideline for the Safe Handling and Administration of Subcutaneous Cyotoxic Chemotherapy for Adults in the Community Setting Guideline for the Safe Handling and Administration of Subcutaneous Cyotoxic Chemotherapy for Adults in the Community Setting Guideline for the Safe Handling and Administration of Subcutaneous Cyotoxic

More information

Refrigeration Guidelines. Requirements for the Storage of Blood and Blood Products

Refrigeration Guidelines. Requirements for the Storage of Blood and Blood Products Refrigeration Guidelines Requirements for the Storage of Blood and Blood Products 4 th Edition, February 2011 Contents Introduction... Section 1 Terminology... Section 2 General requirements... Section

More information

Standard Operating Procedure for Management of Controlled Drugs within Louth Urgent Care Centre

Standard Operating Procedure for Management of Controlled Drugs within Louth Urgent Care Centre Standard Operating Procedure for Management of Controlled Drugs within Louth Urgent Care Centre Reference No: Version: 1.0 Ratified by: G_CS_61 LCHS Trust Board Date ratified: 28 th April 2015 Name of

More information

Section 10. Guidelines for the Safe Handling and Disposal of Needles and Sharps

Section 10. Guidelines for the Safe Handling and Disposal of Needles and Sharps Section 10 Guidelines for the Safe Handling and Disposal of Needles and Sharps On behalf of Infection Control Policy Review Group NHS Ayrshire and Arran Warning - this document is uncontrolled when printed

More information

Prevention and control of infection in care homes. Summary for staff

Prevention and control of infection in care homes. Summary for staff Prevention and control of infection in care homes Summary for staff 1 DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance

More information

How To Understand Your Role In A Pharmacy

How To Understand Your Role In A Pharmacy Element 1 Element 2 Assist with the maintenance of pharmaceutical Issue pharmaceutical 277 278 Element 1 Element 2 Assist with the maintenance of pharmaceutical Issue pharmaceutical Background See background

More information

East & South East England Specialist Pharmacy Services Medicines Use and Safety Division Community Health Services Transcribing

East & South East England Specialist Pharmacy Services Medicines Use and Safety Division Community Health Services Transcribing East & outh East England pecialist Pharmacy ervices East of England, London, outh Central & outh East Coast Medicines Use and afety Division Community Health ervices Transcribing Guidance to support the

More information

2.3. The management in each HCF shall be responsible for ensuring good waste management practices in their premises.

2.3. The management in each HCF shall be responsible for ensuring good waste management practices in their premises. 1. PURPOSE Health-care activities lead to production of medical waste that may lead to adverse health effects. Most of this waste is not more dangerous than regular household waste. However, some types

More information

HSE National Cold Chain Service Customer Satisfaction Survey 2014

HSE National Cold Chain Service Customer Satisfaction Survey 2014 HSE National Cold Chain Service Customer Satisfaction Survey 2014 HSE National Immunisation Office September 2014 Summary The HSE National Cold Chain Delivery Service has been in operation since September

More information

AQUATIC ANIMAL MEDICINE RECORD BOOK

AQUATIC ANIMAL MEDICINE RECORD BOOK AQUATIC ANIMAL MEDICINE RECORD BOOK FISH HEALTH INSPECTORATE www.efishbusiness.co.uk It is a legal requirement for you to retain these records for at least five years following the administration or other

More information

NHS Foundation Trust WARD FOOD HYGIENE POLICY

NHS Foundation Trust WARD FOOD HYGIENE POLICY Infection Control Committee NHS Foundation Trust WARD FOOD HYGIENE POLICY Page 1 of 9 1 CONTENTS 1 Introduction 2 Responsibility 3 Training 4 Occupational Health 5 Patient/Residents 6 Hand Hygiene 7 Protective

More information

SAFE HEALTHY CHILDREN A Health and Safety Manual for Childcare Providers

SAFE HEALTHY CHILDREN A Health and Safety Manual for Childcare Providers TABLE OF CONTENTS Chapter 7: Food Storage and Preparation Safe Food: Food Storage and Preparation 7.1 Requirements of the Day Nurseries Act... 7.2 Recommendations of the Medical Officer of Health... 7.2

More information

National Patient Safety Agency. Risk Assessment of Injectable Medicines. STEP 1 Local Risk Factor Assessment. STEP 2 Product Risk Factor Assessment

National Patient Safety Agency. Risk Assessment of Injectable Medicines. STEP 1 Local Risk Factor Assessment. STEP 2 Product Risk Factor Assessment NPSA Injectable Medicines Risk Assessment Tool National Patient Safety Agency Risk Assessment of Injectable Medicines STEP 1 Local Risk Factor Assessment. Carry out a baseline assessment in a near patient

More information

VFC. Vaccine Management Guide. Vaccines for children. Chicago Department of Public Health

VFC. Vaccine Management Guide. Vaccines for children. Chicago Department of Public Health VFC Vaccines for children Chicago Department of Public Health Vaccine Management Guide Vaccine Coordinator The Role of the Vaccine Coordinator Vaccines are expensive and sensitive to temperature. Careful

More information

Issue: June 2009 PROFESSIONAL STANDARDS AND GUIDANCE FOR THE SALE AND SUPPLY OF MEDICINES

Issue: June 2009 PROFESSIONAL STANDARDS AND GUIDANCE FOR THE SALE AND SUPPLY OF MEDICINES Issue: June 2009 PROFESSIONAL AND GUIDANCE FOR THE SALE AND SUPPLY OF MEDICINES PROFESSIONAL AND GUIDANCE FOR THE SALE AND SUPPLY OF MEDICINES CONTENTS Status of this document About this document 1 Pharmaceutical

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Covert Administration of Medicines Version: Version 6 Reference Number: CL37 Supersedes Supersedes: Version 5 Description of amendment(s): Originator 3.5 Clarification

More information

PROTOCOL FOR DUAL DIAGNOSIS WORKING

PROTOCOL FOR DUAL DIAGNOSIS WORKING PROTOCOL FOR DUAL DIAGNOSIS WORKING Protocol Details NHFT document reference CLPr021 Version Version 2 March 2015 Date Ratified 19.03.15 Ratified by Trust Protocol Board Implementation Date 20.03.15 Responsible

More information

Under Counter Fridge. Model MUR1247GW/MUR1247GS. Instruction Book

Under Counter Fridge. Model MUR1247GW/MUR1247GS. Instruction Book Under Counter Fridge Model MUR1247GW/MUR1247GS Instruction Book 2 Introducing Your New Under Counter Fridge Before use Please read these instructions carefully before using your new Matsui Appliance. The

More information

Facility Name. Day of Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Facility Name. Day of Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 F Temperature Log for Refrigerator Fahrenheit Month/Year VFC PIN or other ID # Page 1 of 3 DAYS 1 15 Facility Name Monitor temperatures closely! 1. Write your initials below in Staff Initials, and note

More information

Peninsula Community Health. Safe Use of Mattresses, Pressure Relieving Cushions and Pillows

Peninsula Community Health. Safe Use of Mattresses, Pressure Relieving Cushions and Pillows Peninsula Community Health Safe Use of Mattresses, Pressure Relieving Cushions and Pillows Title: Procedural Document Type: Reference: Safe Use of Mattresses, Pressure Relieving Cushions and Pillows Policy

More information

Vaccine Storage Practices Appropriate Vaccine and Diluent Storage Conditions

Vaccine Storage Practices Appropriate Vaccine and Diluent Storage Conditions Vaccine Storage Practices Appropriate Vaccine and Diluent Storage Conditions Live Vaccines Live vaccines are sensitive to heat. MMRV, varicella, and zoster vaccines must be stored in a continuously frozen

More information

NORTHAMPTONSHIRE INTEGRATED SEXUAL HEALTH SERVICES IUD/IUS PROTOCOL

NORTHAMPTONSHIRE INTEGRATED SEXUAL HEALTH SERVICES IUD/IUS PROTOCOL NORTHAMPTONSHIRE INTEGRATED SEXUAL HEALTH SERVICES IUD/IUS PROTOCOL Policy Details NHFT document reference MMPr005 Version Final Date Ratified 19.01.16 Ratified by Medicines Management Committee Implementation

More information

How To Be A Senior Pharmacy Technician

How To Be A Senior Pharmacy Technician JOB DESCRIPTION JOB TITLE : Senior Pharmacy Technician DEPARTMENT : Pharmacy Heartlands, Solihull & Good Hope Hospitals GRADE : Band 5 HOURS OF DUTY : 37.5 hours per week. The Trust operates a 7 day working

More information

Schedule 8 and Declared Schedule 4 Medicines Management Policy

Schedule 8 and Declared Schedule 4 Medicines Management Policy Department of Health and Human Services SYSTEM PURCHASING AND PERFORMANCE - MEDICATION STRATEGY AND REFORM Schedule 8 and Declared Schedule 4 Medicines Management Policy SDMS Id Number: Effective From:

More information

NHS Lanarkshire Care Homes Protocol Group. Care Home Prescriptions - Good Practice Guide

NHS Lanarkshire Care Homes Protocol Group. Care Home Prescriptions - Good Practice Guide NHS Lanarkshire Care Homes Protocol Group Care Home Prescriptions - Good Practice Guide Date of Publication Review Date August 2015 Responsible Author Francesca Aaen Care Homes Pharmacist on behalf of

More information

Storage and Handling. Vaccine Storage and Handling. Storage and Handling Plans

Storage and Handling. Vaccine Storage and Handling. Storage and Handling Plans This chapter provides an overview of best practice guidance for storage and handling. CDC s Vaccine Toolkit, http://www.cdc.gov/vaccines/recs/storage/toolkit/ storage-handling-toolkit.pdf, contains comprehensive

More information

Title. Learning from Incidents, Complaints and Claims. Description of Document

Title. Learning from Incidents, Complaints and Claims. Description of Document Title Description of Document Scope Author and designation Equality Impact Assessment (EIA) Associated Documents Supporting References Learning from Incidents, Complaints and Claims This policy identifies

More information

Call us toll free at: 1-800-GEVALIA (1-800-438-2542)

Call us toll free at: 1-800-GEVALIA (1-800-438-2542) LIMITED WARRANTY: This appliance shall be free from defects in materials and workmanship under normal home use for a period of one year from the date of receipt. During that period, defects will be repaired

More information

Spillage Waste Management

Spillage Waste Management Spillage Waste Management Patient Information Introduction This leaflet contains the answers to some questions patients and carers may have about the disposal of chemotherapy waste and the management of

More information

TITLE: Storage and Management of Hazardous Medications & Chemicals APPLIES TO: Pharmacy Staff

TITLE: Storage and Management of Hazardous Medications & Chemicals APPLIES TO: Pharmacy Staff Administrative Policies and Procedures for MOH hospitals /PHC Centers NO. OF PAGES: ORIGINAL DATE: REVISION DATE : 1.0 PURPOSE 1.1 To develop a set of safety rules and regulations that address the identification,

More information

Nurse-Managed Medication Inventory

Nurse-Managed Medication Inventory Nurse-Managed Medication Inventory Information for Employers College of Registered Nurses of British Columbia 2855 Arbutus Street Vancouver, BC Canada V6J 3Y8 T: 604.736.7331 F: 604.738.2272 Toll-free:

More information

01.04 - Care and Monitoring of Refrigerators and Freezers

01.04 - Care and Monitoring of Refrigerators and Freezers Purpose Audience Cleaning To assure that refrigerators and freezers are clean, contents are properly stored, and the temperatures are monitored. All employees of UTMB hospitals, clinics and outpatient

More information

Safe Bathing, Hot Water and Surface Temperature Policy

Safe Bathing, Hot Water and Surface Temperature Policy Safe Bathing, Hot Water and Surface Temperature Policy Version Number: V4 Name of originator/author: Health and Safety Advisor Name of responsible committee: Health and Safety Committee Name of executive

More information

Under Counter Fridge Model MUR1107WW. Instruction Book

Under Counter Fridge Model MUR1107WW. Instruction Book Under Counter Fridge Model MUR1107WW Instruction Book 2 Getting to know your Under Counter Fridge Installation of your new Under Counter Fridge Before use Please read these instructions carefully before

More information

Waste Management Policy

Waste Management Policy Waste Management Policy Revised April 2013 1 Contents Page Content Page No. Clinical Waste 3 - The handling and disposal of Clinical and Soiled 3 - Policy 3 - Warning - The collection of Clinical Waste

More information

SAFE HANDLING AND ADMINISTRATION OF MEDICINES POLICY

SAFE HANDLING AND ADMINISTRATION OF MEDICINES POLICY SAFE HANDLING AND ADMINISTRATION OF MEDICINES POLICY Issue History Issue Version Purpose of Issue/Description of Change April 2007 Third Issue Planned update incorporating new national guidance Planned

More information

How to Prepare Powdered Infant Formula in Care Settings

How to Prepare Powdered Infant Formula in Care Settings How to Prepare Powdered Infant Formula in Care Settings This booklet contains new information to help you prepare powdered infant formula for bottle-feeding and cup-feeding as safely as possible. Powdered

More information

THE SAFE DISPOSAL OF CLINICAL/DOMESTIC WASTE

THE SAFE DISPOSAL OF CLINICAL/DOMESTIC WASTE Section V THE SAFE DISPOSAL OF CLINICAL/DOMESTIC WASTE The Trust is currently reviewing the requirements of the recent guidelines Health Technical Memorandum Safe Management of Healthcare Waste (HTML 07-01).

More information

SIBIR MANUAL V110 KE. English page 5 RKE - 1D 822 70 66-02

SIBIR MANUAL V110 KE. English page 5 RKE - 1D 822 70 66-02 SIBIR MANUAL RKE - 1D V110 KE English page 5 822 70 66-02 2 1 A. Flue tube E. Adapter I. Thermostat B. Flue baffle F. Burner base J. Lever arm C. Control knob G. Lamp glass D. Fuel gauge H. Lamp glass

More information

Food delivery & storage

Food delivery & storage screen 1 Food delivery & storage 7. Rubbish bags in the way of deliveries This screen shows a delivery scene with a number of potential hazards to food safety. As a starting point students are encouraged

More information

TAUNTON & SOMERSET NHS FOUNDATION TRUST Department of Pharmacy Clinical Support Division. Job description

TAUNTON & SOMERSET NHS FOUNDATION TRUST Department of Pharmacy Clinical Support Division. Job description TAUNTON & SOMERSET NHS FOUNDATION TRUST Department of Pharmacy Clinical Support Division Job description JOB TITLE: GRADE: PLACE OF WORK: HOURS: RESPONSIBLE TO: ACCOUNTABLE TO: Pre-Registration - PHARMACY

More information

Hand Hygiene and Infection Control

Hand Hygiene and Infection Control C Hand Hygiene and Infection Control Sirius Business Services Ltd www.siriusbusinessservices.co.uk Tel 01305 769969 info@siriusbusinessservices.co.uk Whatever your First Aid, Fire Safety or Health & Safety

More information

JOB DESCRIPTION. Reports to: Pharmacist/Lead Technician under whose supervision he/she is working

JOB DESCRIPTION. Reports to: Pharmacist/Lead Technician under whose supervision he/she is working JOB DESCRIPTION Title of Post: Pharmacy Technician Grade/ Band: Band 4 Directorate: Adult Services (Prison Healthcare) Reports to: Pharmacist/Lead Technician under whose supervision he/she is working Accountable

More information

Name of Business. Record 1- Approved Food Suppliers List

Name of Business. Record 1- Approved Food Suppliers List Record 1- Approved Food Suppliers List Supplier No. Details of Supplier (Name, address, contact details) Product Description Approved Supplier Date approved Corrective Action Reject suppliers that do not

More information

USER MANUAL Two Tier Steamer Model: 16145 Helpline No: 015394 88100

USER MANUAL Two Tier Steamer Model: 16145 Helpline No: 015394 88100 Lakeland Alexandra Buildings, Windermere, Cumbria LA23 1BQ Tel: 015394 88100 Web: www.lakeland.co.uk USER MANUAL Two Tier Steamer Model: 16145 Helpline No: 015394 88100 INTRODUCTION Thank you for choosing

More information

NHS Professionals. Guidelines for the Administration of Medicines

NHS Professionals. Guidelines for the Administration of Medicines NHS Professionals Guidelines for the Administration of Medicines Introduction The control of medicines in the United Kingdom is primarily through the Medicines Act (1968) and associated British and European

More information

Bauknecht AG, Industriestrasse 36, 5600 Lenzburg, www.bauknecht.ch

Bauknecht AG, Industriestrasse 36, 5600 Lenzburg, www.bauknecht.ch Instructions for use KVIE 2009/A Bauknecht AG, Industriestrasse 36, 5600 Lenzburg, www.bauknecht.ch Verkauf Telefon 0848 801 002 Fax 0848 801 017 verkauf@bauknecht.ch Kundendienst Telefon 0848 801 001

More information

Aseptic Technique Policy and Procedure

Aseptic Technique Policy and Procedure Aseptic Technique Policy and Procedure Authorising Officer Tom Cahill, Deputy Chief Executive Signature of Authorising Officer: Version: V2 Ratified By: Risk Management and Patient Safety Group Date Ratified:

More information

Healthcare Governance Alert and Guidance Review Procedure

Healthcare Governance Alert and Guidance Review Procedure Healthcare Governance Alert and Guidance Review Procedure Healthcare Governance Alert and Guidance Review Procedure Page: Page 1 of 20 Recommended by Approved by Quality Directorate/Medical Directorate

More information

THE DISPOSAL OF HEALTHCARE WASTE BY NHS GRAMPIAN FROM ACUTE HOSPITAL WARDS

THE DISPOSAL OF HEALTHCARE WASTE BY NHS GRAMPIAN FROM ACUTE HOSPITAL WARDS THE DISPOSAL OF HEALTHCARE WASTE BY NHS GRAMPIAN FROM ACUTE HOSPITAL WARDS Arrangements for the Collection and Disposal of Healthcare Waste NHS Grampian provides a range of healthcare waste disposal services

More information

Immunization Healthcare Branch. Storage & Handling Questions and Answers. Prepared by. Immunization Healthcare Branch (IHB), Defense Health Agency

Immunization Healthcare Branch. Storage & Handling Questions and Answers. Prepared by. Immunization Healthcare Branch (IHB), Defense Health Agency Immunization Healthcare Branch Storage & Handling Questions and Answers Prepared by Immunization Healthcare Branch (IHB), Defense Health Agency Last Updated: 06 Feb 15 www.vaccines.mil 877-GET-VACC DoDVaccines@mail.mil

More information

A Policy for the. Administration of Medicines. in Schools and. Educational Establishments

A Policy for the. Administration of Medicines. in Schools and. Educational Establishments DEPARTMENT OF EDUCATION AND RECREATION SERVICES A Policy for the Administration of Medicines in Schools and Educational Establishments CONTENTS Rationale and Aim 1 1. The Education Authority 2 2. Schools

More information

Medication Administration Procedure

Medication Administration Procedure Medication Administration Procedure Procedure Name Medication Administration Approved by Category Work Practice Approval date April 2014 Version 1 Review date April 2016 Why do we need this procedure?

More information

INSTRUCTIONS FOR USE HUMIRA 40 MG/0.8 ML, 20 MG/0.4 ML AND 10 MG/0.2 ML SINGLE-USE PREFILLED SYRINGE

INSTRUCTIONS FOR USE HUMIRA 40 MG/0.8 ML, 20 MG/0.4 ML AND 10 MG/0.2 ML SINGLE-USE PREFILLED SYRINGE INSTRUCTIONS FOR USE HUMIRA (Hu-MARE-ah) (adalimumab) 40 MG/0.8 ML, 20 MG/0.4 ML AND 10 MG/0.2 ML SINGLE-USE PREFILLED SYRINGE Do not try to inject HUMIRA yourself until you have been shown the right way

More information

Vertical Display and Storage B1350-2. SKOPE Gen2: Three Door Chiller

Vertical Display and Storage B1350-2. SKOPE Gen2: Three Door Chiller Vertical Display and Storage User Manual MAN1227 Rev. 3.0 March 2008 edition CONTACT ADDRESSES Designed and Manufactured by New Zealand SKOPE INDUSTRIES LIMITED PO Box 1091, Christchurch New Zealand Freephone:

More information

RISK ASSESSMENT FOR THE PREVENTION AND CONTROL OF HEALTHCARE ASSOCIATED INFECTION (HCAI) GUIDANCE

RISK ASSESSMENT FOR THE PREVENTION AND CONTROL OF HEALTHCARE ASSOCIATED INFECTION (HCAI) GUIDANCE RISK ASSESSMENT FOR THE PREVENTION AND CONTROL OF HEALTHCARE ASSOCIATED INFECTION (HCAI) GUIDANCE First Issued by/date Wirral PCT 10/2008 Issue Version Purpose of Issue/Description of Change Planned Review

More information

Good practice for the preparation of injectable medicines in clinical areas

Good practice for the preparation of injectable medicines in clinical areas Further reading Dougherty L and Lister S (Eds). The Royal Marsden Hospital Manual of Clinical Nursing Procedures (th edition), Blackwell Publishing, Oxford, 00. NMC standards for medicines management (008).

More information

Control of Asbestos Policy

Control of Asbestos Policy Control of Asbestos Policy Version Number: V1D Name of originator/author: Estates Manager 0161 277 1235 Name of responsible committee: Estates and Facilities Committee Name of executive lead: Director

More information

Training on Standard Operating Procedures for Health Care Waste Management Swaziland 12 May, 2011

Training on Standard Operating Procedures for Health Care Waste Management Swaziland 12 May, 2011 Training on Standard Operating Procedures for Health Care Waste Management Swaziland 12 May, 2011 Safe Infectious Waste Handling and Transport Objective Waste Overview Roles and Responsibilities of Waste

More information

Linen and Laundry Guidance. Infection Control

Linen and Laundry Guidance. Infection Control Linen and Laundry Guidance Infection Control Version: 3 Issue date: June 2011 Review date: June 2014 Executive Lead: Approved by: Infection Control Committee Lead Author: Infection Control Team Summary:

More information

BUSINESS CONTINUITY MANAGEMENT POLICY

BUSINESS CONTINUITY MANAGEMENT POLICY BUSINESS CONTINUITY MANAGEMENT POLICY AUTHORISED BY: DATE: Andy Buck Chief Executive March 2011 Ratifying Committee: NHS Rotherham Board Date Agreed: Issue No: NEXT REVIEW DATE: 2013 1 Lead Director John

More information

Pharmaceutical ward stock management for nurses

Pharmaceutical ward stock management for nurses Pharmaceutical ward stock management for nurses Schellack N, BCur, BPharm and PhD (Pharmacy)* Meyer HJC, BPharm, MSc (Med), PhD (Pharmacy)* *Senior Lecturer, Department of Pharmacy, Faculty of Health Sciences,

More information

CCG: IG06: Records Management Policy and Strategy

CCG: IG06: Records Management Policy and Strategy Corporate CCG: IG06: Records Management Policy and Strategy Version Number Date Issued Review Date V3 08/01/2016 01/01/2018 Prepared By: Consultation Process: Senior Governance Manager, NECS CCG Head of

More information

STRATEGIC CLEANING PLAN POLICY (In conjunction with Operational Cleaning Manual)

STRATEGIC CLEANING PLAN POLICY (In conjunction with Operational Cleaning Manual) STRATEGIC CLEANING PLAN POLICY (In conjunction with Operational Cleaning Manual) Version: 7 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible committee/group: Senior

More information

How To Inspect A Blood Bank

How To Inspect A Blood Bank Site visit inspection report on compliance with HTA minimum standards Belfast Cord Blood Bank HTA licensing number 11077 Licensed for the procurement, processing, testing, storage, distribution and import/export

More information

A quick guide to our floodcare scheme

A quick guide to our floodcare scheme A quick guide to our floodcare scheme What to do in case of sewer flooding We re here to help We appreciate that dealing with the results of sewage flooding is always unpleasant and we know how upsetting

More information

Policy for the Management of Asbestos in Buildings

Policy for the Management of Asbestos in Buildings in Buildings Health and Safety Services 1 A1. Introduction If asbestos fibres enter the lungs they can cause cancer or incurable disease. Consequently the University is committed to ensure that all reasonably

More information

BIOSECURITY PROCEDURES IN POULTRY PRODUCTION

BIOSECURITY PROCEDURES IN POULTRY PRODUCTION 1 Annex VII CHAPTER 6.4. BIOSECURITY PROCEDURES IN POULTRY PRODUCTION Article 6.4.1. Introduction This chapter provides recommended biosecurity procedures in poultry production and is not specifically

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Medical Devices Management Policy Version: 10 Reference Number: CO16 Supersedes Supersedes: Version 9 Description of Amendment(s): Originator Addition of 4.8 Sharps

More information

Patient Group Directions. Guidance and information for nurses

Patient Group Directions. Guidance and information for nurses Patient Group Directions Guidance and information for nurses Patient Group Directions Guidance and information for nurses Contents Introduction 4 What is a patient group direction (PGD)? 4 When can PGDs

More information

Hot Water Urns. all models. Helpline. v3.0

Hot Water Urns. all models. Helpline. v3.0 Hot Water Urns all models Helpline 01384 573999 instructions.indd 1 v3.0 02/06/2014 14:50 IMPORTANT INFORMATION - RETAIN FOR FUTURE USE When using any electrical appliance, basic safety precautions should

More information

IN-USE PRODUCT SAFETY ASSESSMENT REPORT BENEPALI (ETANERCEPT BIOSIMILAR)

IN-USE PRODUCT SAFETY ASSESSMENT REPORT BENEPALI (ETANERCEPT BIOSIMILAR) IN-USE PRODUCT SAFETY ASSESSMENT REPORT BENEPALI (ETANERCEPT BIOSIMILAR) SUMMARY OF ASSESSMENT AND ITS FINDINGS BACKGROUND A UK marketing authorisation has been granted to an etanercept biosimilar (SB4,

More information

Electric Kettle. Model: SK-1717 INSTRUCTIONS MANUAL

Electric Kettle. Model: SK-1717 INSTRUCTIONS MANUAL Electric Kettle Model: SK-1717 INSTRUCTIONS MANUAL Thank you for your purchase. Please read this Instruction Manual thoroughly before use and keep in a safe place for future reference. READ ALL INSTRUCTIONS

More information

MULTI AGENCY POLICY FOR THE ADMINISTRATION OF MEDICATION AND HEALTH CARE PROCEDURES:

MULTI AGENCY POLICY FOR THE ADMINISTRATION OF MEDICATION AND HEALTH CARE PROCEDURES: MULTI AGENCY POLICY FOR THE ADMINISTRATION OF MEDICATION AND HEALTH CARE PROCEDURES: Early years provision, Educational Establishments and Voluntary Services Document reference number: C O R P O L O 0

More information

Document Title: Supply of Clinical Trials Investigational Material: Dispensing, Returns and Accountability

Document Title: Supply of Clinical Trials Investigational Material: Dispensing, Returns and Accountability Document Title: Supply of Clinical Trials Investigational Material: Document Number: SOP072 Staff involved in development: Job titles only Document author/owner: Directorate: Department: For use by: RM&G

More information

Waste Management Policy

Waste Management Policy HEALTH AND SAFETY ISSUES Waste Management Policy Policy No: 39 Date of issue: October 1998 Review Dates: August 2001, December 2003, July 2008 Date to be Reviewed: July 2010 Page 1 of 13 Date of Issue:

More information

Electrical Safety Policy

Electrical Safety Policy Electrical Safety Policy Version Number: V2 Name of originator/author: Director of Estates and Facilities Name of responsible committee: Estates and Facilities Committee Name of executive lead: Chief Operating

More information

POST TITLE : Pre-registration Trainee Pharmacy Technician

POST TITLE : Pre-registration Trainee Pharmacy Technician Pharmacy Department JOB DESCRIPTION POST TITLE : Pre-registration Trainee Pharmacy Technician GRADE : Year 1 70% Top of Band 4 Year 2 75% Top of Band 4 DEPARTMENT : Pharmacy Department DIRECTORATE : Clinical

More information

POSITION DESCRIPTION

POSITION DESCRIPTION ACCOUNTABILITY OBJECTIVE POSITION DESCRIPTION The Certified Cook prepares nutritious meals and snacks, for the residents of the division they are employed with, and meets Canada s Food Guide requirements

More information