Cold Chain Management Checklist (Continuous) - Temperature monitoring of refrigerated medications

Ensure medication safety & compliance! Download our free Cold Chain Management Checklist for Retail pharmacies. Track temperatures, prevent spoilage, and maintain patient trust. Stay compliant & optimize your refrigerated medication handling.

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Temperature Monitoring Equipment & Calibration

1 of 7

Ensures the accuracy and reliability of temperature monitoring devices.

Temperature Monitoring Device Serial Number:

Last Calibration Date:

Next Calibration Date:

Calibration Accuracy (± °C/°F):

Device Type (e.g., Data Logger, Thermometer):

Details of Last Calibration (e.g., standards used, technician):

Calibration Standard Used:

Calibration Certificate (if applicable):

Temperature Recording & Documentation

2 of 7

Details processes for recording temperatures and maintaining accurate records.

Temperature Recording Time

Temperature Reading (°C/°F)

Humidity Reading (if applicable) (%)

Temperature Status

Comments/Observations (e.g., unit noise, ice build-up)

Date of Recording

Recorder Type

Explanation for Out-of-Range Temperatures (if applicable)

Refrigeration Unit Performance

3 of 7

Focuses on the functionality and maintenance of the refrigeration unit itself.

Refrigeration Unit Serial Number:

Ambient Room Temperature (°C):

Refrigeration Unit Temperature (°C):

Temperature Set Point (°C):

Time of Temperature Reading:

Unit Operating Status:

Notes/Observations (e.g., unusual noises, frost buildup):

Defrost Cycle Status:

Last Maintenance Date:

Medication Storage & Placement

4 of 7

Addresses proper medication storage practices within the refrigerated unit.

Minimum Acceptable Temperature (degrees Fahrenheit)

Maximum Acceptable Temperature (degrees Fahrenheit)

Medications Stored at Appropriate Levels?

Medication Overcrowding?

Notes on Medication Placement/Arrangement

Expiration Date Visibility?

Medication Storage Containers?

Deviation Management & Corrective Actions

5 of 7

Outlines procedures for addressing out-of-range temperatures and preventing recurrence.

Date of Temperature Deviation

Time of Temperature Deviation

Temperature Reading (High/Low)

Acceptable Temperature Range (Lower Limit)

Acceptable Temperature Range (Upper Limit)

Description of Deviation (What happened?)

Immediate Action Taken

Details of 'Other' Action (If selected above)

Root Cause Analysis

Corrective Action Plan (Describe steps to prevent recurrence)

Staff Training & Competency

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Confirms staff understanding of cold chain procedures and temperature monitoring responsibilities.

Have you completed Cold Chain Management Training?

Date of Last Cold Chain Training

Training Score (if applicable)

Briefly describe your understanding of temperature excursion risks for refrigerated medications.

Which of the following are key responsibilities regarding temperature monitoring?

Do you understand the procedures for responding to a high/low temperature alert?

Describe the steps you take if you observe a temperature outside the acceptable range.

Emergency Procedures

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Describes steps to take in the event of refrigeration unit failure or power outage.

Describe the procedure to follow if the refrigeration unit alarm sounds.

Record the temperature reading immediately upon alarm activation (in °C/°F).

Record the time the alarm sounded.

Describe steps taken to stabilize the medications immediately (e.g., moving to backup refrigeration).

What is the status of the power supply?

Date of refrigeration unit failure or alarm event.

Describe any actions taken to contact the designated refrigeration repair technician.

Upload photographic evidence of the situation (e.g., alarm display, unit temperature). (Optional)

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