Vaccine and Medication Fridges: Baseline Audit If there has been a cold chain breach please follow local site policy for management. ** Alarm wired to central monitor to facilities management and to shift manager’s page phone. Essential Facilities Location Access Fridge Details Security Monitoring Content Comments power information Ward/clinic Hours of Room (e.g. Type Model Serial Lock on Locked External temperature Monitoring Monitoring book Vaccines Content Fridge seals Fridge on Fridge alarm or Availability (e.g. Clean Swipe, (e.g. (e.g. Arcus, Number fridge at time of monitoring device book by the completed without storage identified on Essential power on Department (e.g. 24/7, utility room, Key, ICS Pacific, audit fridge gaps front of fridge 1 Intact (Red socket) central M-F 9-5) Drug room, Open Thermoline, (Required where no - Medication fridge 2 Not intact monitoring** Y / N Y / N Resus room) area) Domestic, Haeir, inbuilt digital temp once daily (brittle or torn) Y / N Y / N Y / N Y / N Bar) Kelvinator, display) - Vaccine fridges Westinghouse) twice daily Y / N /NA Y / N Example 1 M-F 9-5 Clean utility Key Purpose Thermoline SN12345 Y Y NA Y N Y N 2 Y Y Food found in fridge & removed Out patient room built Facilities notified of poor door clinic seal (no recordings outside of appropriate range Large gaps between monitoring recordings Example 2 24/7 Clean utility Swipe Purpose ICS pacific SN34567 Y N NA Y Y N Y 1 N N Medical room built ward Vaccines stored in refrigerators must comply with the National Vaccine Storage Guidelines Strive for Five 2nd edition. Australian Government, Department of Health and Ageing and Vaccine Cold Chain Guidelines Operational Directive OD 0355/11 – – Acknowledgement to FHHS, SMHS, and RPH Refrigerator Audit tools which assisted in the development of this tool.
Vaccine and Medication Fridges: Baseline Audit If there has been a cold chain breach please follow local site policy for management. ** Alarm wired to central monitor to facilities management and to shift manager’s page phone. Location Access Fridge Details Security Monitoring Content Essential power Facilities information Comments Ward/clinic or Department Hours of Availability (e.g. 24/7, M-F 9-5) Room (e.g. Clean utility room, Drug room, Resus room) (e.g. Swipe, Key, Open area) Type (e.g. Domestic, Bar) Model (e.g. Arcus, ICS Pacific, Thermoline, Haeir, Kelvinator, Westinghouse) Serial Number Lock on fridge Y / N Locked at time of audit Y / N External temperature monitoring device (Required where no inbuilt digital temp display) Y / N /NA Monitoring book by the fridge Y / N Monitoring book completed without gaps - Medication fridge once daily - Vaccine fridges twice daily Y / N Vaccines storage Y / N Content identified on front of fridge Y / N Fridge seals 1 Intact 2 Not intact (brittle or torn) Fridge on Essential power (Red socket) Y / N Fridge alarm on central monitoring** Example 1 Out patient clinic M-F 9-5 Clean utility room Key Purpose built Thermoline SN12345 Y Y NA Y N Y N 2 Y Y Food found in fridge & removed Facilities notified of poor door seal (no recordings outside of appropriate range Large gaps between monitoring recordings Example 2 Medical ward 24/7 Clean utility room Swipe Purpose built ICS pacific SN34567 Y N NA Y Y N Y 1 N N Vaccines stored in refrigerators must comply with the National Vaccine Storage Guidelines – Strive for Five 2nd edition. Australian Government, Department of Health and Ageing and Vaccine Cold Chain Guidelines – Operational Directive OD 0355/11 Acknowledgement to FHHS, SMHS, and RPH Refrigerator Audit tools which assisted in the development of this tool.
FINAL_Vaccine_and_Medication_Fridge_Baseline_Audit_tool.docx