Documentation of Temperature Troubleshooting Practice Name _______________________________________________________________________ PIN _______________ Date, time, Date and contact Initials Problem Action Taken time of person and incident spoken to at date MDPH If your refrigerator or freezer is out of range, or if vaccine has been left out of refrigeration, immediately contact the MDPH Vaccine Management Unit at 617-983-6828 to determine if any vaccines have been damaged
Documentation of Temperature Troubleshooting Practice Name _______________________________________________________________________ PIN _______________ Date and time of incident Problem Date, time, contact person spoken to at MDPH Action Taken Initials and date If your refrigerator or freezer is out of range, or if vaccine has been left out of refrigeration, immediately contact the MDPH Vaccine Management Unit at 617-983-6828 to determine if any vaccines have been damaged
vaccine-temperature-troubleshooting.docx