"Medication Refrigeration Temperature Log - Rx"
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1MEDICATION REFRIGERATOR TEMPERATURE LOG
Department / Location: ______________________
Year: _____
Month: _________
Acceptable temperature range: 36 ° - 46˚ F
Acceptable Range
Actual Temp
Status (circle)
Day/Month
Time
Initials
Corrective Action Taken, if necessary
01
36˚ - 46˚ F
Good / Out-of-Range
02
36˚ - 46˚ F
Good / Out-of-Range
03
36˚ - 46˚ F
Good / Out-of-Range
04
36˚ - 46˚ F
Good / Out-of-Range
05
36˚ - 46˚ F
Good / Out-of-Range
06
36˚ - 46˚ F
Good / Out-of-Range
07
36˚ - 46˚ F
Good / Out-of-Range
08
36˚ - 46˚ F
Good / Out-of-Range
09
36˚ - 46˚ F
Good / Out-of-Range
10
36˚ - 46˚ F
Good / Out-of-Range
11
36˚ - 46˚ F
Good / Out-of-Range
12
36˚ - 46˚ F
Good / Out-of-Range
13
36˚ - 46˚ F
Good / Out-of-Range
14
36˚ - 46˚ F
Good / Out-of-Range
15
15
36˚ - 46˚ F
36˚ - 46˚ F
Good / Out-of-Range
Good / Out-of-Range
16
36˚ - 46˚ F
Good / Out-of-Range
17
36˚ - 46˚ F
Good / Out-of-Range
18
36˚ - 46˚ F
Good / Out-of-Range
19
36˚ - 46˚ F
Good / Out-of-Range
20
36˚ - 46˚ F
Good / Out-of-Range
21
36˚ - 46˚ F
Good / Out-of-Range
22
36˚ - 46˚ F
Good / Out-of-Range
23
36˚ - 46˚ F
Good / Out-of-Range
24
36˚ - 46˚ F
Good / Out-of-Range
25
36˚ - 46˚ F
Good / Out-of-Range
26
36˚ - 46˚ F
Good / Out-of-Range
27
36˚ - 46˚ F
Good / Out-of-Range
28
36˚ - 46˚ F
Good / Out-of-Range
29
36˚ - 46˚ F
Good / Out-of-Range
30
36˚ - 46˚ F
Good / Out-of-Range
31
36˚ - 46˚ F
Good / Out-of-Range
The temperature of each medication refrigerator must be checked daily and recorded on this log. If closed on a particular day, write "CLOSED" under Actual Temp
on temperature monitoring log. If an out-of-range temperature is found, notify Clinical Engineering and document your response.
Revised 01/2013
MEDICATION REFRIGERATOR TEMPERATURE LOG
Department / Location: ______________________
Year: _____
Month: _________
Acceptable temperature range: 36 ° - 46˚ F
Acceptable Range
Actual Temp
Status (circle)
Day/Month
Time
Initials
Corrective Action Taken, if necessary
01
36˚ - 46˚ F
Good / Out-of-Range
02
36˚ - 46˚ F
Good / Out-of-Range
03
36˚ - 46˚ F
Good / Out-of-Range
04
36˚ - 46˚ F
Good / Out-of-Range
05
36˚ - 46˚ F
Good / Out-of-Range
06
36˚ - 46˚ F
Good / Out-of-Range
07
36˚ - 46˚ F
Good / Out-of-Range
08
36˚ - 46˚ F
Good / Out-of-Range
09
36˚ - 46˚ F
Good / Out-of-Range
10
36˚ - 46˚ F
Good / Out-of-Range
11
36˚ - 46˚ F
Good / Out-of-Range
12
36˚ - 46˚ F
Good / Out-of-Range
13
36˚ - 46˚ F
Good / Out-of-Range
14
36˚ - 46˚ F
Good / Out-of-Range
15
15
36˚ - 46˚ F
36˚ - 46˚ F
Good / Out-of-Range
Good / Out-of-Range
16
36˚ - 46˚ F
Good / Out-of-Range
17
36˚ - 46˚ F
Good / Out-of-Range
18
36˚ - 46˚ F
Good / Out-of-Range
19
36˚ - 46˚ F
Good / Out-of-Range
20
36˚ - 46˚ F
Good / Out-of-Range
21
36˚ - 46˚ F
Good / Out-of-Range
22
36˚ - 46˚ F
Good / Out-of-Range
23
36˚ - 46˚ F
Good / Out-of-Range
24
36˚ - 46˚ F
Good / Out-of-Range
25
36˚ - 46˚ F
Good / Out-of-Range
26
36˚ - 46˚ F
Good / Out-of-Range
27
36˚ - 46˚ F
Good / Out-of-Range
28
36˚ - 46˚ F
Good / Out-of-Range
29
36˚ - 46˚ F
Good / Out-of-Range
30
36˚ - 46˚ F
Good / Out-of-Range
31
36˚ - 46˚ F
Good / Out-of-Range
The temperature of each medication refrigerator must be checked daily and recorded on this log. If closed on a particular day, write "CLOSED" under Actual Temp
on temperature monitoring log. If an out-of-range temperature is found, notify Clinical Engineering and document your response.
Revised 01/2013
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Most popular documents
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"Vsepr Theory (Molecular Shapes) Chart"
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DA Form 2062 "Hand Receipt/Annex Number"
-
"Zappos Kid Shoe Size Chart"
-
DD Form 2813
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DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DA Form 31 "Request and Authority for Leave"
-
AF Form 910 "Enlisted Performance Report (AB Thru Tsgt)"
-
DD Form 1750 "Packing List"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
Popular Articles
- 2020 Tax Deductions for Homeowners 2020 Tax Deductions for Homeowners
- How to Convert Personal Use Property to Business Use? How to Convert Personal Use Property to Business Use?
- How to Rent Your First Apartment? How to Rent Your First Apartment?
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- USCIS Form I-551, Permanent Resident Card USCIS Form I-551, Permanent Resident Card
- Washington State Patrol Inspection Request Form Washington State Patrol Inspection Request Form
- Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration
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