North Carolina Immunization Program Refrigerated Vaccine Temperature Storage Log

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North Carolina Immunization Program
Refrigerated Vaccine Temperature Storage Log
Required to be maintained for 3 years
Post on or near the vaccine storage unit and use to record required recordings of AM and PM temperatures for vaccines
Requirements:
o
Read and manually record temperatures twice each day; once at the beginning and again at the end of the day
o
Record from an interior thermometer with a current certificate of calibration in accordance with National Institute of Standards and Technology
(NIST)
o
Refrigerator temperature must be maintained between 2°C and 8°C (35° and 46° F) with an optimum of 5°C (40°F)
o
Normal readings are 2°, 3°, 4°, 5°, 6°, 7°, 8° C (35°, 36°, 37°, 38°, 39°, 40°, 41°, 42°, 43°, 44°, 45°, 46°F)
o
Each temperature reading be accompanied by the time of the reading and name (or initials) of the person who assessed and recorded the reading
o
CDC recommends that providers record the minimum and maximum temperatures once each workday (preferably in the morning)
Take immediate action when temperatures are out-of-range. Isolate the affected vaccine vials or packages, mark "DO NOT USE,” and store the
o
vaccines under appropriate conditions in a properly functioning vaccine storage unit. Call the MFG at 800-822-2463 for assistance and document
on the temperature log any actions taken regarding the out of range temperatures.
Facility Name _________________________________ Location of Refrigerator_____________
Date
Day
AM Temperature
PM Temperature
Minimum/Maximum Temperature Comments
Day/Mo/Yr
Reading
Time
Initials
Reading
Time
Initials
Minimum
Maximum
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
NC-YF-009

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