Injectable Medication Log Sheet (Page 3 of 4) in pdf

Injectable Medication Log Sheet Page 3

County of Santa Clara Mental Health Department

Refrigerator Temperature Log

Site:

Month/Year:

Location: Med Room

Temp °F(°C) Date

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

50 (10)

49 (9.4)

48 (8.9)

47 (8.3)

46 (7.8)

45 (7.2)

44 (6.7)

43 (6.1)

42 (5.5)

41 (5)

40 (4.4)

39 (3.9)

38 (3.3)

37 (2.8)

36 (2.2)

35 (1.7)

34 (1.1)

33 (.5)

32 (0)

31 (-.5)

30 (-1.1)

1. Place an "X" in the box of the observed temperature. Record time and initial.

2. If out of range (gray area), adjust the thermostat. In 1 hour, reread and record new temperature. If still out of range, contact Enborg

Lane Pharmacy (885-4100) or Downtown Pharmacy (299-6066) for drug stability information and report to clinic manager. If necessary, the

medications should be moved to a working refrigerator until the temperature is within range.

Injectable Medication Log Sheet Page 3