REFRIGERATOR AND FREEZER TEMPERATURE MONITORING *

Effective Date: 
Mon, 04/01/2002
Reviewed: 
Wed, 05/16/2018
Revised: 
Wed, 05/16/2018
Policy: 

UCSC Student Health Center refrigerator and freezer temperatures are continuously monitored and documented wherever medical products, including vaccines, reagents, supplies, biological samples and pharmaceuticals are stored. 

All medical products are stored and managed in accordance with manufacturer instructions and regulatory guidelines.

Procedure: 
  • Temperature logs are affixed to each refrigerator and freezer wherever medical products are stored.  These departments include:  Pharmacy and Medical Clinic - Floor 1 and Floor 2 and the Laboratory (See Lab Manual for  General Maintenance Program)
  • Staff are trained to read the thermometers, document the temperatures, use the problem log, and to seek assistance from their supervisors whenever there has been a temperature excursion
  • Temperatures are documented by staff twice daily when open 

  • High and low alarms are set and remain on.
  • At the first recording each work day, the minimum and maximum temperature history is reviewed, temperature/s and range/s are noted, and then the thermometer is reset.
  • Temperatures are monitored by NIST (National Institute of Science and Technology) certified and calibrated thermometers.  Calibration compliance dates are monitored. 
  • Refrigerators and freezers are maintained at temperatures according to manufacturer requirements.
  • Whenever the temperatures are out of range (either minimum/maximum history or current), the staff member will make a temperature adjustment and document that information in the Trouble Shooting Record, and notify the supervisor
  • Refrigerator or freezer maintenance, operational problems and repairs, will be noted in the labeled bound "Refrigerator/Freezer Maintenance Logbook", stored in the Pharmacy
  • Any malfunctions need to be addressed to the supervisor immediately
  • All medical refrigerators and freezers are on the emergency generator system
  • Logs will be distributed and collected monthly, and stored.