Fridges
 Fridge
policies
 Reporting
 Sources
wasted vaccines
of advice
Fridge policies
Introduction – background, purpose etc.
 Cold storage arrangements
 Maintenance
 Monitoring
 Training
 What if something goes wrong?
 Responsibilities and accountability

Cold storage arrangements

Secure / controlled access

Location of fridge

Fridge of appropriate type and size

Protected power supply
Systems and maintenance

Ordering systems and deliveries


Limit stockholding and rotate stock
Expiry date checks

In-house e.g. defrosting, cleaning

External servicing

?Insurance
Monitoring
Temperature - check and record every
working day
 4 Rs

Read

Record
Re-set
React
Check records are complete and
action taken if needed
Training

Understand the need for cold storage

Know how to read and re-set
thermometers

Know what to do if temperature out of
range or other problem e.g. power cut
If something goes wrong….
Don’t panic or assume vaccines are
no longer fit for use
 Quarantine
 If possible move to alternative fridge
but DO NOT USE yet
 Take specialist advice

Responsibilities and
accountability

Who is responsible for doing what e.g.
daily temperature monitoring?
(Deputies, holiday coverage)

Who is ultimately accountable?
Wasted vaccines

Report on Immform
Sources of advice
Green Book
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/223753/Green_Book_C
hapter_3_v3_0W.pdf
Immform – reporting vaccine wastage
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/363621/ImmForm_Help
sheet18_FridgeFailures_StockIncidents_acc4.pdf
Public Health England
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/300304/Protocol_for_or
dering__storing_and_handling_vaccines_March_2014.pdf
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/361629/Vaccine_storag
e_management_Care_Quality_Commission_Inspection_a_CC_update.pdf
Ask Nigel (CQC)
http://www.cqc.org.uk/content/nigels-surgery-17-vaccine-storage-and-fridges-gp-practices
Questions?