Temperature Monitoring
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We have a question about temperature monitoring under ACHC regulations. If you have an opened and in use box of non-waived reagents located on the unit in a refrigerator, does ACHC require keeping a temp log for that refrigerator for those reagents? These reagents are not being "stored" they are actively open and in use. The reagents may also be kept at room temp but have a shorter expiration date.
We are looking for clarification on whether or not ACHC requires temp monitoring in this instance. What are you doing at your sites? Thanks for any input.
We are looking for clarification on whether or not ACHC requires temp monitoring in this instance. What are you doing at your sites? Thanks for any input.
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Your policy should state that only a small working supply is maintained at the point of testing. You could then state that the main supply stored in the lab/POCT is monitored for temp/humidity but the small working supply is not monitored. I would think if the nursing unit has a fridge being used to store other supplies, it would be monitored by someone- maybe pharmacy??
The question is: Are they being held to the manufacturers defined temp range for refrigerated storage to keep that expiration date or not? Did the refrigerator fail?