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EO 008.01 Pharmacy Storage Conditions(Dari)

01/09/2013

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Importance of Lesson(Dari)

• In order for medications to be safe and effective they must be stored correctly.

• Medications not stored in accordance with the manufacturer’s recommendations can lose their potency and/ or cause harm to the patient if used.

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Overview EO 008.01(Dari)

• Categorization of Storage Temperature

• Procedures for shipping, storing and dispensing cold chain medications

• Cold chain equipment • Security, organizational and

cleanliness requirements of storage areas

• Lesson Review• Demonstration

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DefinitionDari

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Principles of Cold Chain Management

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Manufacturers Storage Instructions

Dari• Manufacturers list on the

packaging or product insert the required storage conditions for a medications. For example:– Temperature– Humidity– Light

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Manufacturers Storage Instructions

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Manufacturers Storage Instructions (Package Inserts)

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Temperature CategoriesDari

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Ontario College of Pharmacists, Canada

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QuestionsDari

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Receiving/ Storing/ Shipping Dari

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Call the manufacturer: sometimes if medications are stored outside of the recommended conditions for just a short period of time the manufacturer can let you know if they can still be used.

Ontario College of Pharmacists, Canada

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Receiving/ Storing/ Shipping Dari

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Ontario College of Pharmacists, Canada

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Receiving/ Storing/ Shipping Dari

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I.e. Hot Weather

Put cold chain shipments in the fridge until it can be received properly. This will prevent unserviceable medications.

Ontario College of Pharmacists, Canada

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Receiving/ Storing/ Shipping Dari

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I.e. Fresh Frozen Plasma

I.e. Don’t store food in the drug refrigerator.

Ontario College of Pharmacists, Canada

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Dispensing Dari

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* Ensure the patient has the ability to store the medication correctly. If they cannot, notify the pharmacist. They may need a different medication.

Ontario College of Pharmacists, Canada

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VaccinesDari

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Ontario College of Pharmacists, Canada

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Cold Chain Storage EquipmentDari

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Ontario College of Pharmacists, Canada

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Cold Chain RefrigeratorsDari

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Cold Chain Data LoggersDari

Advantage: It provides continuous recording of temperatures. It will record temperature discrepancies that occur when you are not there. (e.g. electricity disruptions)

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Cold Chain ShippingDari

Capital District Health, Halifax, Nova Scotia

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Cold Chain ShippingDari

Capital District Health, Halifax, Nova Scotia

Reusable

Can be a towel. Purpose is to prevent freezing of the Cold Chain Product by the icepacks. Towel should be cold (store clean towels in the refrigerator)

Put in sealable plastic bags

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Igloo CoolerDari

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Cold Chain Shipping Within Hospital

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Capital District Health, Halifax, Nova Scotia

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Cold Chain Breaks in HospitalDari

Capital District Health, Halifax, Nova Scotia

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Cold Chain Breaks in HospitalDari

Capital District Health, Halifax, Nova Scotia

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Cold Chain Breaks in HospitalDari

Capital District Health, Halifax, Nova Scotia

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Cold Chain Breaks in HospitalDari

Capital District Health, Halifax, Nova Scotia

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Signs of Unserviceable Drugs Dari

1. Discolouration

2. Sediment

3. Odour

4. Caking of powders

5. Bacterial growth in liquids

6. Increased tablet breakage

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DemonstrationDari

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Questions?Dari

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End of EODari