Storage and Management System for Pharmacy Refrigerator
1. Strictly according to the temperature requirements for storing drugs, put them in the pharmacy refrigerator for storage. Pharmacy refrigerators mainly store drugs, reagents, vaccines, biological products, and valuable drugs that need to be kept in cold storage. Food and personal belongings shall not be stored in the refrigerated container of medical drugs.
2. Special personnel (or fixed shifts) regularly clean, disinfect, defrost, inspect and sort items, and record signatures to keep pharmacy refrigerators neat and tidy, and items placed in an orderly manner. Pharmacy refrigerator should be designated to manage and maintain, clean the refrigerator every day, wipe and disinfect the refrigerator every week, use 500mg/L chlorine disinfectant to clean and disinfect once; defrost and record every month (frost thickness not exceeding 1cm). Defrost once a month; if there is a problem, repair it in time and have a record and signature.
3. The temperature of the pharmacy refrigerator should be constant at 2-8°C to monitor the temperature. Place an electronic thermometer or cold chain monitor (temperature recorder) in the refrigerator box of medical drugs. The drugs in the box should avoid contact with the inner wall of the refrigerator box of medical drugs.
4. Establishing a management and registration system for pharmacy refrigerators. Medicines should be placed in layers, and each type of medicine should have an independent shelf (or basket, frame), such as biological products, Chinese medicine, antibiotics, etc. The placement of medicines in the refrigerator box of medical medicines should be classified according to variety, nature, use, etc., neatly stored, and have eye-catching signs for easy access.
- Common medicines that need to be kept in the pharmacy refrigerator should be marked with bed number, name, date, and time and put in the refrigerator.
- Valuable drugs need to be registered, including bed number, name, date, time, drug name, specification, dose, quantity, etc., for preparation and inspection.
- For drugs that need to be refrigerated after opening, the date, time, and usage of the bottle should be indicated.
- It should be placed in a clean container and placed in the refrigerator, and clearly marked.
5. All medicines and reagents stored in pharmacy refrigerators must have an expiration date, and the expiration date should be checked regularly. The number of medicines in the refrigerator box of medical medicines should not be accumulated too much, and the surplus medicines should be counted and returned to the pharmacy regularly.
6. The remaining volume after unsealing the pumped liquid, if placed in a pharmacy refrigerator, must be marked with the date, time, remaining volume and signature, and be used strictly in accordance with the drug instructions. The preparation expires and is discarded in time.
7. The head nurse conducts spot checks regularly or irregularly to ensure that the medical refrigerated containers are in good working condition. If problems are found, contact the relevant departments of the hospital in time for maintenance.
5 Precautions for Storing Drugs
1. Before storing medicines in the refrigerator of medical drugs, you should check the instructions, familiar with the precautions and contraindications.
2. Drugs that need to be stored in the refrigerator of medical drugs
- Injections: Heparin Sodium, Insulin, Pituitary Hypophysin, Thrombin, Vitalipid, Shui Le Vita, Nuo He Pen.
- Biological preparations (drugs containing “biological”, “active factor”, etc.): various lyophilized powder injections, vaccines, etc.
- Blood preparations: human blood albumin, globulin, etc.
- Oral medicine: Partial treatment for diarrhea such as Lizhu Changle, Peifeikang.
3. Other medicines that need to be stored in the refrigerator of medical drugs:
- Suppositories are softened due to high temperatures and are not easy to use. They should be placed in a refrigerator for medical drugs before use and taken out after hardening.
- The wipe contains volatile solvents, such as calamine lotion, etc. After use, the bottle cap should be tightened and placed in a medical refrigerator to refrigerate to prolong the storage time.
- The suspension dosage form that needs to be brewed, the storage period is shortened after adding water, generally no more than 15 days, so it should be refrigerated in a medical refrigerator.
- Some high-temperature sensitive drugs, such as lactase, pepsin, etc. According to storage conditions, these medicines should be stored in a cool and cool condition at 2~15℃. If this requirement is not met indoors, it should be stored in a refrigerator for medical drugs.
- Certain capsules or capsules (such as vitamin E capsules, cod liver oil, etc.) drugs will soften, rupture, leak oil, and even the whole bottle sticks together, and sometimes emit odors. Some drugs should also be refrigerated. Keep in the box.
- External medicines such as eye drops, nasal drops, ear drops, lotions, and mouthwashes, as well as external liniments. After use, the bottle cap should be tightened and placed in a medical refrigerator freezer at the same time.
- Suspending agent, depending on the specific situation, if it is contained in the container in powder form, it can be stored immediately in the effective position of the mark in the unbrewed state. Once water is added, put it in the refrigerator of medical drugs and keep it for a period of no more than 15 days.
4. Drugs that are “not allowed” to enter the refrigerator of medical drugs:
- Do not put tablets, capsules, powders, and creams in the refrigerator, because the humid environment in the refrigerator of medical drugs will change the properties of these drugs, appear brittle, cracked, crystallized, affecting the efficacy, and even poisoning.
- Cough syrup, anti-allergic syrup, antipyretic analgesic solution or cold syrup, generally do not need to be placed in the refrigerator of medical drugs, as long as they can be stored at room temperature. Because most liquid preparations are at too low temperatures, they may reduce the solubility of the drug.
- If the storage temperature of the cream is too low, it may cause the layering of the matrix, thereby affecting the uniformity and efficacy of the ointment.
5. While paying attention to the storage conditions of medicines, pay special attention to whether the medicines within the validity period have deteriorated during the summer.
- Dosage forms such as pediatric syrup and oral liquid need to be used up within a short time after opening (the eye drops must be used up within one week after opening). This kind of liquid medicine is best to use as much as possible. It is not possible to pour the excess of the remaining medicine back into the bottle, and it is not advisable to take the mouth directly to the bottle.
- Granule medicines, due to a large amount of sugar added in the manufacturing process, are prone to stickiness and agglomeration when heated, and are not easy to seal if they are not tightly sealed. Discoloration, when the honey pill medicine is dry, cracked, or moldy, indicates that the medicine can no longer be taken.
- Tablets and pills should not be used when they are discolored, moldy, smelly, loose or deformed, and have spots or crystals on the surface; the sugar-coated tablets are faded and exposed, and they are variegated or black, cracked, and sticky Do not reuse; capsules, such as moldy, soft or cracked, should not be reused.
- Oral medicine, moldy, discolored, or even smelly, with flocs or sediments can not be reused; eye ointment, such as particles, odor, or liquid matter can not be reused.
- For syrups and eye drops, you should pay attention to whether the light is still clear. If you find flocs, sediments, discoloration, mildew, crystallization, and a large number of bubbles, it means that the medicine has deteriorated.
- Chinese medicine preparations such as “ointment, pill, pill, powder”, honey, brown sugar, etc. are common additives, which makes these Chinese medicine preparations prone to mold and insects in summer, and those pills sealed with white wax may also crack at high temperatures. Open, causing deterioration.
- Suppositories are gradually melted and absorbed at the body temperature of 37℃ due to their special medication. It is prone to deterioration in the scorching heat, such as rancidity, dry particles, thinness, color change, separation of water and oil, and even odor, which should be discarded.