First Aid Box Management

somashekar

Staff member
Super Moderator
#1
If certain medicines that are to be in the FA box have storage temperature specified, how are they to be managed when the work environment is harsh or ambient. Do we have to create the storage temperature specified for the FA box at each such locations?
Anyone have faced such a question from any audit... any actions done on such ?
 
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Jen Kirley

Quality and Auditing Expert
Staff member
Admin
#2
The Journal of Royal society of Medicine has published a report titled Keep in a cool place that describes the effect high storage temperature has on drugs. It is important to notice that the effect varies from one drug to the next, so appropriate storage priorities should be placed based on research of the specific drugs' efficacy impact. I have, in fact recently asked a work place nurse how she knew her refrigirator was keeping at the correct temperature.
 

Wes Bucey

Quite Involved in Discussions
#3
If certain medicines that are to be in the FA box have storage temperature specified, how are they to be managed when the work environment is harsh or ambient. Do we have to create the storage temperature specified for the FA box at each such locations?
Anyone have faced such a question from any audit... any actions done on such ?
The first question I would ask is what pharmaceuticals do we NEED? Then determine the ambient conditions to satisfy both storage and availability/access when the need requires.

In my machining operation, we kept first aid stuff like bandages, antiseptics in kits scattered throughout the facility. (Kit contained full line of adhesive strips, antiseptic packets, burn dressings, antiseptic wipes and sprays)

Even though our entire facility was air conditioned, we did not keep pain killers (aspirin, ibuprofen, acetaminophen) or any "ingestibles" (unit dose medicinals for pain, upset stomachs and cold symptoms) for ready access, but required identity and sign out before distribution. Everyone was trained in minor first aid and CPR and recognizing when professional help needed to be called.

Each first aid station had an inventory grid and sign out (initials) if supplies were used.

Our company did NOT have an experience of employees "shopping" the kits to resupply homes, but I was aware of suppliers and customers who did have that experience. We learned strategies from the company which supplied our kits to reduce or eliminate such "inventory shrinkage."

Bottom Line
In over ten years, we were lucky to have only minor cuts and scrapes using bandages and antiseptics from our kits, and some headaches, toothaches, etc. which necessitated over-the-counter pain relievers from our limited access supplies. I can't speak, however, for any drugs which employees brought from home since we did not test for drug use.

We routinely discarded ALL supplies on an annual basis and replaced them with fresh stock (nothing worse than a Band Aid that won't stick because the adhesive was old.)
 

Ajit Basrur

Staff member
Admin
#4
If certain medicines that are to be in the FA box have storage temperature specified, how are they to be managed when the work environment is harsh or ambient. Do we have to create the storage temperature specified for the FA box at each such locations?
Anyone have faced such a question from any audit... any actions done on such ?
Which particular medicines are you refering ? This is because most of the first aid boxes do not contain any medicines that require specific storage conditions.
 

Wes Bucey

Quite Involved in Discussions
#6
I guess different cultures rely on different first aid remedies. Many commercial kits supply Neosporin (brand or generic triple antibiotic) to do double duty as burn ointment as well as wound dressing. Storage suggestion for Neosporin is 30 degree Celsius for upper limit. Most provide single use packets to avoid cross contamination. Brief excursions above 30 degrees do not destroy the efficacy of the sealed product.

Why not discuss alternate products with higher storage temperature range with a local medical professional?

:topic:
Living in a temperate climate, our employees would have rebelled or asked hazard pay to work in a continuous environment over 25 degrees Celsius. I would have worried about heat fatigue affecting employees and their work output, possibly increasing the probability of accidents causing injury.
 

Ajit Basrur

Staff member
Admin
#7
Cetrimide cream (Burnol of Dr. Morepan)
and
Tincture of Iodine
as examples...
Both mention "Store below 25' C in a dark place"
Hi somashekhar,

Firstly, the Pharmacopeias do not allow the mention of "store in room temperture" or "ambient temperatures" and hence the term, "store in a cool place" or "store below 25C"

When the temperature requirements are 25?C, it refers to keeping the medication at controlled room temperature with no extremes conditions of temperature and humidity. The requirements are explicitly mentioned in the attached MHRA document (refer page 6).

Likewise, as Wes mentioned, intermittent temperature spikes are permitted as long as the mean kinetic temperature remains in the allowed range and the spikes up do not exceed 24 hours.
 

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