
Get Vfc Temperature Log Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Vfc Temperature Log Form online
The Vfc Temperature Log Form is essential for monitoring and documenting the temperature of vaccine storage units. This guide provides clear and detailed instructions for successfully completing the form online.
Follow the steps to accurately fill out the Vfc Temperature Log Form online.
- Click ‘Get Form’ button to obtain the form and open it in your editing tool.
- Begin by entering the month and year at the top of the form, followed by the storage unit's identification and provider information. Ensure that the VFC number is accurately recorded.
- In the Routine Temperature Monitoring section, enter the time of day in the designated fields along with the initials of the staff person recording the temperatures. Indicate whether the data logger's LED is green by entering 'Y' for yes or 'N' for no.
- For each day of the month, record the current AM temperature by marking it with an 'X'. Additionally, note the minimum and maximum temperatures for that time, represented by '▼' for minimum and '▲' for maximum respectively. To reset these values, hold the button down until 'CLR ▲▼' appears.
- Repeat the recording for the PM temperature, marking it with an 'X'. Ensure all entries are accurate and up-to-date.
- If any recorded temperatures are within the specified shaded zone or if the data logger LED is red, follow the outlined out-of-range response protocol. This includes quarantining the vaccine, labeling it as 'DO NOT USE', and contacting the Immunization Program for further guidance.
- Once all the entries are completed, review the form for accuracy. You can then save changes, download, print, or share the form as necessary.
Complete the Vfc Temperature Log Form online to ensure effective vaccine temperature monitoring.
Refrigerated vaccines should be stored between 36º F and 46º F, but the ideal temperature is 40º F.
Fill Vfc Temperature Log Form
Completing this temperature log: Check the temperature in the refrigerator compartment of your vaccine storage unit at least twice each working day. Record the time and your initials. 3. Instructions for completing the monthly temperature log. 1. CLINIC NAME: VFC PIN: LOCATION OR NUMBER (Refrigerator). (Freezer). Locations must record current, MIN and MAX temperatures on CDPH's temperature log (PDF). Monitor temperatures closely! 1. Write your initials below in "Staff Initials," and note the time in "Exact Time. CLINIC NAME: VFC PIN: LOCATION OR NUMBER (Refrigerator). (Freezer). Record the actual temperature from the data logger display in the am column. Please document any thermostat adjustments or follow-up notations on the reverse side of this form.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.