Record the present temperature , min and max , and length of time with possible exposure. This is determined from the temperature log data. If the storage unit is currently in range and appears to be functioning properly , proceed to the next step. If out of range or appears to have a maintenance problem , move medications to a backup storage unit and proceed to next step. Take an inventory of all medications that were exposed, listing:.
Whether or not this is the medication's first excursion if the unit has been through a previous excursion. IMPORTANT : while not necessarily required to be part of the documentation, if you do not write down the manufacturer, you will end up having to call the same medical affairs phone number multiple times as you miss items on the list.
It is easiest to record the manufacturer and only make one phone call per manufacturer, especially because hold times can be long. Call the manufacturer for each exposed medication to determine if there is stability data to support its continued use. Document the conversation and case number. It is extremely important to get the case number - how else can you prove you spoke to the manufacturer?
I remember when some Zostavax went through an excursion once the Merck rep let me know we could get full credit if they were in fact not stable by waiting to give them to our reverse distributor until past their labeled expiration date. Talk about a lifesaver! For medications with stability data to support continued use: They may be used until the date the manufacturer has provided. About Us SmartSense was created to use the power of the Internet of Things IoT to help our customers protect the assets most critical to the success of their business.
See our story. Careers Create the future of IoT by joining our team. See job openings. Subscribe to the SmartSense Blog. June 21, 6 Steps for Handling Temperature Excursions. Step 1: Notify Supervisors Any staff member who hears an alarm, receives an alert message, or notices a temperature excursion should notify the vaccine coordinator immediately or report the problem to a supervisor. Step 2: Quarantine Vaccines If a vaccine has been compromised, quarantine it immediately.
Step 3: Document the Event The vaccine coordinator, supervisor, or if necessary, the person reporting the problem, should document the event. Step 6: Wrap Up Complete your documentation of the event, including the following: What happened to affected vaccines What you did with the vaccine and when Whom you have contacted and instructions received What you have done to prevent a similar future event You never know when a temperature excursion may happen.
Subscribe to Our Blog! Topics: Pharmacy Safety. Other Suggested Posts. How a Deep Dive into Alerts allows Tailoring of Response Workflows In a previous post, Jason Sroka, our Chief Analytics Officer, discussed the importance of data when making accurate business decisions based on objective Read More. Information vs. Is the Around the globe, Here's a primer on what you can expect to see on offer. Active vs. Sightseeing Tours: Shore excursions cover all levels of activity and interest and vary greatly, depending on what's available in each destination.
Active tours could be anything from water sports to ziplining, hiking, biking and dog-sledding. Activity-based trips might feature a day at the spa or beach, a pleasure cruise on a sailboat, wine or food tasting, a cultural performance or a visit to a museum.
Sightseeing excursions are typically bus tours that take passengers to the highlights and shopping areas of the port city or nearby destinations. Remember that excursions look different in different parts of the world. In the Caribbean, you'll find options like snorkeling with sting rays or transportation to private beaches; European tours focus more on sightseeing -- for example, full-day tours from the port of Livorno to the museums and cathedrals of Florence or multi-hour lunches, featuring local produce, meats and wine at a farmhouse in Tuscany.
Full vs. Half-Day Tours: Shore excursions vary in length. Some take up all your time in port, while others are just a few hours of an all-day visit. Choose a full-day tour to see the most you can in one trip or for journeys to destinations outside the port city. A half-day tour might only focus on one specific itinerary -- a three-hour kayak trip or a highlights tour of a city -- but leaves you with free time to explore the port on your own before or after.
Guided vs. Free Time: Not all shore excursions involve busloads of tourists, dutifully following flag- or umbrella-waving guides. You will find these types of sightseeing tours, as well as athletic endeavors overseen by dive masters or hike leaders. However, some tours simply bring you to a destination where you're free to explore until it's time to meet the bus to go home, while others feature guided components, followed by an hour or two of free time. Highlights vs. In-Depth: Some shore tours -- such as daylong trips from Tunis to the marketplace, museum and ancient Carthage —- pack many activities into one trip.
Others focus on one destination or activity, like a trip to the Mayan ruins from Cozumel. It's up to you whether you'd prefer to see many things for short amounts of time or focus on one place in depth. Concierge or Boutique: Another option for shore excursions are intimate tours that are limited to 25 or so passengers.
Many lines offer these "boutique" excursions, which could be cooking classes at a renowned French cooking school or a behind-the-scenes tour of the Hermitage in St.
Many lines also offer car-and-driver packages so you can customize your own tour or have concierges to arrange shoreside activities exclusively for your travel party. You can skip the caravan of four large tour buses and trade up for a more exclusive experience. One of the biggest questions cruisers have is whether or not to take a ship-sponsored shore excursion. The answer banks on your budget, as well as your inclinations.
Taking a tour in every port can quickly inflate your onboard bill. Shore excursions are worth it if you want to venture to attractions that are located far from the pier, learn more about an area through a guide or participate in physical activities where gear is required biking, diving, golf.
However, if all you want to do is walk around town, shop or visit the beach, it could be much cheaper and less time-consuming to get a map and do it on your own. For instance, in St. Thomas, the shops are a stone's throw from the ship, but beaches are a cab ride away. Although it still might be less expensive to hail a taxi to the beach than to participate in a tour. And, in tiny Monte Carlo, the castle, cathedral and casino are all within walking distance of your ship.
Don't forget about arranging your own transportation, too. In Hawaii, many ports offer rental agency pickups.
In Barcelona, you can easily use a combination of local buses, the subway and hop-on, hop-off tourist buses to get around. However, in big cities like Athens, Rome and Florence -- which are far from the port -- it might make more sense to spring for a tour. It is also wiser to take a shore excursion in any third world country or in foreign ports, where language and customs might prove to be barriers.
For example, in Brunei, you would definitely want to take the guided tour to sites like the biggest mosque in Asia, Omar Ali Saifuddin Mosque. You'd probably never find it on your own and, without guidance, you might not realize the necessity to respect local customs by covering your body from head to toe in long pants, long skirts and long sleeves.
Luckily, the locals are used to this and usually have a few robes on-hand to loan visitors.
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