Susie,

You definitely need to monitor IMP if stored in clinic or on the ward - the MHRA picked this up at our recent inspection, and I know they have done at other Trusts. In our case, we weren't even aware the drug was being kept for long periods of time. We now have a rule that if drugs are to be kept overnight they need temperature monitoring - and strongly discourage this practice unless absolutely necessary. Each area has a thermometer, supplied and maintained by us, but they are responsible for recording the temperature and reporting any deviations - each area has a deviation procedure to follow. A member of the pharmacy team conducts monthly audits to ensure compliance - if they don't comply, we threaten the removal of the remote storage option! I'd be happy to share our paperwork with anyone who wants it. Kate