Answer the part II Activities based on the instructions given from part I Objective and refer to part III References: PROPER STORAGE AND HANDLING OF PHARMACEUTICAL PRODUCTS I. OBJECTIVES: A. Perform the proper storage process.

### II. ACTIVITIES:

#### 1. Compliance with Storage Requirements

1.1. **Store stocks in accordance with manufacturer’s specifications, regulatory and company policy procedure.**

- **1.1.1. Temperature and Humidity Record:** 
  - Ensure that storage areas are equipped with temperature and humidity monitoring devices. Record daily readings to ensure compliance with the specified range for pharmaceutical products. Any deviations must be logged and reported promptly.

- **1.1.2. Housekeeping Record:**
  - Maintain a cleaning schedule for the storage area that includes daily, weekly, and monthly tasks to ensure a clean and compliant environment. Record all housekeeping activities and any incidents that may affect storage conditions.

- **1.1.3. Cold Chain Requirements:**
  - Monitor and document the temperatures of cold storage units to ensure products that require refrigeration (e.g., vaccines) remain within the required temperature range. Use calibrated thermometers and log the data regularly.

- **1.1.4. Well-lighted and Proper Ventilation:**
  - Ensure that storage areas are well-lit to facilitate easy identification of products and proper ventilation to prevent the accumulation of heat and humidity. Conduct regular assessments to verify lighting and air circulation are adequate.

- **1.1.5. Storage of High Alert Medication:**
  - Store high alert medications in designated areas that are clearly labeled. Implement additional safety measures such as restricted access and regular audits to prevent errors.

1.2. **Monitor and maintain stocks in accordance with manufacturer’s instructions, company procedures, and regulatory requirements:**
   - Regularly review stock levels and ensure that all products are stored according to their specific handling instructions, including light sensitivity and storage temperatures.

1.3. **Arrange stocks on shelves in accordance with first expiry, first-out policy:**
   - Organize products so that those with the shortest expiration dates are placed in front and are easily accessible. This helps in minimizing waste and ensures that older stock is used first.

1.4. **Monitor and record expiration dates of stocks in accordance with institutional and regulatory guidelines:**
   - Implement a system for tracking expiration dates using a spreadsheet or inventory management software. Set reminders for products nearing expiration to facilitate appropriate action.

1.5. **What to do in case of electrical failure?**
   - In the event of an electrical failure, immediately alert the facility management and follow the emergency protocol. Maintain a contingency plan that includes backup power sources for refrigeration units and ensure that there are protocols for transferring sensitive products to functioning units.

1.6. **How is storage in a warehouse?**
   - Storage in a warehouse involves a systematic organization of pharmaceutical products, including clearly marked shelves, climate control systems for temperature-sensitive items, and security measures to restrict unauthorized access. Inventory should be monitored regularly, and stock conditions should be assessed frequently to ensure compliance with storage guidelines.

#### 2. Monitor Inventory

2.1. **Monitor stock level requirements and report in accordance with established procedures. (Manual or computer-based)**
   - Maintain an accurate inventory record which includes quantity, location, safety stock levels, and low stock alerts.

- **2.1.1. Safety Stock Level, Low Stock Level, and Expiration Dates:**
  - Define and monitor safety stock levels to prevent stockouts. Identify and highlight items approaching low stock levels and track expiration dates diligently.

- **2.1.2. Reorder Point:** 
  - Set and review reorder points based on historical usage, lead times from suppliers, and changes in demand to ensure timely replenishment.

- **2.1.3. Recorded Quantity:**
  - Keep accurate records of the quantities on hand. Ensure entries in the inventory management system are updated in real-time upon receiving or dispensing products.

2.2. **Conduct inventory count in accordance with company policy and procedures:**
   - Execute a physical inventory audit regularly, as prescribed by company policy. Ensure accuracy through double-checking and reconciling any discrepancies.

- **2.2.1. Prepare Stock Control Documents:**
  - Document inventory counts and adjustments in standardized stock control forms. This includes reporting lost items or wastage immediately.

2.3. **Identify stock discrepancies and report to the pharmacist for reconciliation and proper action:**
   - Upon discovery of discrepancies, compile a detailed report for the pharmacist, specifying the nature of the discrepancy, potential causes, and suggested corrective actions.

#### 3. Handling of Hazardous Drugs

3.1. **Spills, Cleaning, and Disposal:**
   - Establish a protocol for managing spills, including the availability of spill kits, proper PPE, and safe cleaning procedures. Follow regulatory guidelines for disposing of hazardous drugs to mitigate risks.

3.2. **Receiving and Storage:**
   - When receiving hazardous drugs, verify that they are intact and meet storage requirements. Store them in designated areas, following safety protocols and ensuring proper labeling.

3.3. **Compounding:**
   - Adhere to recommended practices for compounding hazardous drugs, including the use of appropriate engineering controls (e.g., fume hoods), personal protective equipment (PPE), and proper waste disposal procedures. Regular training on compounding procedures is essential to ensure safety.

### References:

1. WHO Guide to good storage practices for pharmaceuticals (Annex 9)
2. TESDA Pharmacy Services NC III Training Regulations
3. USP General Chapter Hazardous Drugs—Handling in Healthcare Settings
4. PhilPSP