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Andrew W Walker  
#1 Posted : 18 June 2013 12:39:18(UTC)
Rank: Super forum user
Andrew W Walker

Hi All. We have been asked by an employee if he can store a small amount of insulin at work- in the canteen fridge. Has anyone else dealt with a request such as this? Ta Andy
Cerith  
#2 Posted : 18 June 2013 13:11:31(UTC)
Rank: Forum user
Cerith

Not come across it, but what could possibly be gained by refusing? This could safe a guys life, all it needs is a discussion with the individual about safe storage etc, inform others of it's presence, and a good idea to discuss with first aiders, if he's ok with that?
A Kurdziel  
#3 Posted : 18 June 2013 13:13:07(UTC)
Rank: Super forum user
A Kurdziel

What’s the issue with storing insulin in a fridge? The user might be worried about it being nicked. Is it just the insulin or a complete injector? Conceivable some muppet could get hold of it and inject themselves but I’d say the risks are overall low.
Andrew W Walker  
#4 Posted : 18 June 2013 13:18:05(UTC)
Rank: Super forum user
Andrew W Walker

Cheers guys- just wondered what others had done. I have a petty cash box and they will obviously have the key- with a spare in the security lodge. I've looked at the storage conditions as well. First aiders will have named rights for the key in security. Just wondered if I was going 'over the top' ;-) Ta Andy
Canopener  
#5 Posted : 18 June 2013 13:45:46(UTC)
Rank: Super forum user
Canopener

In addition to the replies already given, has the person considered using one of the Frio products? I have used these for many years and they are excellent, easy to use and convenient. Just a thought. http://www.friouk.com/
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#6 Posted : 18 June 2013 15:54:38(UTC)
Rank: Super forum user
Ian.Blenkharn

Surely there are real issues to deals with? What would happen if the employer asked - can't imagine why he bothered asking about this in the first place - if he could store it in his coat pocket, hung on the pegs behind the office door? Would you deliberate about pegs, or doors, or coats? And what of all of those who may keep some paracetamol or other POM or OTC Pharma products in the coats, on their person, in their bags (including ladies handbags - that's playing with fire)? Do the staff ask permission to refrigerate their sandwiches or fruit for lunch? Do you expect them too? And what about milk? Do you permit semi-skimmed but expect a request for permission to store any other type? It all becomes a nonsense. Common sense should prevail and, unless you are employing a wholly educationally impaired workforce let them deal with it. The user must assure themselves of fridge temperature ranges and general hygiene standards, and would be wise to check for evidence of tampering or contamination before use. As for the suggestion that it may be worth considering the risk that some other employee might choose to inject themselves or another, they might also force feed an unwilling colleague with their own particularly unappetising sandwich. Doh!
Jen8885  
#7 Posted : 19 June 2013 12:50:31(UTC)
Rank: New forum user
Jen8885

As a nurse it's an absolute no no to store food and medication in the same fridge due to food contamination. To be honest I've often popped my food in the same fridge and survived to tell the tale (but don't tell my boss - it's instant disciplinary!) Also diabetics will store their spare medication in their fridge at home but the big difference is everyone who uses the fridge will be aware of the insulin being there. Most insulin's can last out of the fridge for about a month so it doesn't have to be stored in the fridge, so I would ask if it does 100% have to be in there? Also make sure there are no needles kept with it, obviously, some diabetics do re-use their needles. If it was me I'd get another fridge to be on the safe side.
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#8 Posted : 19 June 2013 13:23:38(UTC)
Rank: Super forum user
Ian.Blenkharn

And as a Consultant Microbiologist, I would disagree. The guidance that prohibits co-storage of foodstuffs and pharmaceuticals in a single fridge is not to prevent cross-contamination which would be unlikely in the extreme, but to avoid temperature abuse of those pharmaceutical products. That is the only concern. In this particular case, responsibility lies with the member of staff (patient) who is no doubt well aware of the basic safety requirements and just needs a bit of cool space - its not likely to be long-term storage of stock product is it? Suggestions from an individual who admits "breaching" what she interprets as an "absolute no no" to buy a new fridge for this is completely ridiculous. There is no place for dual standards. Who is going to pay for the fridge, the space it occupies, and the monitoring of temperatures? It's fine in the NHS, that's someone else's problem and the money is seen to come from a big anonymous pot. The tax payer seems a long way away. So does this reflect the wasteful attitudes and money doesn't matter mindset of too many current and ex-NHS staff.
Melrose80086  
#9 Posted : 19 June 2013 13:28:52(UTC)
Rank: Forum user
Melrose80086

Could the person not have an insulin Epipen instead and have that in their drawer / bag? I have a member of staff that carries an epipen with their medication (it's not insulin but something else) which they keep in their bag. The person wears a medi-alert bracelet and the line manager is aware of their medical history. They also carry a spare pen in their car (in the glove compartment which is locked when they leave the vehicle). This person's condition is life threatening as failure to respond quickly could result in death so we have a written risk assessment which the person was involved in (along with a consultant). It was tested out a month after it was introduced when the person was involved in an RTA and had to self administer the medication before being taken to hospital. Her consultant congratuated the organisation on taking her condition seriously and having undertaken a risk assessment and provided practical recommendations based on the medical aspects. In another job, I had a lady that also had an epipen which was held in the first aid box with a note on the front. All the staff were informed what the pen was for, who needed it and why as the lady in question was happy for everyone to know so it's important to check with the person whether they want the rest of the staff to be aware of their health issue. If it does HAVE to be insulin bottles and stored at a certain temperature (say because the area is very hot normally so leaving them in a drawer etc would be an issue) what about one of those small micro fridges you can buy that hold a couple of cans? It would be the person's responsibility to defrost it etc but would only be used by that person (and cited close to where they worked).
Jen8885  
#10 Posted : 19 June 2013 14:50:35(UTC)
Rank: New forum user
Jen8885

Ok thanks Ian.Blenkharn for clearing that up, I am sure you are far more capable of explaining the rationale behind it. I only suggested that "if it was me I would get a second fridge" due to the concerns other employees may have, particularly if the insulin is stored in the pen that may have come in contact with body fluids due to penetrating the skin. I appreciate the risk is minimal but it depends on the concerns of the other employees who are left with no choice in the matter.
Canopener  
#11 Posted : 19 June 2013 15:54:56(UTC)
Rank: Super forum user
Canopener

Anyone who has had diabetes for any length of time will know what they need to do to ensure the safe use and storage of their treatment be it insulin or exenatide/byetta (which is what I think is what Melrose at #9 is referring to, rather than an epipen which is used to treat anaphylaxis and in my experience this doesn’t need refrigeration). I really don’t think that a separate fridge is necessary. If necessary insulin can be kept ‘cool’ by the use of Frio products or similar, they are very effective, ‘cheap’ and easy to use. Once opened exenatide can be kept at room temperature, although many still chose to refrigerate it or use a Frio type product. Most people who suffer from diabetes are aware of their ‘responsibilities’ regarding both their medication and any ‘sharps’ that they ‘produce’. ‘Modern’ insulin pens have ‘needles’ that are easy to render effectively ‘harmless’ after use.
firesafety101  
#12 Posted : 19 June 2013 16:51:28(UTC)
Rank: Super forum user
firesafety101

The type of "pen" in common use today requires fridge storage before first use and then definitely not to be stored in fridge. Your employee need to read the instructions and if this is the case act accordingly. You could simply ask him to use the stuff at home first then he can bring it to work and keep it in his bag, case, desk or whatever he likes without using the company fridge.
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