Dating of multidose vials
This area is commonly closer to the motor of the unit and the temperature is different from that in the body of the refrigerator.
We recommend that you remove the vegetable bins and put bottles of water in that space to help maintain a constant temperature in your refrigerator.
The use of multidose vials for injectable medications and vaccines increases the risk of transmission of blood-borne pathogens and bacterial contamination of the vial and should be avoided.
CDC also recommends that you store food and beverages in a separate storage unit from vaccines, which you are technically doing but there may still be an impact on the refrigerator temperature by the opening and closing of the freezer door by staff.
This type of unit has severe temperature control and stability issues.
However, compact "purpose built" or "pharmacy grade" refrigerators and freezers that have been engineered to maintain even temperatures throughout the unit are available, and these are ideal for use in small offices.
This prevents contamination and reduces the likelihood of medication errors.
CDC recommends the use of bins, baskets, or some other type of uncovered containers that allow for organization and air circulation for vaccines and diluents within the storage unit.