Facility staff who are unfamiliar with infusion/injection products may have understandable concerns about storing bleeding disorder (BD) medications. However, you can reassure them that storage is typically straightforward and does not require specialized equipment or complex procedures. Secure, climate-controlled storage—including refrigeration, when needed—is a reasonable accommodation under the Americans with Disabilities Act (ADA) to ensure access to care for individuals with disabilities.

Reassuring Facilities About Storing Bleeding Disorder Medication

• "I understand your team may have concerns about storing bleeding disorder medication—especially if you're not familiar with infusion/injection products. I want to assure you that storage is generally straightforward and doesn't require any complex equipment or procedures."

• "Storing bleeding disorder medication is actually pretty simple." - Most of these medications are shelf-stable at room temperature for at least three months, and don’t require any special handling beyond what you already do for other medications.

• "Some medications do require refrigeration or a climate-controlled space." - But they should not be frozen or stored in places that are too hot—just a standard medical refrigerator or temperature-stable room is typically sufficient.

• “I’m including the manufacturer’s package insert for [medication name] so your team can review the specific storage instructions. It outlines everything you need to know about temperature, shelf life, and safe handling.”

• "You can store the medication and supplies in your locked nursing station or medication room." - That’s standard practice in most facilities and meets the safety needs of these products.

• "As the patient progresses in treatment, your team can decide if it’s appropriate for them to store their medication in a personal locker." This is something some programs allow when the patient is stable, as part of preparing them to self-manage their care after discharge.

• "I understand that storage may feel like a barrier, but I want to remind you that secure, climate-controlled storage—including refrigeration when needed—is considered a reasonable accommodation under the Americans with Disabilities Act. Providing appropriate storage helps ensure equal access to care for individuals with disabilities, like those with bleeding disorders."

Send the following to the facility:

• Storage Information for Bleeding Disorder Medication: As part of the care coordination process, it’s helpful to provide the facility with clear, product-specific storage guidance.

• Send a link to the package insert for any prescribed bleeding disorder medication. The package insert contains detailed, manufacturer-approved information on:

  • Proper storage conditions (e.g., room temperature, refrigeration),

  • Temperature sensitivity (e.g., do not freeze, avoid heat), and

  • Product stability once opened or mixed.