SLIDE 1
Commercially Available Disposal Systems
- Can we really just throw it away in normal trash?
Hazardous Medication Disposal Questions encountered by a consultant - - PowerPoint PPT Presentation
Hazardous Medication Disposal Questions encountered by a consultant - - PowerPoint PPT Presentation
Hazardous Medication Disposal Questions encountered by a consultant pharmacist Tom Simpleman Consultant Pharmacist RPh, CGP, FASCP, CPHQ www.fawks.com 720-281-3512 Commercially Available Disposal Systems Can we really just throw it away
SLIDE 2
SLIDE 3
Commercially Available Disposal Systems
- Cactus sink
- Drug Buster
- Rx Destroyer
- Medsaway
- C2R
- Kitty litter
SLIDE 4
Disposal of an open vial
- 10 ml vial of insulin
- Use 0.5 ml
- Meets the BUD (beyond use)
date to discard
- Weight of drug vs. vial
- How do I dispose of the
remainder?
- Why is Insulin a RCRA drug?
SLIDE 5
Disposal of an open vial
- I changed from 2 ml vials to 1
ml syringes of Mitomycin
- phthalmic.
- I use less than the full syringe.
How do I dispose of the remainder and syringe
SLIDE 6
ASC location
- ASC located adjacent to a hospital
building.
- Can we use their medication
disposal system?
- Are we responsible for
maintaining records of how the medical wasted is disposed?
- If so, what records are we
responsible for keeping and how long?
SLIDE 7
Medication Disposal Companies
- How can I find medication
disposal companies?
- Are they expensive?
SLIDE 8
How much?
- How frequently do I need to send it
to the disposal company?
- Do I need to inspect the containers
they are stored in regularly?
- Can I return the RCRA waste to a
pharmacy and not have to track it?
SLIDE 9
Tracking
- What documentation is needed?
- Is simply stating I sent it to the
disposal company enough?
- Why do I have to keep this
documentation?
- Is it OK if only one person does
everything?
SLIDE 10
Pharmaceutical Waste
SLIDE 11
Training
- What education is required?
- How many should be trained?
- Should responsibilities be
assigned?
– If so which ones?
- What about non-RCRA meds
such as antibiotics?
SLIDE 12
Common ASC D list
- Ethyl Alcohol – ignitable
- Insulin
- Silver Nitrate – ignitable
- Desflurane
- Diazepam injectable ignitable
- Novapolus Suprane
- Ammonia inhalant – ignitable
- Albuterol inhaler
- Vecuronium
- Ventolin Aerosol
- Verapamil HCl
SLIDE 13
Common ASC P list
- Physostigmine
- Warfarin
SLIDE 14
ASC (Extended Care) U-list
Lindane Selenium Warfarin Nicotine Florescein Sodium Chemotherapy
- Mitomycin