PHARMACEUTICAL WASTE UPDATE ON HANDLING AND DISPOSAL ASTSWMO MEETING August 11, 2011
|
|
- Byron Webb
- 8 years ago
- Views:
Transcription
1 PHARMACEUTICAL WASTE UPDATE ON HANDLING AND DISPOSAL ASTSWMO MEETING August 11, 2011
2 Pharmaceutical Waste Getting the attention it deserves Are there Federal, State and Local laws & regulations to comply with? Is the The Joint Commission raising the standards? How do we protect patients & staff? How do we protect the environment?
3 OVERVIEW OF PROGRAM What is RX waste? Generation, types, where? Current state of regulations and legislation Current state of waste disposal Healthcare hospitals Healthcare other Home generated waste RX Reverse Distribution DEA Opportunities Healthcare disposal Home generated wastes Best management practices In healthcare Home generated
4 WHAT IS RX WASTE?? Pharmaceutical waste is a drug that is generated: When the decision is made to discard an pharmaceutical product, it is no longer usable for intended purpose To be discarded for other reasons contamination, already dispensed and expiration Can be a hazardous waste, non-hazardous waste, controlled substance In healthcare setting or in the home
5 WHAT IS RX WASTE?? In healthcare it can become waste where pharmaceuticals are prepared, used or dispensed to patients Hospital Pharmacies (30%) Inpatient and Out-Patient Care Areas (70%) Types of Pharmaceutical Waste in Patient Care Areas: Partial vials (safety caps removed) Un-dispensed, pre-instilled IV s Hospital repacks Pre-filled syringes Partial syringes Discontinued meds Un-administered meds Patient prescriptions Physician RX samples
6 WHAT IS RX WASTE?? Non-Hazardous 92 % of WASTE NON- RCRA HAZARDOUS RX WASTE Compatible Hazardous RX 6% Non-Compatibles/Inhalers 2% Aerosols & Inhalers Oxidizers/Corrosives Controlled Substances 5% of total formulary Less than 1% hazardous Compatible Hazardous Waste Rx waste that CAN be placed in the same container without danger of a chemical reaction Non-Compatible Hazardous Waste Rx waste that CANNOT be placed in the same container with other Rx waste because it may cause a dangerous chemical reaction Non-Hazardous Waste Typically not regulated
7 WHAT IS RX WASTE?? Waste Generation Locations Pharmacy Oncology - Chemo All Other Patient Care Areas Medication Dispense Station Med Carts Med Rooms Soiled Utility Room Characteristic Hazardous Lantus Humalog Humulin N&R Novalog Flovent Taxol P Listed Epinephrine* Coumadin/Warfarin* U Listed Chemotherapy drugs Cytoxan Mutamycin RMW Non-Hazardous Abbokinase Recombivax Dual Waste Hazardous Regulated medical waste with RCRA hazardous drug Non - Compatible Silver Nitrate Glycopyrrolate * State Specific
8 CURRENT STATE OF REGS AND LEGS Agencies involved in Rx waste regulation: State Regulatory Agencies All of you! Environment Protection Agency (EPA) Resource Conservation and Recovery Act (RCRA) Department of Transportation (DOT) Drug Enforcement Agency (DEA) Publicly Owned Treatment Works (POTW) State Board of Pharmacies The Joint Commission (TJC) (non regulatory)
9 CURRENT STATE OF REGS AND LEGS FEDERAL LEGISLATIVE UPDATE Drug Free Water Act 2009 H.R. 276 and Water Quality Investment Act of 2009 HR 1262 January 2009 Task force on proper disposal of unused pharmaceuticals Primarily through Water Department Secure and Responsible Drug Disposal Act of 2010 S 3397 Passed in October 2010 Amended the controlled substances act to identify a way for ultimate user disposal Awaiting action by DEA Public meeting held January 19-20, 2011 for public opinion to move forward with new regulations Will only deal with ultimate user (home generated wastes)
10 CURRENT STATE OF REGS AND LEGS EPA Water: FEDERAL REGULATORY UPDATE Public comment requested in 2009 Task force regarding proper disposal of unused drugs in healthcare and the impact on water Best Management Practices for Unused Pharmaceuticals in Healthcare Facilities Draft Sept Received many comments awaiting redraft to be released 2011 Office of resource Conservation and recovery (Solid and Hazardous Waste) Proposed Universal Waste Rule is being reconsidered due to public comments received EPA considering additional regulatory options for management and disposal of pharmaceuticals Controlled substances still remain a challenge
11 CURRENT STATE OF REGS AND LEGS STATE LEGISLATIVE UPDATE MAIN AREAS OF LEGISLATIVE ACTIVITY AT STATE LEVEL: Home Generated Pharmaceutical Waste Disposal and Take Back Programs Donation No Flush Water Studies
12 CURRENT STATE OF REGS AND LEGS STATE LEGISLATIVE UPDATE Home Generated Pharmaceutical Waste Disposal and Take Back Programs States currently still active: DE, IL, KS, MS, MA, NJ, NY, WA Passed awaiting action: IN, la, MD, NE, NH, OH, VT Components of programs vary Many have moved away from manufacturer responsibility Funding remains a challenge Many awaiting DEA action Donation and or reuse: States currently still active: IL, NH, NJ, NY, PA, VT Passed awaiting action: NM Many variations: donation typically back to state run operations (prisons, LTCF)
13 CURRENT STATE OF REGS AND LEGS STATE LEGISLATIVE UPDATE NO FLUSH CAMPAIGNS AND WATER STUDIES 9 states had some form of legislation however most did not go through. NJ and WA remain TX ended stakeholder group and made determination that there was no long term impact and felt current practices are acceptable
14 CURRENT STATE OF REGS AND LEGS STATE REGULATIONS: CA requires RX waste to be over classified as RMW and sent for incineration if they meet the CA hazardous definition. Some exceptions made for flushing MN requires proper management of wastes that fall under the MN Lethal definition. Some exceptions are made for controlled substance flushing WA interim enforcement rule healthcare has options for disposing and utilizing alternative management methods provided materials are incinerated. FL and MI Universal waste rule NY AG using RCRA regulations and regulatory authority discretion to enforce for non hazardous drug disposal requirements No recent activity Most states are dealing with pharmaceutical issues under regulated medical waste regulations (CO, PA)
15 CURRENT STATE OF WASTE DISPOSAL What Happens to Rx Waste Today?
16 CURRENT STATE OF WASTE DISPOSAL Compatible Rx waste that CAN be placed in the same container without danger of a chemical reaction Non-Compatible Rx waste that CANNOT be placed in the same container with other Rx waste because it may cause a dangerous chemical reaction Controlled Substances Retuned to pharmacy (for inventory control and return to reverse distributor) or witness wasted to sewer
17 CURRENT STATE OF WASTE DISPOSAL Waste is generated on different Units Waste must be identified and determined how a healthcare facility is going to manage these materials drug coding and sorting Provide a program and containers Reasons for non compliance: Training issues Time limitation Controlled substances Containment and storage Currently most hospitals good at P and U identification and segregation but have not done full categorization of full formulary
18 CURRENT STATE OF WASTE DISPOSAL HEALTHCARE Hospitals - Clinical care Mix of waste disposal from solid waste, collection and segregation, all hazardous waste, red bag, and flushing Mostly disposal via red bag and flushing Nursing homes, hospices, etc. Mostly disposal via red bag, solid waste and flushing Still awaiting DEA regulation changes HOME Flushing, solid waste Special waste instructions unrecognizable or undesirable and solid waste Take back programs where available DEA take back days 2 so far 3 rd scheduled October 29, 2011 Disposal still a challenge for law enforcement
19 RX REVERSE DISTRIBUTION Must determine if returnable for credit by the manufacturer May be returned directly to manufacturer May be returned through a reverse distribution company which sets up agreements with the manufacturers and follows through on policies set by the manufacturers Returned goods are products not waste Not a RX Waste Management Tool
20 CURRENT STATE OF DISPOSAL RISK TO HEALTHCARE FOR COMPLIANCE Hazardous waste determinations not done or incorrect Labeling of hazardous waste not done or incorrect HW down the drain - POTW Improper disposal of chemotherapy drugs Inadequate training for employees in HW management Not conducting proper weekly inspections of HW storage No or inadequate HW manifests Improper management of expired pharmaceuticals Lack of emergency contingency plan DEA Registration risk States have started to take action! JOINT COMMISSION INSPECTIONS Identification and Management of Regulated Hazardous Waste EPA Region 2
21 DEA OPPORTUNITIES Controlled Substances in Healthcare DEA regulated materials registrant to registrant transfer only DEA does not have a definition for waste as part of the statute Options for unused controlled substances: Controlled substances from the floors should be witness wasted at the floor level through flushing as directed by the manufacturer s packaging instructions and using the Form 41 for Destruction Controlled substances should be brought back down to the hospital pharmacy and documented to be transferred to a reverse distributor for final disposition using the 222 Inventory Form DEA does not consider the sharps containers, regulated medical waste or solid waste containers as a method of treatment or witness wasting. DEA does not define irreclaimable or irretrievable as a method of destruction. Many healthcare facilities are required to obtain POTW variances to flush
22 DEA OPPORTUNITIES Controlled Substances in the Home Considered an issue for both environmental reasons as well as for diversion control Take back programs are not allowed to take controlled substances due to current statutory requirements Patients look for ways to return all drugs and are not aware which drugs are considered controlled substances Registrants cannot accept CS from ultimate user Home generated RX 5-10% controlled substances (some studies showed higher) DEA bill has passed; awaiting regulatory changes Many programs continuing Mailback option difficult DEA is not in full support Many are still flushing or putting into undesirable materials to solid waste
23 BEST MANAGEMENT PRACTICES HEALTHCARE: Identification of RX waste hazardous/non-hazardous; continuous inventory maintenance Identification of regulations from individual states Determine program and method of compliance PHARMACY CODES COLOR CODES STICKERS
24 BEST MANAGEMENT PRACTICES HEALTHCARE: Education create simple methods for compliance for employees and train, train, train (and retrain!) Example: Color-Coded Containers Non- Hazardous Waste (Blue) Compatible Hazardous (Black) Non- Compatible Hazardous (Black) CS - Units send back to pharmacy in baggie/tray Implement program and track accumulation Ensure continued compliance with program dedicated resource Identify best management options for controlled substances HOSPITALS REALLY DO WANT TO DO THE RIGHT THING!!!
25 BEST MANAGEMENT PRACTICES HOME DEA take back programs and education Educate public to what are controlled substances so that those materials are clearly identified to stay out of take back programs thus allowing take back programs for other drugs possible. Coding, special labeling, warning
26 BEST MANAGEMENT PRACTICES REGULATORY Study impact of non-hazardous drugs today Majority of the drugs found in the studies are not considered hazardous waste today Steroids, antibiotics, hormones, vitamin supplements EPA Federally recognizes the need for changes in the regulations Regulate segregation and enforce at generator level encourage training and reinforcement of hospital compliance policies Regulate disposal today BMP for destruction is incineration (high temperature either municipal solid waste with air pollution control systems in place or regulated medical waste incinerators) EPA BMP for Healthcare to be reintroduced and finalized
27 CONCLUSION Lots of opportunity for improvement Compliance with RCRA improves as there is more awareness Movement towards proper disposal of non-rcra regulated materials properly Healthcare is wanting to do the right thing for their patients and the environment Generators of waste in the home are becoming more aware of proper disposal Conflicting regulations and statutory constraints continue to be a challenge Regulatory focus will ensure continuation proper disposal
28 PHARMACEUTICAL WASTE UPDATE Questions Thank you!!! SELIN HOBOY VP LEGISLATIVE AND REGULATORY AFFAIRS STERICYCLE, INC
Pharmaceutical Waste Compliance For Healthcare Facilities
Pharmaceutical Waste Compliance For Healthcare Facilities Regulations & References The information provided in this presentation is based on the referenced Code of Federal Regulations and State regulations.
More informationPharmaceutical Waste Compliance Program
Pharmaceutical Waste Compliance Program Corporate Overview Stericycle Services Medical Waste Management Sharps Disposal Management Product Recalls & Retrieval OSHA Compliance Training Pharmaceutical &
More informationManaging Pharmaceutical Waste at the LTC Provider Pharmacy
Managing Pharmaceutical at the LTC Provider Pharmacy Is your pharmacy compliant with all regulations related to pharmaceutical waste? The long-term care (LTC) industry is currently faced with the simultaneous
More informationVanderbilt University Medical Center Pharmaceutical Waste Program USER INSERVICE
Vanderbilt University Medical Center Pharmaceutical Waste Program USER INSERVICE Training and Education Plan This session is intended to train and provide super-users with necessary resources to effectively
More informationManagement of Pharmaceutical Wastes from Healthcare & Households. Rudy Vingris Product Manager PharmEcology Services Waste Management, Inc.
Management of Pharmaceutical Wastes from Healthcare & Households Rudy Vingris Product Manager PharmEcology Services Waste Management, Inc. Legal Disclaimer This presentation is solely for educational purposes
More informationEWS Alabama, Inc. Training Services. www.ewsalabama.com 800 739 9156. October 2012
EWS Alabama, Inc. Training Services www.ewsalabama.com 800 739 9156 October 2012 Healthcare RCRA Violations Slide courtesy of John Gorman, USEPA Region 2 2 Training Outline What is RCRA Why comply Why
More informationEPA s proposed hazardous waste pharmaceutical regulations
EPA s proposed hazardous waste pharmaceutical regulations November 4, 2015 By J. Timothy Ramsey The United States Environmental Protection Agency ( EPA ) published proposed regulations in the Federal Register
More informationStatement of Mary L. Hendrickson,PharmD,MBA,RAC Director of Quality & Regulatory Affairs Capital Returns Inc., d/b/a Genco Pharmaceutical Services
Statement of Mary L. Hendrickson,PharmD,MBA,RAC Director of Quality & Regulatory Affairs Capital Returns Inc., d/b/a Genco Pharmaceutical Services Before The Special Committee on Aging United States Senate
More informationTHOMAS JEFFERSON UNIVERSITY HOSPITAL. Pharmaceutical Waste Management
THOMAS JEFFERSON UNIVERSITY HOSPITAL Pharmaceutical Waste Management Pharmaceutical waste management is an ever-changing and challenging task that must be mastered. The damage to the environment, the potential
More informationWashington State Environmental Regulations and Pharmaceutical Waste
Washington State Environmental Regulations and Pharmaceutical Waste Kimberly Goetz Hazardous Waste and Toxics Reduction Program Washington State Department of Ecology October 5, 2015 Same Waste, Sometimes
More informationConflicts of Interest. Disposal of Pharmaceutical Waste: What a Technician. Who is interested in proper pharmaceutical waste disposal?
Conflicts of Interest Disposal of Pharmaceutical Waste: What a Technician Should Know Presented by Michael McEvoy Pharm.D. NorthShore University HealthSystem The speaker has nothing to disclose in relation
More informationPharmaceutical Waste Management Program St. Joseph Mercy Oakland. Pharmacy/Patient Care
Pharmaceutical Waste Management Program St. Joseph Mercy Oakland Pharmacy/Patient Care Objectives Understand the background and regulatory requirements Identify pharmaceutical waste and how to dispose
More informationDisposal of Pharmaceuticals, and their empty containers, in the Workplace
Disposal of Pharmaceuticals, and their empty containers, in the Workplace Prepared by Bio-Team Mobile LLC There is a lot of misinformation being circulated about disposal of pharmaceuticals ever since
More informationWhat is a hazardous drug? Hazardous Drugs: NIOSH. Pharmaceutical Waste: Hazardous pharmaceutical Waste 衛 福 部 疾 病 管 制 署
殘 餘 藥 物 之 處 置 衛 福 部 疾 病 管 制 署 中 區 傳 染 病 防 治 醫 療 網 王 任 賢 指 揮 官 What is a hazardous drug? ASHP 2004 TAB criteria for considering a drug hazardous (adopted by OSHA): 1. Carcinogenicity 2. Teratogenicity 3.
More informationEPA Comments on the Development of Safe and Effective Drug Collection and Disposal Methods
EPA Comments on the Development of Safe and Effective Drug Collection and Disposal Methods Robert W. Dellinger, Division Director Materials Recovery and Waste Management Division Office of Resource Conservation
More informationENVIRONMENTAL HEALTH & ENGINEERING
ENVIRONMENTAL HEALTH & ENGINEERING MANAGING PHARMACEUTICAL HAZARDOUS WASTE IN THE HOSPITAL MANAGING PHARMACEUTICAL HAZARDOUS WASTE IN THE HOSPITAL Federal U.S. Environmental Protection Agency (EPA) and
More informationCreating Secure Medicine Return Programs to Reduce Misuse of Medicines in King County & Washington State
WEST VIRGINIA INTEGRATED BEHAVIORAL HEALTH CONFERENCE Creating Secure Medicine Return Programs to Reduce Misuse of Medicines in King County & Washington State Margaret Shield, PhD, Policy Liaison Local
More informationPharmaceutical & Regulated Waste Reduction at Tripler Army Medical Center
& Regulated Reduction at Tripler Army Medical Center Point of Contact: Mrs. Claire Yee Environmental Protection Specialist TAMC Department of Preventive Medicine, Environmental Health Claire.d.yee.civ@mail.mil;
More informationUniversal Pharmaceutical Waste (UPW) Guidance/Training Module Environmental Health & Safety
Universal Pharmaceutical Waste (UPW) Guidance/Training Module Environmental Health & Safety Pharmaceutical Waste Technical Advisory Group The Pharmaceutical Technical Advisory Group (PharmTAG) is comprised
More informationPharmaceutical Waste Management A Northwest Update
Pharmaceutical Waste Management A Northwest Update Dave Galvin Local Hazardous Waste Management Program in King County Seattle, WA December 9, 2004 - NAHMMA Intent Brief background on the issue Washington
More informationManaging Pharmaceutical Wastes: Law and Regulations
Managing Pharmaceutical Wastes: Law and Regulations James T. Price Missouri Waste Control Coalition Conference June 30, 2014 2014 WA 5625923.1 From the Missouri Department of Natural Resources Health Care:
More informationHazardous Waste Pharmaceuticals Proposed Rule
Hazardous Waste Pharmaceuticals Proposed Rule Note that this presentation is an overview of the major provisions of the proposed rule and is not a comprehensive look at every provision of the proposed
More informationHazardous Waste Self Audit
Section: Waste Pharmaceuticals Hazardous Waste Self Audit Section: Waste Pharmaceuticals Self-Audit Tips, Action Steps & Resources Types of pharmaceuticals Pharmaceuticals include but are not limited to:
More informationResource Directory for the Management of Pharmaceuticals in King County
Resource Directory for the Management of Pharmaceuticals in King County Interagency Regulatory Analysis Committee (IRAC) and Local Hazardous Waste Management Program in King County October 2003 SQG-PHARM-1(10/03)
More informationOnline Evaluation, Self-Assessment and CE Credit
Pharmaceutical Waste Management Faculty Speakers: Allen Brown National Accounts Director Stericycle Jerry Reed, RPh, MS, FASCP, FASHP Corporate Director, Pharmacy Services Community Health Systems 1 Online
More informationCENTRAL IOWA HEALTHCARE Marshalltown, Iowa PHARMACY POLICY AND PROCEDURE
CENTRAL IOWA HEALTHCARE Marshalltown, Iowa PHARMACY POLICY AND PROCEDURE Policy #: MM.01.01.03 Subject: High Alert and Hazardous Medications (including pharmaceutical waste management) Purpose: The hospital
More informationAmerican Society of Consultant Pharmacists Background
American Society of Consultant Pharmacists 1321 Duke St. Alexandria, VA 22314-3563 Phone: 703-739-1300 FAX: 703-739-1321 E-mail: info@ascp.com www.ascp.com March 4, 2009 RCRA Docket Environmental Protection
More informationPharmaceutical Waste Program for Inpatient Pharmacy. Portland Service Area Pharmacy Leadership Team
Pharmaceutical Waste Program for Inpatient Pharmacy Portland Service Area Pharmacy Leadership Team What is Pharmaceutical Waste? Pharmaceutical waste is waste generated through IV preparation, compounding,
More informationtrimethoprim sulfamethoxazole diltiazem *Source: USGS Open-File Report 02-94.
sulfamethoxazole trimethoprim diltiazem USGS finds pharmaceuticals, hormones and other organic pollutants in 139 streams in 30 states in 1999/2000*. Improper disposal of pharmaceutical waste is one source.
More informationWho provides this training? Are there any requirements? The parents/guardians and the doctor go through the medication curriculum with the student.
AL AK AZ AR Student, if they have a chronic condition school nurse or school administrators The student, if their parent/guardian authorizes them to. Trained school personnel can also administer Students
More informationHazardous Pharmaceutical Waste Management. Written by: Matthew Teeter, Environmental Compliance Consultant
Hazardous Pharmaceutical Waste Management Written by: Matthew Teeter, Environmental Compliance Consultant Identifying Hazardous Pharmaceuticals Certain pharmaceuticals used in hospitals, medical centers
More informationINSTITUTIONAL POLICY AND PROCEDURE (IPP) Department: Manual: Section: EFFECTIVE DATE REVIEW DUE REPLACES NUMBER NO. OF PAGES
HOSPITAL NAME INSTITUTIONAL POLICY AND PROCEDURE (IPP) Department: Manual: Section: TITLE/DESCRIPTION POLICY NUMBER MEDICATIONS EFFECTIVE DATE REVIEW DUE REPLACES NUMBER NO. OF PAGES APPROVED BY APPLIES
More informationCHS Medical Group Hazardous Waste Management In Service
CHS Medical Group Hazardous Waste Management In Service Objective Educate staff how to properly manage Regulated Medical Waste (RMW), Chemotherapy Waste and EPA RCRA Hazardous Waste Ensure compliance with
More informationHazardous Materials Management Considerations in Healthcare
Session No. 656 Introduction Hazardous Materials Management Considerations in Healthcare Mae Ping Grogg, MS, CSP BJC HealthCare St. Louis, MO 63110 Paul Halliburton, MS, CHMM Barnes-Jewish Hospital St.
More informationThe Future of Pharmaceutical Waste Regulation. Elise Paeffgen Senior Associate Alston & Bird LLP
The Future of Pharmaceutical Waste Regulation Elise Paeffgen Senior Associate Alston & Bird LLP Issue/Problem Pharmaceuticals in municipal drinking water Sources: Human ingestion/excretion Flushed pharmaceutical
More informationIowa School Medication Waste Guidance
Iowa School Medication Waste Guidance Medication Waste Guidance Medication administration in the school setting is a component of the nursing practice. The Iowa Board of Nursing acts in collaboration with
More informationPharmaceutical Waste Initiatives: What Comes Next? ACPE # 0206-0000-12-601-L05-P (0.1 CEU)
Date: Monday, August 27, 2012 Time: 10:15 a.m. 11:15 a.m. Location: Colorado Convention Center Rooms 111-113 Title: Speaker: Pharmaceutical Waste Initiatives: What Comes Next? ACPE # 0206-0000-12-601-L05-P
More information- - - β a The Tox 21 programme is pooling federal resources to use robotics technology to screen thousands of chemicals for potential toxicity, using screening data to predict the potential toxicity of
More informationManaging Pharmaceutical Waste
Managing Pharmaceutical Waste Marian M. Rhoads R.Ph, MS Director of Pharmacy Services Saint Joseph Medical Center Reading, PA marianrhoads@catholichealth.net Disclaimer The information in this presentation
More informationSHARPS COLLECTION PROGRAM PLAN FOR THE PRINCE EDWARD ISLAND MEDICAL SHARP STEWARDSHIP PROGRAM
SHARPS COLLECTION PROGRAM PLAN FOR THE PRINCE EDWARD ISLAND MEDICAL SHARP STEWARDSHIP PROGRAM DECEMBER 2014 EXECUTIVE SUMMARY On June 10, 2014 Prince Edward Island approved the Environmental Protection
More informationFebruary 19, 2013. Dear Ms. Leonhart:
Ms. Michele M. Leonhart Administrator Drug Enforcement Administration U.S. Department of Justice 8701 Morrissette Drive Springfield, VA 22152 Re: Notice of proposed rulemaking on Disposal of Controlled
More informationCRITERIA AND PROCEDURES FOR MODEL HOME-GENERATED PHARMACEUTICAL WASTE COLLECTION AND DISPOSAL PROGRAMS
CRITERIA AND PROCEDURES FOR MODEL HOME-GENERATED PHARMACEUTICAL WASTE COLLECTION AND DISPOSAL PROGRAMS (ADOPTED BY THE CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD ON FEBRUARY 24, 2009) CIWMB s Objectives
More informationWaste Management of Pharmaceuticals From a Health Care Perspective
Waste Management of Pharmaceuticals From a Health Care Perspective Federation of New York Solid Waste Assn Solid Waste/Recycling Conference & Trade Show May 4, 2009 Charlotte A. Smith, R. Ph., M.S. Director,
More informationPHARMACEUTICAL WASTE MANAGEMENT DUKE UNIVERSITY HEALTH SYSTEM
PHARMACEUTICAL WASTE MANAGEMENT DUKE UNIVERSITY HEALTH SYSTEM BLUE BIN DRUGS ONLY NO EMPTY Packages, NO Gloves NO Scissors, Syringes, Needles, IVs Scalpels, Forceps BLUE BIN PROGRAM PURPOSE AND OBJECTIVE:
More informationManaging Hazardous Pharmaceutical Waste
Managing Hazardous Pharmaceutical Waste Environmental Consequences Why the growing concern? Discovery of pharmaceuticals in surface, ground and drinking waters of the U.S. Small concentrations of endocrine
More informationPharmaceutical Waste Management for Minnesota Veterinary Facilities
Pharmaceutical Waste Management for Minnesota Veterinary Facilities Minnesota Veterinary Medical Association February 6 th, 2014 Jeff Hollar President PharmWaste Technologies, Inc. 515-276-5302 jhollar@pwaste.com
More informationCONNECTICUT. Downloaded January 2011 19 13 D8T. CHRONIC AND CONVALESCENT NURSING HOMES AND REST HOMES WITH NURSING SUPERVISION
CONNECTICUT Downloaded January 2011 19 13 D8T. CHRONIC AND CONVALESCENT NURSING HOMES AND REST HOMES WITH NURSING SUPERVISION (d) General Conditions. (6) All medications shall be administered only by licensed
More informationHistory of Prescription Drug Monitoring Programs. PDMP Training and Technical Assistance Center Brandeis University
History of Prescription Drug Monitoring Programs PDMP Training and Technical Assistance Center Brandeis University History of Prescription Drug Monitoring Programs First PDMP Early PDMP Characteristics
More informationStandardized Pharmacy Technician Education and Training
Standardized Pharmacy Technician Education and Training Kevin N. Nicholson, RPh, JD Vice President, Pharmacy Regulatory Affairs National Association of Chain Drug Stores May 19, 2009 Overview of how technicians
More informationU.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending
U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending by State and Program Report as of 3/7/2011 5:40:51 PM HUD's Weekly Recovery Act Progress Report: AK Grants
More informationManagement Solutions
Pharmaceutical Waste Management Solutions Wisconsin H2E April 9 th, 2009 MaryAnn Jensen Account Executive PharmEcology 414-292-3959 mjensen@pharmecology.com Partner With the Leaders! Identification PharmEcology:
More information11. The key for waste management Waste segregation
11. The key for waste management Waste segregation 11.1 Segregation at the place of origin The background idea Segregation means the separation of the entire waste generated in a hospital in defined, different
More informationEPA s Proposed Rule Regulating Pharmaceuticals Under RCRA
EPA s Proposed Rule Regulating Pharmaceuticals Under RCRA September 3, 2015 Environmental EPA proposed a rule to regulate hazardous waste pharmaceuticals which include a number of FDA-approved drugs under
More informationSouth Dakota Prescription Drug Monitoring Program (SD PDMP) Learning Objectives
South Dakota Prescription Drug Monitoring Program (SD PDMP) SD Academy of Physician Assistants Summer/Fall CME Conference September 6, 2012 Ron Huether, RPh, SD PDMP Kari Shanard Koenders, RPh, PDMP Director
More informationTITLE POLICY ENDORSEMENTS BY STATE
TITLE POLICY ENDORSEMENTS BY STATE State Endorsement ID Endorsement Description AK ARM ALTA 6 Adjustable (Variable) Rate AK BALLOON FNMA Balloon Endorsement AK CONDO ALTA 4 Condominium AK COPY FEE Copies
More informationManagement and Disposal of Hazardous Pharmaceutical Waste
Management and Disposal of Hazardous Pharmaceutical Waste The Defining Regulations Federal- The Defining Regulation 40 CFR 260-265 Resource Conservation and Recovery Act (RCRA) Federal regulation of the
More informationPrescription Drug Marketing Act (PDMA): Understanding the Regulations
Prescription Drug Marketing Act (PDMA): Understanding the Regulations Ron Greenbaum, RPh Director of Compliance and QA Dendrite Interactive Marketing BuzzeoPDMA, Totowa, NJ Agenda - PDMA Introduction Purpose
More informationTitle 16. Board of Pharmacy Proposed Text
Title 16. Board of Pharmacy Proposed Text Proposal to add new Article 9.1 of Division 17 of Title 16 of the California Code of Regulations and a new Article title as follows: Article 9.1. Prescription
More informationPayroll Tax Chart Results
Payroll Tax Chart Results Terminated Employee -- Involuntary Terminated Employee -- Vacation Pay Terminated Employee -- Voluntary Taxing Authority Federal Payment Date for Involuntary Termination No provision
More informationPreapproval Inspections for Manufacturing. Christy Foreman Deputy Director Division of Enforcement B Office of Compliance/CDRH
Preapproval Inspections for Manufacturing Christy Foreman Deputy Director Division of Enforcement B Office of Compliance/CDRH Major Steps Review of the Quality System information Inspection requests generated
More informationUnderstanding Medicare Part D. Cynthia Tudor, Ph.D. Acting Director, Medicare Drug Benefit Group
Understanding Medicare Part D Cynthia Tudor, Ph.D. Acting Director, Medicare Drug Benefit Group Medicare Modernization Act Prescription Drug Coverage The Medicare Modernization Act (MMA) of 2003 provides
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: PTA Supervision Requirements
These tables provide information on what type of supervision is required for PTAs in various practice settings. Definitions Onsite Supervision General Supervision Indirect Supervision The supervisor is
More informationHEALTHCARE IN WASHINGTON STATE. Environmental Compliance
HEALTHCARE IN WASHINGTON STATE Environmental Compliance WHO IS AFFECTED? Hospitals Affiliated Clinics Stand Alone Urgent Care and Ambulatory Service Clinics Veterinary Hospitals and Clinics Dental Clinics
More informationSOLID WASTE MANAGEMENT PLAN Peoria County September 3, 2013 Medical Waste Background
SOLID WASTE MANAGEMENT PLAN Peoria County September 3, 2013 Medical Waste Background Medical Waste The proper handling and disposal of medical wastes (syringes, medical instruments, vials, pathological
More informationHazardous and Regulated Waste Management Plan Purpose
Hazardous and Regulated Waste Management Plan Purpose Purpose This Hazardous and Regulated Waste Management Plan describes the chemical and biological waste management practices at Normandale Community
More information116th Annual Convention
116th Annual Convention Date: Saturday, October 18, 2014 Time: 10:30 am 12:00 pm Location: Austin Convention Center, Room 19AB, Level 4 Title: Activity Type: Speaker: Understanding the Drug Quality and
More informationAlaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)
Beth Radtke 50 Included in the report: 7/22/2015 11:15:28 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL)
More informationStandard Operating Procedure
Standard Operating Procedure Title: Waste Management of Medicines and other Pharmaceutical Products in the Community Setting Prepared by: Sam Durant Presented to: Care & Clinical Policies Date: 19 th March
More informationDISPOSAL OF CONTROLLED SUBSTANCES
DISPOSAL OF CONTROLLED SUBSTANCES WELCOME Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association Outline of Today s 2/2/2 PRESENTER Jan Harris Director, EHS Customer Compliance
More informationRCRA Applied to Retail and Pharmaceutical Wastes, How to Manage a Work in Progress. Gregory W. Blount Troutman Sanders LLP Atlanta, GA
RCRA Applied to Retail and Pharmaceutical Wastes, How to Manage a Work in Progress Gregory W. Blount Troutman Sanders LLP Atlanta, GA TABLE OF CONTENTS INTRODUCTION... 1 A. Determining Whether a Pharmaceutical
More informationCHAPTER 6 OUTPATIENT SURGICAL CENTERS 6. 1
CHAPTER 6 OUTPATIENT SURGICAL CENTERS 6. 1 OUTPATIENT SURGICAL CENTERS I. LICENSURE 1. Modified II B Pharmacy license 2. DEA license II. REQUIREMENTS 1. Formulary may be any drugs needed to meet the medical
More informationSuccesses and Challenges in the Affordable Care Act: Beyond Access
Successes and Challenges in the Affordable Care Act: Beyond Access Robert Greenwald Clinical Professor of Law, Harvard Law School Director, Center for Health Law and Policy Innovation/Treatment Access
More informationWhy is Pharmaceutical Waste a Problem? Arleen Lim, REHS County of San Diego Department of Environmental Health Hazardous Materials Division
Why is Pharmaceutical Waste a Problem? Arleen Lim, REHS County of San Diego Department of Environmental Health Hazardous Materials Division EPA Report on Hazardous Waste Pharmaceuticals May 25, 2012 Review
More informationUW School of Dentistry Comprehensive Medication Policy
UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY Subject: UW School of Dentistry Comprehensive Medication Policy Policy Number: Effective Date: December 2014 Revision Dates: June 2015 PURPOSE This policy provides
More informationPharmaceutical waste disposal Guideline. Guideline for Disposal of Pharmaceutical waste (1 st Edition, 2014)
Guideline for Disposal of Pharmaceutical waste (1 st Edition, 2014) 1 Contents 1. Definition... 3 2. Principle and General Requirements... 3 3. Process flow chart... 4 4. Procedure... 5 5. Recording and
More informationPharmaceutical Waste as Universal Waste
Pharmaceutical Waste as Universal Waste Charlotte A. Smith, R. Ph., M.S. September 21, 2009 2009 ASHES Annual Conference September 20-24, 2009 Reno, NV Legal Disclaimer This presentation is solely for
More informationPHARMACEUTICAL WASTE MANAGEMENT GUIDELINES
PHARMACEUTICAL WASTE MANAGEMENT GUIDELINES Enclosure (1) GUIDELINES TABLE OF CONTENTS EXECUTIVE SUMMARY References...1 Background...1 Purpose...1 Scope...2 Action...2 Resources...4 1. PHARMACEUTICAL CATEGORIES
More informationPrescription Monitoring Programs: Creating a National Network
Prescription Monitoring Programs: Creating a National Network Danna E. Droz, JD, RPH PMP Liaison ddroz@nabp.net 847/391-4508 United States Drug Enforcement Administration National Conference on Pharmaceutical
More informationU.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) March 2006 Compliance
Guidance for Industry Prescription Drug Marketing Act Donation of Prescription Drug Samples to Free Clinics U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation
More informationRegional Electricity Forecasting
Regional Electricity Forecasting presented to Michigan Forum on Economic Regulatory Policy January 29, 2010 presented by Doug Gotham State Utility Forecasting Group State Utility Forecasting Group Began
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: License Renewal Who approves courses?
Federation of State s of Physical The table below provides information on approval of continuing education/competence courses and for each jurisdiction. Summary Number of jurisdictions requiring approval
More informationFinal Expense Life Insurance
Dignified Choice - Classic Series Final Expense Life Insurance Columbian Mutual Life Insurance Company Home Office: Binghamton, NY Administrative Service Office: Norcross, GA Columbian Life Insurance Company
More informationEFFECTS OF LEGALIZING MARIJUANA 1
EFFECTS OF LEGALIZING MARIJUANA 1 Effects of Legalizing Medical On Illegal Use Professor Elizabeth Jacobs, PhD Psychology 230 November 29, 2010 EFFECTS OF LEGALIZING MARIJUANA 2 Introduction With the increasing
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence
This document reports CEU requirements for renewal. It describes: Number of required for renewal Who approves continuing education Required courses for renewal Which jurisdictions require active practice
More informationRegion 8 Conference Amalgam Separators What s New? 101 Review May 11 14, 2009
Region 8 Conference Amalgam Separators What s New? 101 Review May 11 14, 2009 AL Dube National Sales Manager SolmeteX, a division of Layne Christensen (adube@solmetex.com) What s New in the Amalgam Separator
More informationCompliance Bulletin Solid Waste Medical Waste Treatment reviewed/revised February 2012
Compliance Bulletin Solid Waste Medical Waste Treatment reviewed/revised February 2012 Medical waste can be divided into two basic types for treatment purposes: 1) infectious wastes like blood and body
More informationFOREIGN LIMITED LIABILITY COMPANY REGISTRATION CHART
FOREIGN LIMITED LIABILITY COMPANY REGISTRATION CHART When a Limited Liability Company desires to transact business in a jurisdiction other than its state of formation it must comply with the statutes of
More informationDEA Update on Regulations and Enforcement. Michael J. Lewis Diversion Program Manager Los Angeles Field Division
DEA Update on Regulations and Enforcement Michael J. Lewis Diversion Program Manager Los Angeles Field Division 1 Learning Objectives Describe the mission of the Office of Diversion Control Discuss the
More informationAppendix D. Criteria and Procedures for Model Home-Generated Pharmaceutical Waste Collection and Disposal Programs
Appendix D. Criteria and Procedures for Model Home-Generated Pharmaceutical Waste Collection and Disposal Programs Senate Bill 966 (Simitian, Chapter 542, Statutes of 2007) requires the California Integrated
More informationThe Leukemia & Lymphoma Society
The Leukemia & Lymphoma Society The Leukemia & Lymphoma Society (LLS) exists to find cures and ensure access to treatments for blood cancer patients. LLS is the voice for all blood cancer patients. We
More informationTHE DISPOSAL OF HEALTHCARE WASTE BY NHS GRAMPIAN FROM ACUTE HOSPITAL WARDS
THE DISPOSAL OF HEALTHCARE WASTE BY NHS GRAMPIAN FROM ACUTE HOSPITAL WARDS Arrangements for the Collection and Disposal of Healthcare Waste NHS Grampian provides a range of healthcare waste disposal services
More informationNurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends. Preliminary Tables and Figures
Nurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends Preliminary Tables and Figures Kevin M. Stange, PhD Assistant Professor Gerald R. Ford
More information16.19.10.11 PUBLIC HEALTH CLINICS: A. CLINIC LICENSURE: (1) All clinics where dangerous drugs are administered, distributed or dispensed shall obtain
16.19.10.11 PUBLIC HEALTH CLINICS: A. CLINIC LICENSURE: (1) All clinics where dangerous drugs are administered, distributed or dispensed shall obtain a limited drug permit as described in Section 61-11-14
More informationU.S. Department of Education NCES 2011-460 NAEP. Tools on the Web
U.S. Department of Education NCES 2011-460 NAEP Tools on the Web Whether you re an educator, a member of the media, a parent, a student, a policymaker, or a researcher, there are many resources available
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence
This document reports CEU (continuing education units) and CCU (continuing competence units) requirements for renewal. It describes: Number of CEUs/CCUs required for renewal Who approves continuing education
More informationState Corporate Income Tax-Calculation
State Corporate Income Tax-Calculation 1 Because it takes all elements (a*b*c) to calculate the personal or corporate income tax, no one element of the corporate income tax can be analyzed separately from
More informationUCLA Henry Samueli School of Engineering and Applied Science STANDARD OPERATING PROCEDURE MEDICAL WASTE (BIOHAZARD WASTE) MANAGEMENT
UCLA Henry Samueli School of Engineering and Applied Science STANDARD OPERATING PROCEDURE MEDICAL WASTE (BIOHAZARD WASTE) MANAGEMENT PURPOSE The purpose of this document is to specify the procedures used
More informationTHE NATIONAL PROGRESS REPORT ON E-PRESCRIBING AND INTEROPERABLE HEALTH CARE
THE NATIONAL PROGRESS REPORT ON E-PRESCRIBING AND INTEROPERABLE HEALTH CARE YEAR 2011 neutrality transparency physician and patient choice open standards collaboration privacy 1 2001 2006 2007 2008 2009
More informationStandardization of Technician Education Want it? Need it? Janet Teeters, M.S., R.Ph. Director of Accreditation Services ASHP
Standardization of Technician Education Want it? Need it? Janet Teeters, M.S., R.Ph. Director of Accreditation Services ASHP Disclosure Director of Accreditation Services Standardized Technician Education
More informationCharges against drowsy driver causing fatality? Manslaughter or criminally negligent homicide. Yes. Sleep disorders, no. Possibly vehicular homicide.
Sleep AL 3.4 (2.5 6.1) None. Sleep disorders, no d AK 3.4 (2.5 6.1) No laws enacted, but can be charged under Alaska's Unsafe Driving Practices law. Reckless endangerment or reckless driving. Manslaughter
More information