Management Solutions

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1 Pharmaceutical Waste Management Solutions Wisconsin H2E April 9 th, 2009 MaryAnn Jensen Account Executive PharmEcology mjensen@pharmecology.com

2 Partner With the Leaders! Identification PharmEcology: Waste Categorization and Consulting Continuously evolving solutions Containment: Covidien: Most comprehensive containment offering Yellow trace chemo/black hazardous waste/white non-haz pharm Disposal Veolia: Profiling, manifesting, labeling, transporting, disposal One commingled waste stream for 97% of items

solutions Containment: Covidien: Most comprehensive containment offering Yellow trace

3 PharmE Pharmaceutical Waste Management Solutions PharmE Inventory Analysis PharmE Waste Wizard PharmE On-Site Risk Assessment PharmE Policies & Procedures PharmE Certification Process

4 PharmE Inventory Analysis Getting Started - Simple Requirements of Hospital 12 Month Drug Inventory List Wholesaler Information Direct Purchases Requested Drug Inventory Data Fields NDC Brand Name Generic Name Manufacturer Strength Dosage Form Package Size sent to PharmEcology contact with information in MS Excel

5 PharmE Inventory Analysis PharmE Inventory Analysis Summary of Results Fed Haz PharmE Hazardous Non Hazardous Non Hazardous, 2659, 85% Fed Haz, 163, 5% PharmE Hazardous, 314, 10% Identifies which drugs need to be labeled and segregated g as hazardous waste

2659, 85% Fed Haz, 163, 5% PharmE Hazardous, 314, 10%

6 Benefits PharmE Inventory Analysis Most cost-effective method of identification of inventory items Identifies P, U, D listed and PharmE Hazardous drugs NEW! Provides specific container recommendations Quick 10 day turn around NEW! Customized OSHA Hazardous Drug List required by the Hazard Communication Standard Coming Soon! DOT Shipping Names

Provides specific container recommendations Quick 10 day turn around NEW!

7 PharmE Waste Wizard Web-based annual subscription service Waste classifications, including container recommendations

8 Waste Wizard Enhancements Container recommendations Full/partial vs empty; syringe vs vials/ivs Refers to Covidien color scheme Verbal description on initial search page Detailed description on Additional Information screen Material Safety Data Sheets For RCRA and PharmE Hazardous Drugs Direct link to customized file prepared for PharmEcology by MSDSonline

Detailed description on Additional Information screen Material Safety Data Sheets For

9 Enhanced Waste Wizard Container recommendations

10 Differentiation of trace chemotherapy OSHA Hazardous Drug Alert

11 PharmE Waste Wizard Using the Wizard as a Compliance Tool Evaluate new drugs being proposed for the formulary Categorize new drugs entering the system Categorize any patients personal medications that need disposal Categorize any samples, unit dosed items being disposed

entering the system Categorize any patients personal medications

12 PharmE On-Site Risk Assessment A one day site visit it includes: 90 minute seminar for all relevant managers Walk-through of the following areas to determine current pharmaceutical waste management practices: Pharmacy, Oncology, Cardiac Care, Med Surg, ER, OR, Environmental Services, Safety Review of pharmaceutical hazardous waste generator status, current waste disposal vendors and contracts, and reverse distribution vendors

practices: Pharmacy, Oncology, Cardiac Care, Med Surg, ER, OR, Environmental Services, Safety Review of

13 PharmE On-Site Risk Assessment You will receive: Three tiered rating system for Action Items: Outstanding, Average, Below Average Customized action plan based on findings and recommendations including Best Management Practices Extensive regulatory and interpretive references to justify and support our recommendations

on findings and recommendations including Best Management Practices Extensive

14 PharmE Policies & Procedures EPA RCRA compliant templates can be customized into current Hazardous Materials and Waste Management Policies and Procedures Deliverables: Electronic versions of the Seven Steps to Compliance Policies and Procedures for five potential implementation model selections with specific guidance State Alerts for your specific state regulations, if applicable Binder and customized tabs for convenient and professional storage

Policies and Procedures for five potential implementation model selections with specific guidance State Alerts

15 PharmE Policies & Procedures Implementation Model Selections Model #1: Electronic Automated Pharmaceutical Waste Sorting System Model #2: Pharmacy Software System Customization Model #3: Pharmacy Customized Manual System Model #4: Central Storage Separation Model #5: Facility Pharmaceutical Waste Managed as Hazardous Waste

Software System Customization Model #3: Pharmacy Customized Manual System Model

17 PharmE Certification Process* Review of customized policies and procedures for compliance Second site visit to ascertain that policies and procedures have been implemented *Preferred Prerequisite: PharmE On-Site Risk Assessment Required Prerequisite: PharmE Inventory Analysis

policies and procedures have been implemented *Preferred

18 Framed and mounted Certificate t presented upon completion of Certification visit

19 First PharmE Certification: Northern Michigan Regional Hospital

20 Benefits of Certification Third party validation of pharmaceutical waste management plan Internal recognition of efforts by Administration and Staff External recognition of accomplishments EPA Region State environmental protection agency Press Continuing i visibility ibilit Feature on website Post Certificate in prominent position Potential mitigation of risk

accomplishments EPA Region State environmental protection agency Press Continuing i

21 Questions? MaryAnn Jensen, Account Executive or

Pharmaceutical Waste Compliance Program

Pharmaceutical Waste Compliance Program Corporate Overview Stericycle Services Medical Waste Management Sharps Disposal Management Product Recalls & Retrieval OSHA Compliance Training Pharmaceutical &