Pharmaceutical Waste Management - The Pyxis ® Insider newsletter

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Current Practice Drug Waste ProcessExpired drugsReverse DistributorSpecial Drug Waste: Devices/GasesBiohazardous wasteAutoclauveEmpty IV Bags/Drug PackagingHospitalNon-‘hazardous’ WastesControlled Substances?Chemotherapy ‘hazardous’ WastesMedical WasteIncineratorRCRA Segregated ‘hazardous’ WastesIV & Irrigation Solutions: NO DrugsRCRA IncineratorMassoomi 2011©Water Treatment Plant
Risk Management & Liability• Civil and criminal liabilityœ Civil & Criminal: State/USEPA enforcement• Personal liabilityœ fines and/or imprisonment• Corporate finesœ $37,500 per violation/day• Eastern Kansas Health Care System August 18, 2009œ What $51,501 civil penalty & $482,069 supplemental projectœ Violations No hazardous waste determinations No proper hazardous waste containers No documentation of inspection of hazardous waste storage No documentation of personnel training Unpermitted on-site incineration of hazardous waste Unlawful shipping of hazardous waste
Page 1 and 2: Pharmaceutical Waste ManagementFiro
Page 3 and 4: • March & September 2008œ Health
Page 5 and 6: Environmental Effects• Steroid pl
Page 7 and 8: US Regulatory Bodies for RX WastesP
Page 9 and 10: Pending Legislation• Drug Free Wa
Page 11 and 12: What Drug Waste is Regulated?• So
Page 13 and 14: P-listedDrug, vials and packagingEP
Page 15: EPA Defined Hazardous DrugsD-Listed
Page 19 and 20: DOT Manifest for TransportStandard
Page 21 and 22: EPA’s Current StatusNo Health-sys
Page 23 and 24: Think of All Areas WhereDrugs Are H
Page 25 and 26: Biohazard Sharps Containers• “U
Page 27 and 28: Aerosolized Drug Products• Highly
Page 29 and 30: Medicinal Leeches and MaggotsBiohaz
Page 31 and 32: N=343 Rx Directors
Page 33 and 34: Model IIElectronic Devices for RX W
Page 35 and 36: Model IVManaging All RX Waste as Ha
Page 37 and 38: Proper Hazardous Drug Waste Disposa
Page 39 and 40: N=343 Rx Directors
Page 41: Pharmaceutical Waste ManagementFiro

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