Guidelines for the Storage of Essential Medicines and Other Health ...

More documents

Recommendations

Info

Always follow your facility’s procedures for handling damagedor expired medicines. In most cases, this will mean thatyou should send the products back to the facility thatprovides you with your supplies.The disposal methods for various catagories of pharmaceuticalsare indentified in the following table.CATEGORY DISPOSAL METHODS COMMENTSSolidsLandfillNo more than 1% of the dailySemi-solids Waste encapsulationmunicipal waste should be disposedof daily in an untreated form (nonimmobilized)to a landfill.Powders Waste inertizationMedium and high temperature incineration(cement kiln incinerator)90LiquidsAmpoulesAnti-infectivedrugsAntineoplasticsSewerHigh temperature incineration(cement kiln incinerator)Crush ampoules and flush diluted fluidto sewerWaste encapsulationWaste inertizationMedium and high temperatureincineration (cement kiln incinerator)Return to donor or manufacturerWaste encapsulationWaste inertizationMedium and high temperature incineration(cement kiln incinerator)(chemical decomposition)Antineoplastics not to sewer.Antineoplastics not to sewer.Liquid antibiotics may be dilutedwith water, left to stand for severalweeks and discharged to a sewer.Not to landfill unless encapsulated.Not to sewer.No medium temperatureincineration.
CATEGORY DISPOSAL METHODS COMMENTSControlled drugs Waste encapsulationNot to landfill unless encapsulated.Waste inertizationMedium and high temperatureincineration(cement kiln incinerator)Aerosol canisters LandfillNot to be burnt: may explode.Waste encapsulationDisinfectantsPVC plastic, glassPaper, cardboardSource:UseTo sewer or fast–flowing watercourse:small quantities of diluted disinfectants(max. 50 liters per day under supervision)LandfillRecycle, burn, landfillNo undiluted disinfectants tosewers or water courses.Maximum 50 liters per day dilutedto sewer or fast–flowing watercourse.No disinfectants at all to slowmoving or stagnant watercourses.Not for burning in open containers.WHO. 1999. Guidelines for Safe Disposal of Unwanted Pharmaceuticals In andAfter Emergencies. Geneva: World Health Organization. Available at http://www.who.int/medicines/library/par/who-edm-par-99-2/who-edm-par-99-2.htmParticular attention must be given to disposal of the followingcatagories of pharmaceuticals—■ controlled substances, such as narcotics andpsychotropic medicines■ anti-infective drugs■ antineoplastics■ cytotoxic anti-cancer drugs, toxic drugs■ antiseptics and disinfectants.591
Page 1 and 2:
in collaboration with theWorld Heal
Page 3:
ACKNOWLEDGEMENTSSincere thanks go t
Page 6:
4. Setting Up Your Medical Store ..
Page 9 and 10:
Daily/Weekly■ Update stock record
Page 11 and 12:
Receiving andArrangingCommodities11
Page 13 and 14:
RECEIVING HEALTH COMMODITIESWhen yo
Page 15 and 16:
ARRANGING COMMODITIESArrange the st
Page 17 and 18:
■Arrange cartons so arrows point
Page 19 and 20:
Following FEFO minimizes wastage fr
Page 21 and 22:
System level: Items for different l
Page 23 and 24:
different class, and is not always
Page 25 and 26:
FLAMMABLESSome flammable liquids co
Page 27:
CORROSIVESCorrosive or oxidant subs
Page 30 and 31:
30Keeping Track ofProducts in YourS
Page 32 and 33:
STOCK RECORDSThe minimal informatio
Page 34 and 35:
34Stock records might also include
Page 36 and 37:
Cyclic physical inventory canbe org
Page 38 and 39:
% Update the stockkeeping records.
Page 40 and 41: 40Maintaining theQuality of YourPro
Page 42 and 43: Lubricated latex products- sticky p
Page 44 and 45: PREVENTING DAMAGING AND CONTAMINATI
Page 46 and 47: locally available detergents, parti
Page 48 and 49: ■■■■■Strictly prohibit sm
Page 50 and 51: Be sure medical store staff are tra
Page 52 and 53: PROTECTING AGAINST PESTSPrevention
Page 54 and 55: Strategies for specific pestsRodent
Page 56 and 57: Termites/structural pests: There ar
Page 58 and 59: 58Circulation: Use a fan to circula
Page 60 and 61: ■■Keep the storeroom well venti
Page 62 and 63: Power supplyArrange for a solar pan
Page 64 and 65: Medicines with stability problems u
Page 66 and 67: In health centers■ Lock the store
Page 69 and 70: Setting Up YourMedical Store69
Page 71 and 72: CONSTRUCTING A MEDICAL STOREWhen co
Page 73 and 74: DESIGNING A MEDICAL STOREConsider t
Page 75 and 76: Ventilation: The location and desig
Page 77 and 78: Cupboards: Provide cupboards for th
Page 79 and 80: ■■Pile empty pallets neatly and
Page 81 and 82: Waste Management81
Page 83 and 84: CONSIDERING WASTE MANAGEMENTStorage
Page 85 and 86: Other hazardous medical waste: Wast
Page 87 and 88: Medium-temperature incinerators, co
Page 89: Waste types not to be incinerated
Page 93 and 94: Bibliography93
Page 95: BIBLIOGRAPHYAppropriate Health Reso
Page 98 and 99: 98Annexes
Page 100 and 101: Pallets and Pallet RacksAdvance Sto
Page 102 and 103: ANNEX 2: SUGGESTED READINGMost of t
Page 104 and 105: AHRTAG. 1994. How to Manage a Healt
Page 106 and 107: Waste ManagementSafe Management of
Page 108 and 109: Requisition and Issue Voucher(trans
Page 110 and 111: ANNEX 4: MEDICINE NAMESRemember tha
Page 112 and 113: From sq. centimeters to sq. inches:
Page 114: JOHN SNOW, INC.DELIVER1616 N. FORT
show all

Guidelines for the Storage of Essential Medicines and Other Health ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?