When managing controlled substances, the environmental effects of releasing waste from these drugs into local water systems or landfills is cause enough for concern, but adherence to state and federal regulations must be considered as well. For example, when local water boards detect a particular drug product in the water system, they may contact hospitals to determine how they are disposing of the product in question. In addition, facilities are always subject to unannounced inspections by the DEA.
Most facilities have implemented a variety of safety measures to manage controlled substances from receipt at the loading dock through medication administration, but safety is just as crucial at the point of waste. Fortunately, many solutions are available for this final step in the medication delivery process, ranging from disposal products that can be installed at the point of administration to full-service waste management programs provided by the vendor.
The Cactus Smart Sink System and PharmaLock OR from Stryker are controlled substance waste management systems that securely capture unused pharmaceutical waste and render it unusable and non-retrievable, ensuring discarded medications do not end up in the wrong hands or negatively impact the environment.
The Smart Sink is ideal for pharmacies or patient rooms and accepts both liquid pharmaceuticals and solid pharmaceuticals in the form of capsules, tablets, or patches. The user is alerted when cartridges are full and when the system has been opened. PharmaLock OR facilitates remote wasting and is most commonly found in OR settings, but it can be used anywhere liquid pharmaceuticals are administered. It can be mounted to a cart using available hardware and has an antimicrobial coating to maintain sterility.
From Stryker
The Rx Destroyer Drug Disposal System from C2r Global Manufacturing minimizes drug diversion and abuse. The fast-acting, patented chemical destruction process makes medication disposal safe, affordable, and convenient. Utilizing a natural formula, Rx Destroyer meets the DEA’s standard of destruction by rendering medications non-retrievable. The system begins neutralizing medications on contact; users simply add medication, shake, and dispose, following the facility’s compliance requirements.
From C2r Global Manufacturing
Stericycle’s CsRx Service is designed to help hospitals enhance existing security procedures for disposal of controlled substance waste in a safe manner. Each CsRx container includes a deactivating agent and deterrent, which require water to activate. The deactivating agent and deterrent permanently alter the substance’s chemical condition, rendering it non-retrievable; this includes pills, patches, tablets, and IV solutions. Stericycle’s proprietary containers are designed with a one-way disposal path that allows substances to enter the container but not be removed, preventing the possibility of diversion. The unique lid opening is designed to prevent a sharp, vial, or ampule from entering the container so that the deactivating agent can interact with the disposed controlled substance.
The CsRx Service includes lockable wall brackets at no additional charge. All controlled substance waste is incinerated at a permitted Stericycle facility, keeping controlled substances out of communities and waterways. CsRx Service provides a secure solution for disposing of controlled substance waste, keeping patients and staff safe.
From Stericycle
PharmaLink is a reverse distributor that provides for the collection, documentation, and legal destruction of expired, recalled, or out-of-use pharmaceuticals. Fully licensed in all 50 states and with no direct service charges, PharmaLink offers both on-site and mail-in services to ensure clients receive credit for their unused pharmaceuticals.
From PharmaLink
The PharmE Waste Wizard website from PharmEcology Services, WMSS, includes hazardous waste identification for those states that have stricter definitions than the federal EPA. The State Summaries provide a comprehensive review of all relevant decisions by state. In addition to a more streamlined search engine, users can determine if a drug is on the NIOSH 2016 Hazardous Drug List in preparation for compliance with USP <800>. All interested parties are invited to view the latest industry news, including disposal guidelines for the 2017-2018 flu season and relevant EPA decisions. Also available is the PharmE Inventory Analysis in a state-specific format. Now that The Joint Commission has added “wastage” to their medication storage and security standards, PharmEcology offers experienced consultants to evaluate any facility’s current program to ensure TJC readiness.
From PharmEcology Services, WMSS
MedSafe from Sharps Compliance is an easy-to-operate medication collection and disposal solution designed for hospitals with outpatient pharmacies. MedSafe meets all requirements for a DEA collection receptacle program and provides a safe and convenient place for patients and visitors to bring their unused or expired medications, including controlled substances (Schedules II-V), for safe collection and proper disposal.
By helping to remove unused medications from homes, your hospital can prevent pharmaceuticals from circulating into the water supply, or worse, being diverted for unintended use by others in the home. Cost-effective monthly pricing is available with a variety of frequency options. The receptacle cost is included in the service fee, and convenient, prepaid return shipping is offered for inner liners. Fully compliant with DEA and DOT regulations, MedSafe offers comingled collection of controlled and non-controlled medications, which are destroyed via incineration.
From Sharps Compliance
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