What Are the Rules for Disposal of Controlled Substances in Hospice?

The rules for disposing of controlled substances have been evolving over the last couple of decades as several pieces of legislation attempt to clarify regulations,  improve safety and prevent drug diversion. Drug diversion occurs when prescriptions are misused by someone for whom they were not intended. Drug diversion is a …

Controlled Substance Disposal in Hospitals a Growing Problem

Millions of Americans receive prescription opioid painkillers to treat chronic pain and other medical conditions. The abuse of prescription drugs and controlled substances in particular have risen to epidemic proportions in the United States. According to the Centers for Disease Control and Prevention, more than 232,000 people have died from …

Waste Management in the Pharmaceutical Industry

Managing pharmaceutical waste is an integral component of the pharmaceutical industry, whether referring to pharmaceutical manufacturing companies, pharmacies, or healthcare facilities where physicians manage pharmaceuticals. Pharmaceutical waste comes in many different forms including chemicals from manufacturing, expired products such as pills, strips, patches and lozenges and liquid medications. Even individual …

Why Is Proper Pharmaceutical Waste Management so Important?

Pharmaceuticals are a critical element in treating patients for medical conditions in various healthcare settings such as hospitals, long-term care facilities and other medical establishments. Pharmaceuticals are used in other industries as well such as veterinary clinics and oral health care. The safe handling, management and disposal of pharmaceuticals should …

What Are the Effects of Pharmaceutical Waste on the Environment?

The effects of pharmaceutical waste on the environment has been an area of concern and study for several years. Pharmaceutical waste is known to pollute the environment through various means such as human and pet secretion, although this amount may be low compared to improper disposal of medications. For many …

Drug Diversion Training and Best Practice Prescribing of Controlled Substances

Drug diversion in healthcare is a huge problem in the United States with an estimated one in 10 healthcare workers addicted to or abusing drugs. Drug diversion is a threat to the safety of patients, for hospital staff and facilities facing fines and serious penalties. A comprehensive Controlled Substances Diversion …

Registrant Disclosure of Loss Diversion or Destruction of Controlled Substances

What should a facility do when they discover controlled substances are lost or missing? Drug diversion in healthcare is a serious problem contributing to the opioid epidemic in the United States. Is critical that all facilities follow meticulous procedures to account for all medications, especially controlled substances. Registrants who notice …

Nursing Home Witness Signing for Destruction of Controlled Substances

Nursing homes, long-term care facilities and hospitals are the largest generators of pharmaceutical waste in the United States, generating more than 84,000 tons of medication waste each year, according to an article in Patient Safety and Quality Healthcare. Disposing of pharmaceutical waste and nursing homes can be complex and confusing …

Public Health Centers in Need of Pharmaceutical Disposal Methods

Public health facilities like homeless shelters, domestic violence shelters, and crisis facilities are faced with particular challenges regarding the management and proper disposal of unused and expired pharmaceuticals. Many people that come to these public health centers are in need of healthcare and are currently taking or should be taking …

What Regulations Govern Medication Waste in Dentistry?

Many dentists will agree that one of the most challenging things for them to keep up with is maintaining full compliance to all regulations regarding the medication waste in dentistry.  Dental offices and oral surgeons need to use a variety of medications in the course of their treatments such as …

What Is the Waste Profile Ticket and Regulations for Pharmaceutical Waste Compliance?

Many steps are required to safely and legally transport and dispose of hazardous pharmaceutical waste. Who Is Responsible for Pharmaceutical Waste Compliance? Properly completing a waste profile ticket is one of the most crucial steps in pharmaceutical waste compliance of both non-hazardous and hazardous waste disposal. The profile ticket lists …

How California Plans to Drive Down the Cost of Prescription Drugs

According to an article by the GRx Pharmacy Blog, The Governor of California, Gavin Newsom (D), has proposed what some may call a radical idea to help reduce the cost of prescription drugs and lower healthcare costs in general for the state.  His idea is to begin a generic drug …

Rx Destroyer™ Offers a Drug Mail Back Program

Rx Destroyer™ focuses on meeting the needs of our customers with a drug mail back disposal program that is easy to use and compliant to federal regulations. Our wide selection of drug disposal containers are available for controlled and non-controlled medications. Rx Destroyer can handle both solid and liquid medications. …

Controlled Substance Destruction Matters: Here’s Why

When disposing of or destroying unused controlled substances, the method of controlled substance destruction matters for a couple of especially important reasons. Prior to regulations issued by the Drug Enforcement Administration, DEA, and the Environmental Protection Agency, EPA, flushing unused or expired medications down the drain was a typical practice …

Why Do We Care About Pharmaceutical Waste Compliance?

  There are many reasons why everyone should be concerned about pharmaceutical waste and compliance to safe disposal practices. Improper disposal of pharmaceutical waste causes serious contamination to the environment primarily showing up in water supplies.  With the current opioid epidemic in the United States, improper disposal of controlled substances …

Proud to Participate in the ONDCP Drug Disposal Conference

The Office of National Drug Control Policy (ONDCP) works to reduce drug use, abuse, and the consequences associated with drug diversion as part of the Executive Office of the President of the United States. The ONDCP is tasked with leading, coordinating, developing, implementing, and assessing the U.S. drug policy.  The …

Turnkey Solutions for Compliant Pharmaceutical Waste Disposal

It is now more important than ever before for hospitals and all healthcare facilities to follow a strict medication waste disposal policy compliant to all federal regulations. There are hefty fines facing hospitals and healthcare facilities that violate DEA Code of Federal Regulations, CFR 21 as outlined in SUBCHAPTER I, …

Best Practices for Medical Waste Segregation Management Part IV: Conclusion

While every healthcare facility recognizes the importance of medical waste segregation and proper disposal, the challenges facing busy or understaffed healthcare facilities allow for unsafe, noncompliant practices to continue.  Prior to the most recent DEA Code of Federal Regulations, CFR 21 effective September of 2014, and the EPA 40 CFR …

Best Practices for Medical Waste Segregation Management Part III: Challenges

All healthcare facilities must have optimal policies and procedures in place for the effective segregation and disposal of medical waste.  There are many contributing factors that make safe and compliant medical waste disposal a challenge in busy, healthcare facilities. Due to the enormity and the plethora of medical waste generated …

Best Practices for Medical Waste Segregation Management Part II: Methodology

There are many large healthcare systems with robust waste management programs across the United States.  Individual facilities may have different pharmaceutical waste disposal practices for various types of medical waste due to unique facility policies, procedures, and state regulations.  Regardless of facility or state regulations, it is helpful to segregate …

Best Practices for Medical Waste Segregation Management: Introduction

Medical waste disposal practices are regulated by the federal government under the Drug Enforcement Administration (DEA) and the Environmental Protection Agency (EPA). Medical waste disposal regulations may vary from state to state although they must be at least as stringent as federal regulations. Additionally, each healthcare institution may institute their …

Controlled Substance Disposal Policy and Procedures

An effective controlled substance disposal policy is mandatory to protect healthcare workers, patients and medical facilities. Healthcare workers are at an increased risk for drug diversion, a serious epidemic in the United States. Drug diversion in hospitals and healthcare facilities puts patients at risk when they do not receive the …

Pharmaceutical Waste in Long Term Care

Senior care nurses have busy workdays caring for elderly residents and maintaining proper records.  Maintaining a proper chain of custody of pharmaceuticals, especially controlled substances, is one of the most important tasks of nurses in any environment, including long term care (LTC).  It is critical to dispose of pharmaceuticals properly …

EMS and Pharmaceutical Waste

Emergency medical services (EMS) providers such as ambulance agencies have a great responsibility to take quick action during times of medical emergency.  This may include administering a controlled substance in the course of providing emergency medical care to save a life.  While administering emergency medication is part of the job, …

The DEA and Controlled Substance Waste

The Drug Enforcement Administration, DEA, is responsible for governing the regulations related to controlled substance (CS) disposal by ultimate users and registrants.  21 Code of Federal Regulations, CFR, outlines the rules for compliant CS waste procedures in 21 CFR Parts: 1300, 1301, 1304, 1305,1307, and 1317.  Institutions both public and …

CS Chain of Custody: Ensuring That Waste Is Not the Weakest Link

Healthcare providers are faced with unique challenges when it comes to handling and disposing of pharmaceutical waste. Nurses and healthcare workers handling controlled substances have responsibilities under the Controlled Substances Act (CSA) including maintaining a properly documented chain of custody.  The Drug Enforcement Administration (DEA) is tasked with enforcing the …

Are All Chemotherapy Agents Classified as Pharmaceutical Waste?

Disposing of chemotherapy waste raises a lot of questions even for those experienced in the industry. Questions always arise as to whether chemotherapy waste is considered hazardous waste or medical waste. With chemotherapy agents, there is not just one waste stream. There are chemotherapy agents classified as pharmaceutical waste and …

What Are the Implications for CS Waste in Medical Research

Pharmaceuticals and controlled substances are often used in medical research laboratories, requiring proper controls and disposal methods. The Drug Enforcement Administration (DEA) and the Environmental Protection Agency (EPA) have issued Code of Federal Regulations regarding compliance to pharmaceutical waste disposal. These regulations apply to pharmaceutical waste from any industry including …

CS Waste in Narcotic Treatment Programs

Controlled substances (CS) used in health care systems and narcotic treatment programs pose a serious risk for drug diversion.  CS diversion causes harm to the diverter and raises serious liability issues to the organization which can face significant fines for noncompliance to DEA drug disposal regulations.  Drug diversion leads to …

Effective Jail Medication Administration Policy Starts in the Med Room

Many unique challenges face nurses working in correctional facilities with medication administration identified as a specialized field in correctional nursing. Many nurses who are new to working in a jail or correctional facility setting are unprepared for the breadth and scope of their responsibilities in managing medication delivery, administration and …

Pharmaceutical Industry Compliance, Diversion Investigations, and Litigation

Summary: GTC Consulting CEO Ben Mink joins us on this episode of the Pharmacy Podcast Nation to discussion Pharmaceutical Industry Compliance, Diversion Investigations, and Litigation Support sponsored by Rx Destroyer ™ which provides turnkey solutions for pharmaceutical waste disposal to a wide range of industries and facility types.

Rx Destroyer™ Partners with GTC Consulting for DEA Compliance

Total Turnkey Solutions for DEA Compliant Drug Disposal   Download PDF     Burlington, WI- Sep 1, 2020- PressWire Rx Destroyer™ announces their alliance with GTC Consulting, bringing a new level of support for DEA compliant drug disposal systems. GTC Consulting aligns with Rx Destroyer’s commitment to the community, public …

Effective Pharmaceutical Waste Segregation at Source

Hospitals, healthcare facilities of all types, and even veterinary clinics that manage pharmaceuticals must have a plan for proper waste disposal that meets all regulatory concerns.   The EPA and the DEA regulate the proper handling of pharmaceutical waste on the federal level, although each facility is responsible for meeting all …

Proper Drug Disposal: Pennsylvania’s Attorney General’s Offices Alan McGill – PPN Episode 938

Summary:

Alan McGill is a senior supervisory special agent at the Attorney General’s Office in Pennsylvania, but he started in the Bureau of Narcotic Investigations. He spent 10 years doing undercover work which consisted of getting to know people and buying various drugs off the street. Now he educates health associates and organizations in Pennsylvania on how medications are diverted out of their facility. He then trains them how to prevent that type of diversion as well as safe drug storage and disposal.

Read more“Proper Drug Disposal: Pennsylvania’s Attorney General’s Offices Alan McGill – PPN Episode 938”

Proper Drug Disposal is Paramount: Rx Destroyer Podcast – PPN Episode 881

Summary:

Listen in with Dr.Frank Breve, PharmD, MBA, President and CEO at Opioid Consulting Educational Solutions, as he covers Medication Disposal Best Practices. There is a lot of pressure on pharmacists to get medications out to patients but not enough on the severity of consequences if not disposed of properly.

Read more“Proper Drug Disposal is Paramount: Rx Destroyer Podcast – PPN Episode 881”

40 CFR and the Resource Conservation and Recovery Act

Nearly two decades ago, the Environmental Protection Agency (EPA) began raising awareness to the public about the concerning level of pharmaceuticals present in the environment, specifically in our drinking water.  A pharmacy or hospital may have thousands of distinct pharmaceutical materials in their inventory at any time which could easily …

What Is Considered Non-Regulated Pharmaceutical Waste?

All controlled substances and hazardous pharmaceutical waste must be disposed of properly according to federal regulations.  Non-Regulated pharmaceutical waste that may be considered non-hazardous is a bit of a misnomer, as any pharmaceutical waste can be harmful to the environment or to people if used other than as intended.  A …

What are the Major Types of Medical Waste?

Medical waste and the proper disposal of such waste is one of the greatest challenges facing healthcare providers today.  Concerns exist with meeting all federal regulations for proper medical waste disposal as well as epidemiology, HIPAA and potential civil litigation.  Types of medical waste includes a wide variety of items …

Financial Considerations for an Effective CS Waste Program

effective cs waste program

Properly disposing of expired medications is the main focus of any controlled substance (CS) waste program.  Hospitals must have policies and procedures in place for the safe management and disposal of pharmaceutical waste for expired, discontinued or leftover medications.  It is estimated that hospitals in the U.S. produce nearly 5.9 billion tons of medical waste each year.

Read more“Financial Considerations for an Effective CS Waste Program”

USP General Chapter <800> Compliance

The United States Pharmacopeia (USP) is a non-profit, private organization with standards enforced throughout various regulatory agencies such as individual state’s Boards of Pharmacy and the Joint Commission.  The USP’s latest chapter on managing hazardous drugs in the healthcare industry, USP<800>, provides comprehensive guidelines on managing the entire life cycle …

Challenges Facing Pharmaceutical Waste Management in Healthcare

The healthcare industry has been faced with confusing regulations regarding pharmaceutical waste management for more than a decade.  Drug disposal regulations can vary from state to state and greatly impact compliance.  Healthcare workers and nursing staff are focused on treating patients and are juggling multiple priorities. Maintaining compliance is challenging …

Compliant Portable Drug Disposal System

Properly disposing of pharmaceutical waste including controlled substances is critical to prevent environmental contamination and serious safety risks to health care workers and patients.  Hospitals and long-term care facilities are the largest contributors to improper pharmaceutical waste disposal and drug diversion.  It is estimated that more than 130 people die …

Best Practices for CS Waste in ER Setting: CSDPP Core Elements

Drug diversion in health care systems is a serious issue in both the United States and Canada.  According to the Society of Hospital Medicine, the US and Canada are the two highest consumers of opioids worldwide per-capita.  Opioids and other controlled substances are diverted from healthcare facilities for nonmedical use …

Does Your CS Waste Program Meet Joint Commission Requirements?

The Joint Commission is an independent, nonprofit organization that was founded in 1951 with a focus on continually improving health care for the public.  The Joint Commission is the oldest and largest standards-setting, accrediting body in health care in the United States.  Approximately 4,500 general, long-term acute, rehabilitation, children’s, psychiatric …

Drug Diversion Strategies: How Has Covid-19 Affected Addiction?

The epidemic of substance abuse and drug overdose deaths in the U.S. is a national health emergency.  People who suffer from drug addiction as well as people who smoke, vape or use opioids or methamphetamine are at an even greater risk during the novel Coronavirus pandemic.  Dr. Nora Volkow is …

CS Waste Safety and Healthcare Staff

It is critical for healthcare facilities such as long term care facilities and hospitals to properly dispose of pharmaceutical waste for controlled substance waste safety. The improper disposal of medications and controlled substances leads to environmental contamination and drug diversion.  Drug diversion in hospitals is a serious risk for healthcare …

Proper Documentation of CS Waste Program

A controlled substance (CS) waste program which meets DEA compliance must adhere to the Code of Federal Regulations (CFR) 21, 40 and 42 pertaining to the regulations for drug waste disposal.  Each registrant, facility, distributor and reverse distributor must ensure that they meet all facility, local, tribal, state and federal …

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