ASHP Midyear Clinical Meeting 2021

Participate in 4+ days of practice advancement, learning, camaraderie, and once-in-a-lifetime experiences. We are so excited to be back in Orlando where pharmacy’s most anticipated event returns to an in-person format, offering a live learning environment that is safe and comfortable for all attendees. Take advantage of more than 150 …

FDIC International

FDIC International offers 35,000+ Fire & Rescue professionals from 65+ countries around the world, quality world-class instructors, classrooms, workshops, H.O.T. evolutions and the most innovative products and services available to the industry displayed by over 800 exhibiting companies. The FDIC Experience is more than your traditional trade show it’s about …

How Walmart v. DOJ/DEA Could Affect Your Pharmacy?

According to an article in DrugTopics.com of October last year, Walmart filed a suit against  the Drug Enforcement Administration (DEA) and the Department of Justice (DOJ) asking for a United States District Court judge to clarify the responsibilities and roles of pharmacies and pharmacists under the Controlled Substances Act (CSA). …

How Can I Order the Rx Destroyer System for My Facility?

Rx Destroyer™ is the safe and easy to use pharmaceutical waste disposal system that meets the needs of many industries where prescription medications are used.  No longer can facilities flush most medications down the drain as a means to dispose of expired or unused prescriptions. Facilities that dispose of pharmaceuticals …

Improper Pharmaceutical Waste Disposal Will Cost You

Improperly disposing of pharmaceuticals creates potentially dangerous consequences with one of the greatest threats causing danger to humans and animals. Improper pharmaceutical waste disposal also causes staggering consequences to the environment. Improper handling, storage or disposal of pharmaceutical waste creates hazards within the workplace as well as safety hazards to …

OSHA Guidelines for Medical Waste

The Occupational Safety and Health Administration (OSHA) does not regulate the final disposal of medical waste, although the Occupational Exposure to Bloodborne Pathogens Standard created in 1991 has specific requirements regarding specific types of waste.  The purpose of the standard is to protect the more than 5.6 million healthcare workers …

Which Form Documents the Destruction of Controlled Substances

Many federal and state rules apply to the administration, management, storage, and destruction of controlled substances. The Drug Enforcement Administration (DEA), outlines the regulations that govern disposal of controlled substances by ultimate users and registrants in DEA 21 CFR, Code of Federal Regulations. DEA Form 41 is a mandatory requirement …

Challenges to Cost-Effective Medication Management in Correctional Facilities

Administering medication in any clinical setting comes with several challenges and risks such as opportunities for error, drug diversion and cost constraints.  Managing medication in a jail or prison is even more challenging for nurses and medical staff.  Medication management in correctional facilities requires daily administration of drugs to thousands …

Diversion of Controlled Drugs from Hospitals

The diversion of controlled drugs from hospitals has been a rising problem across the United States and Canada with hospitals feeling pressure to implement safeguards that prevent drug diversion. According to the International Narcotics Control Board, the United States and Canada are the two highest consumers per capita of opioids …

Veterinary Handling, Storage and Disposal of Controlled Substances

Prescription medications including controlled substances can help people and animals when they are used correctly. These same medications can be extremely dangerous to humans and animals if they are handled, stored, or disposed of improperly. Veterinary practices as well as animal hospitals, zoos and animal clinics must follow strict policies …

Why Is Non-Retrievable Waste Disposal of Controlled Substances Important?

Secure Disposal of Controlled Substances Is Critical  The safe and secure disposal of expired medications is a key strategy to prevent drug diversion, accidental ingestion, and pollution. Rendering controlled substances non-retrievable provides for a safe and secure disposal of controlled substances and is a compliant method of destruction in accordance …

How Should Dental Offices Dispose of Expired Controlled Substances?

Disposal of pharmaceutical waste in dental offices is regulated as medical waste which includes emergency drugs, patient prescriptions, partially used and expired over-the-counter medications.  Specific requirements vary in different states, although dental practices in California must abide by some of the strictest medical waste regulations which include the following record-keeping, …

Procedures for the Destruction of Non-Controlled Substances

Disposing of pharmaceutical waste properly is important to protect the environment and to prevent expired medications from falling into the wrong hands. Facilities that dispense medications must have a clear medication disposal handling, storage and disposal policy that is clearly communicated to all personnel. Easy to use drug disposal products …

An Overview of Waste Management in the Pharmaceutical Industry

Managing pharmaceutical waste is an important part of many industries that use medications such as hospitals, veterinary clinics, correctional facilities, long-term care facilities, various healthcare clinics, pharmaceutical manufacturers, pharmacies, and more. Pharmaceutical waste includes medications that are no longer needed, wanted or are expired and must be disposed of.   Risks …

Challenges of Disposing of Hazardous Pharmaceutical Waste

  Pharmaceuticals improve quality of life and save the lives of millions of people every year, unfortunately this does not come without a cost. How to properly dispose of different types of pharmaceutical waste has been a problem for many years. Some of the biggest offenders that cause the most …

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 …

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

C2R Global Manufacturing, Inc. 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 …

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 …

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