Disposal Of Rx Drugs Flashcards
In the absence of a “take-back “ program, how should meds be disposed?
Mix unwanted drugs with unpalatable substances and place in a non-descript container before discarding in trash (unless rx instruction says to flush)
What list of meds can be acceptable to flush?
Certain controlled drugs
They often have a label instructing pts to flush if no longer needed
How do u instruct pt to discard meds?
Don’t flush med down the toilet, unless the label specifically instructs you to do so
What unwanted meds are pharmacies involved in taking back?
Pharmacies have the ability to take back all meds, OTC and Rx, EXCEPT Controlled substances
If pt wants to return controlled subst, where can be do that?
Pt can only return CS to law enforcement only
If a pharmacy is involved in take back meds, how should the staff be involved? Storage of take back meds?
Drugs should NOT be reviewed by staff at collection site. Pt should deposit the drugs themselves
Drugs that are collected should be SEPARATED from their containers by pts B4 being placed in collection bin (this reduced disposal cost bcuz containers will not be part of the pharmaceutical waste)
How should the take back container be locked?
There are 2 separate locks on the secured collection bin
1st key with the pharmacist; 2nd keep with waste hauler
This is to make sure that both parties are present when bin is opened
What may pharmacies that don’t participate in “take back” offer?
They may offer services for disposal by mail, including the common “takeaway” mailers
What meds are “takeaway” mailers used for?
Rx (not CS) and OTC
T/F? Some communities have locked boxes for CONTROLLED drugs (drug name must be visible, but no pt info)
True
If a pharmacy doesn’t participate in either “take back” or “take away” programs, what should they instruct their pts to do?
Instruct pts to follow local guidelines for HOME HAZARDOUS WASTE (HMW) Collection
List procedures if HHW collection instruct pts to trash meds
Keep in ORIGINAL container; Scratch or mark-out the pt info on label
Place some water into solid meds. Then add something unpalatable such as sawdust, kitty litter, charcoal, comet or powdered spice
Close and seal container by wrapping in multiple layers of duct tape
Place med in container that doesn’t show whats inside
Place in trash close to garbage pickup time
List options for safe syringe disposal
Drop box or Supervised collection sites
Mail-back programs
Syringe Exchange Program (SEP)
At-home needle destruction devices
What’s used needle-syringe safety tips?
Throw entire needle/syringe assembly into red plastic sharps container
Dispose used needles IMMEDIATELY, without re-capping
Never compress or “push down” on the contents of any sharps container
Look at the list of FDA approved drugs for flushing on Pg 234
All CS
