Module 2 Ch 1 Flashcards
1906
Pure Food and Drug Act
1914
Harrison Narcotics Tax Act
1938
Federal food drug and cosmetic act
1951
Durham-Humphrey Amendment
1962
Kefauver-Harris Amendment
1970
Poison Packaging Act
Occupational Safety and Health Act
Controlled Substances Act
1983
Federal Anti-Tampering
Orphan Drug Act
1984
Drug Price Competition and Patent term Restoration act
1987
Prescription Drug Marketing
1990
Omnibus Budget Reconciliation Act
1994
Dietary Supplement Health and Education Act
1996
Health Insurance Portability Act (HIPAA)
1997
Food and Drug Modernization Act
2003
Medicare Modernization Act
2005
Combat Methamphetamine Epidemic Act
2007
The Food and Drug Administration Amendments Act
2010
Patient Protection and Affordable Care Act
Centers for Medicaid and Medicare Services CMS
Oversees Medicare and Medicaid
Drug Enforcement Administration (DEA)
Enforces prescriber and pharmacy compliance with the Controlled Substances Act
Food and Drug Administration
Oversees drug purity, safety, and effectiveness
Joint Comission
Set standards and grant accreditation to promote patient safety and quality
State Boards of Pharmacies (BOPs)
Regulate pharmacy practice within each state
EPA
Resource Conservation and Recovery Act
(RCRA) and Management Standards for Hazardous Waste Pharmaceuticals
OSHA
Hazardous Communication Standard (HCS)
NIOSH
List of Antineoplastic and Other Hazardous Drugs
USP
General Ch 800,795,797
ASHP
Guidelines on Handling Hazardous Drugs
Hazardous Drugs
Drugs that pose a health risk through occupational or environmental exposure
category 1
antineoplastic drugs known to be hazardous with repeated exposure
category 2
non-antineoplastic drugs that meet the previously listed criteria for “hazardous”
Category 3
Medications with adverse effects on reproduction
Pharmaceuticals
anything containing drugs besides hazardous waste
Hazard Communication Standard
Facilities must maintain Safety data sheets
PPE
PPE must be worn at all times when compounding, cleaning, or administering hazardous drugs
Handling of Hazardous Drugs
During the course of sterile compounding, hazardous drugs should only be prepared in vertical laminar airflow workstations
P List
Acute hazardous Wastes from discarded commercial chemical products
U List
Hazardous wastes from discarded commercial chemical products
-Important listed medications include Warfarin, nicotine replacement products, and certain chemo drugs
D List
Ignitability, Corrosivity, Toxicity, Reactivity
Federal Disposal of Hazardous Waste
EPA regulates waste disposal
State Disposal of Hazardous Waste
All states except Iowa and Alaska are allowed to implement their own hazardous waste program
Disposal of Hazardous Wastes
-No waste can be sewered (disposed down and toilet or drain)
-Hazardous Waste can only be accumulated for 1 year before disposal
-Potentially creditable pharmaceuticals can be shipped to a reverse distributor
-Unused, less than one year past expiration date, and in the manufacturer’s original container