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G-U- Dignity Health. <br /> V V St.Joseph's Medical Center <br /> Page 2 of 1 1 <br /> E. RCRA (Federal Resources Conservation and Recovery Act) Pharmaceutical <br /> Wastes — Pharmaceutical waste that are listed as federally hazardous, radioactive <br /> or classified as municipal solid waste. See Attachment A. <br /> F. Non-RCRA Pharmaceutical Wastes - Pharmaceutical waste which are not <br /> federally hazardous (non-RCRA), radioactive or classified as municipal solid waste. <br /> A list of Pharmaceutical that has passed the fish toxicity test and considered safe to <br /> dispose of in the sewage system or solid wastage system in California is attached. <br /> (see Attachment B) <br /> G. California "only" Hazardous Waste — In the State of California, all pharmaceutical <br /> wastes are considered hazardous except a specific list of pharmaceuticals that has <br /> passed the fish toxicity test and is authorized for disposal into the regular wastage <br /> systems. (see attachment B) <br /> III. UNUSABLE PHARMACEUTICALS <br /> A. Identification of outdated or otherwise unusable drugs: <br /> 1. All medications shall be checked on a regular basis to ensure the <br /> pharmaceutical is in date and the packaging is intact. <br /> 2. Licensed pharmacy staff is responsible for checking the expiration date of all <br /> medications stocked in the Pharmacy. The pharmacist will check the expiration <br /> dates of medications prior to dispensing. <br /> 3. Medication found in the nursing stations will be routinely inspected during the <br /> monthly nursing station inspections. Discontinued and outdated pharmaceuticals <br /> and containers with illegible or missing labels will be returned to the pharmacy for <br /> proper disposition. <br /> B. Storage area for unusable pharmaceuticals <br /> 1. The authorized place for storage and handling of outdated or otherwise unusable <br /> pharmaceuticals is the Pharmacy. <br /> 2. In the event of a large recall of IV solutions or bulk pharmaceutical items, the <br /> Pharmacy Director or designee will notify the Patient Care Leader of recall <br /> notice. Handle recalled pharmaceuticals per Division of Pharmacy Policies and <br /> Procedures. <br /> 3. Only pharmaceutical products for credit/reimbursement are returned. <br /> C. Pharmaceutical waste must be placed in Pharmaceutical Waste containers that state <br /> "Incineration Only." <br /> IV. PHARMACEUTICAL WASTE HANDLING and DISPOSAL <br /> A. Pharmaceutical Waste: All vials, syringes, or other dosage forms containing a <br /> pourable or measurable amount of medication should be disposed of in a Blue & <br /> White Pharmaceutical Waste container that labeled "Incineration Only." <br />