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qU Dignity Health. V V St.Joseph's Medical Center Page 3 of 1 I B. Sharps Waste: All needles and empty syringes, scalpels, broken glass bottles, etc., must be placed into the opening of rigid puncture resistant sharps container with the appropriate label. C. Controlled Substances Waste: ♦ Controlled substances not in original sealed containers ♦ Controlled substances in broken or damaged containers or with damaged or altered labels ♦ Partials (less than a complete unit of issue) Outdated and short-dated Schedule II's 1. The above controlled substances should be held for shipment to a reverse distributor (third party vendor) during a scheduled controlled substance destruction period. Follow Controlled Substance Destruction Policies and Procedures. a. All Schedule II substances must be written up on a reverse distributor DEA 222 form. b. All Schedules III through V substances must be written up on a reverse distributor form. c. If the source of the controlled substances waste is unclaimed prescriptions of a patient of the medical center, all the controlled substances must be written up by a reverse distributor on a DEA 222 form separating the patient medications from pharmacy stock. D. Chemotherapy Wastes: 1. Trace Chemotherapy Waste a. All trace chemotherapy waste must be deposited in yellow containers labeled "Chemotherapy Waste" and "Incineration Only" visible in all directions. b. When the container is full, without compacting, the locking lid is to be secured to prevent loss of contents prior to disposal (gowns, gloves, and other trace chemotherapy contaminated non-sharps objects may also be deposited in the container). c. EVS should be notified to pick up trace chemotherapy waste and to deliver it to the Medical Waste Storage area to be disposed of by a licensed medical waste company. 2. Bulk Chemotherapy (Hazardous Waste) a. Bulk chemotherapy waste should be handled as hazardous waste.