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Page 7a (Attachment) h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency(DEA) as "controlled substances"? Ifyes, describe how "controlled substances"are disposed. Hazardous Pharmaceutical Waste Phannaceutical wastes classified by the DEA as"controlled substance"shall be disposed of in compliance with DEA requirements and segregated for storage in accordance with the facility's medical waste management plan. Hazardous Pharmaceutical Waste is placed in an 8 or 18 gallon black Stericycle RC RA waste container that meet the EPA requirements for disposal of P,U and D-listed chemicals and DOT rated to transport hazardous waste. All are labeled"INCINERATION ONLY"so that it can be visible from any lateral direction. In addition, these single containers are still required to be labeled with the biohazardous waste symbol. The black RC RA waste container is stored in the Director of Nursing office lock cabinet and then transported to the designated accumulation area. Pharmaceutical waste that is separated from medical waste is maintained in a manner to secure the pharmaceutical waste contents from access by unauthorized individuals. Pharmaceutical waste containers that are full and ready for disposal may not be stored longer than 90 days. The container may not remain on site for more than a year whether full or not. When this to is prepared for shipment offsite for treatment, it is properly containerized for shipment in compliance with United States Department of Transportation and the Unites States Drug Enforcement Administration requirements.Hazardous pharmaceutical waste containers are disposed by calling the Stericycle's Specialty Waste division. Stericycle Specialty Waste Division will bring all shipping paperwork at the time of pickup. The transporter shall maintain a completed tracking document for the purpose of tracking the waste from the point when the waste leaves the generator facility until it receives final treatment. Appropriate trained employee at Vienna will sign the document and receive copies of the signed documents for the transportation and destruction of hazardous pharmaceutical waste. j. Describe training provided to staffregarding handling, storage, disposal, and record keeping of all medical waste, including pharmaceutical waste, at your facility: Training All employees are trained to recognize regulated medical and pharmaceutical waste and how to properly manage waste. Staff members who handle medical and pharmaceutical to are trained regarding personal protection and safety especially the proper use of personal protective equipment to wear, and proper handling, containerizing,disposing and labeling. The training focuses on staff members who(1)handle medical waste from the point-of-generation at the bedside,(2)transport the waste,and(3)prepare the waste for transport by contractor. In addition, the Director of Staff Development conducts in-services to all staff annually regarding Bloodborne Pathogens,Aerosol Transmissible Diseases,Handling Regulated Waste and any other measures taken to avoid exposure and emergency procedures in the event of exposure. A representative of Stericycle, Inc. also comes and conducts training yearly to all staff about Safety Data Sheets, Infectious Waste and Bloodborne Pathogen Safety. The Director of Staff Development keeps all training records of all staff in the Staff Development Office.