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-.- ---- _ r £ Name,address and phone number of offsite treatmtent facility where biohazardous(excluding i Pharmaceutical waste) and sharps waste is transported for treatment,if different than the hauler: Name: Same i Address: City State Zip Code Phone: g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is transported for treatment,if different than the pharmaceutical waste hauler: Name: Same Address: City State Zip Code Phone: ( ) i h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency ; (DEA)as "controlled substances"? Yes ❑No If yes, describe how the"controlled substances"are disposed: Narcotic medication is stored In a double locked storage.Once medication is discontinued it is verified by 2licensed nurses(the counting of meds left)on monthly Pharmacy visit the director of nursing and consulting pharmasist destory narcotic meds by placing them in a pharmacutical waste container once the count is confirmed. i i. All medical waste generators are required to keep accurate records regarding containment, storage,hauling,treatment and disposal. All medical waste records are to be maintained and available for review during inspection for two(2)years, Do you have tracking documents for all medical wastes handled at your facility?: ®Yes ❑No j, Describe training provided to staff regarding handling, storage,disposal, and record keeping of all medical waste,including pharmaceutical waste, at your facility: Policy and procedure on file from previous years application. i Designated licensed nurses handle pharm waste and have been trained on proper handling practices during orientation.) lc. Describe your medical waste emergency action plan,including procedures for handling spills, exposures,equipment failures,etc. (attach information as necessary): on file from previous years application. I i EHD 45-03 7 2015