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II 10010 1 Policy Discontinued medications not sent with the resident on discharge, and medications left in the facility after a resident's discharge which do not qualify for return to the pharmacy for credit, are destroyed via Cal -OSHA - compliant procedures and via a licensed medical waste hauler. Procedures A. All medications shall be released to the resident upon discharge unless they have been discontinued, the directions for use are significantly different from the label on the container, the resident leaves against medical advice, or the prescriber states otherwise. B. Release of medications to the resident or resident's responsible party shall be documented on the MEDICATION DISPOSITION FORM and include the quantity released, medication, strength, dose, and directions for use. C. All non -controlled drugs that are eligible for disposal are placed in an approved waste container properly labeled as . The provider pharmacy is contacted if the facility is unsure of proper disposal methods for a medication.* D. Medication destruction occurs only in the presence of two licensed nurses or one licensed nurse and a pharmacist and is documented on the MEDICATION DISPOSAL FORM. E. Controlled substances are retained in a securely locked area with restricted access. (see IE1: CONTROLLED MEDICATION DISPOSAL).* F. All controlled drugs are placed in an approved waste container properly labeled as medication waste or pharmaceutical waste. The container shall be sealed and scheduled for destruction via the facility's approved waste hauler. G. The RN and pharmacist witnessing the destruction ensures that the following information is entered on the controlled drug record or on a medication disposition form (see Form 11: CONTROLLED DRUG RECORD): 1) Date of destruction 2) Resident's name 3) Name and strength of medication 4) Prescription number 5) Amount of medication destroyed 6) Signatures of witnesses PHARMACY ADVANTAGE 73 Effective Date: April 1, 2008