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POLICY <br />PROCEDURE <br />Appendix 23 <br />ft Section VI <br />MedicationAdministration Specific <br />Expired, unusable, and discontinued medications left in the facility after a <br />patient's discharge, if not qualifying for return to the pharmacy for credit, are <br />destroyed. <br />1. Ointments, creams, and similar substances are disposed of in trash <br />receptacles in the medication room. Tablets, capsules, and liquids are <br />disposed of in an acceptable manner and as required by state regulations. <br />The dispensing pharmacy is contacted if the facility is unsure of proper <br />disposal methods for a medication. <br />2. Controlled substances are destroyed as detailed in the policy and procedures <br />outlined elsewhere in this manual. (pg. 6.37) <br />3. Medication destruction occurs only in the presence of two licensed nurses <br />or one licensed nurse and a pharmacist or as required by state law. <br />4. The nurse or pharmacist witnessing the destruction ensures that at least the <br />following information is entered on the medication disposition form or the <br />Medication Administration Record (MAR) according to facility policy or <br />state regulations: <br />A. Date of inventory (or date dc'd). <br />B. Patient's name. <br />C. Name and strength of medication. <br />D. Name of pharmacy and prescription number (where applicable). <br />E. Amount of medication destroyed. <br />F. Date of destruction. <br />G. Signatures of witnesses. <br />5. The Medication Disposition form is kept on file in the facility for a time <br />period designated by state regulations. <br />Original Date: <br />Revision Date: <br />Medication Destruction <br />page 6.49 <br />03101198 <br />10101103 <br />