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16) 27) 28) Waste <br />Pharmaceuticals <br />0 <br />CORRECTIVE ACTION PLAN <br />Medical Waste Inspection <br />Review of Findings - July 15, 2008 <br />16) 27) 28) Waste <br />pharmaceuticals, are <br />still being stored with <br />other medical waste <br />and not being labeled <br />"incineration only" and <br />not being treated with <br />incineration for waste <br />in the following areas: <br />Mainline Clinic <br />C Physicals and <br />In these areas regular <br />sharps waste is being <br />stored with waste <br />pharmaceuticals (vials <br />& sharps holding <br />residual medication. <br />Immediately, cease <br />this practice & properly <br />segregate store and <br />treat waste <br />pharmaceuticals. <br />Repeat violation. <br />Remove and dispose <br />of all sharps waste that <br />contains <br />pharmaceuticals. <br />Label pharmaceutical <br />containers with <br />"Incineration Only" <br />labels. <br />Dr. Tran shall train <br />pharmacy staff on <br />updated LOP. Proof of <br />practice will be <br />submitted after <br />training. <br />Train nursing on <br />proper disposal of <br />pharmaceuticals. <br />Proof of practice will <br />be submitted after <br />training. <br />Vincent Tran 7/25/08 At the time of the audit, separate <br />white plastic containers, labeled <br />Mike Brady "Incinerate Only", were placed in <br />each area where there is a biowaste <br />container which is utilized to store <br />pharmaceuticals. <br />"Incineration Only" labels were <br />ordered on 7/17/08 to replace prior <br />labels. When the new labels are <br />received, new labels will replace old <br />labels (see attachment). <br />Formal training will be administered <br />to Nursing staff per Mike Brady, <br />Director of Nursing by August 28, <br />2008 regarding the correct <br />procedures for dispensing of <br />pharmaceutical (vials & sharps <br />holding residual medication). <br />Nursing supervisors have been <br />informed of the appropriate <br />procedure. <br />Findings are typed verbatim per auditor's report. 2 <br />