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Horortlous Woste Monopement Section <br /> 11 <br /> ///��� Im ortant Re ulrements to gentemper far Ex <br /> Hozordous Wpzte Monopement Section Pha'Inaceutical Containers <br /> 'red N -C t II 0 Pharmaceutical,8 E <br /> Thee�ired pharmaceutical or otherproduct must be in its original container. <br /> I. Plate expired pM1armateuticals in lM1e rigid plastic container with light feting lid.The container • Thmp <br /> e <br /> must also be labeled with the appropriate label(see below). Waste and Canill n liquid pharmaceuticals)bottles are not r¢quir¢d to b¢managed as hazardous <br /> • Duetothe canoe Placed in the general trash. <br /> bility in hospital need each hospital can have multiple containers(labeled <br /> properly)or request mom.frequent waste pick-ups. <br /> • If You havequestion on. <br /> ex <br /> (HSEn•b f Id S Aired non-controlled pharmaceuticals,contact the HSE group <br /> — M <br /> Section 3.3.2:Hazardous Expired Controlled Substances <br /> Hazardous controlletl substances are expired pharmaceuticals included on the list in Appendix A.These <br /> substances should be in their original <br /> with DEA manufacturer's packaging and must be managed in accordance - <br /> Conta_ InersThe prat-'s--Storing and disposing of hazardous controlled substances are <br /> Z. Ensurethe container label is completed with the required elements(see Section 3.9.1), Provided bI <br /> including the <br /> hospital <br /> iated w.,barNh the waste.Also,indicate thestale <br /> (iethatwaorsoliste efirst annindication <br /> 1 Upon <br /> po idetifyingthat a container of hazardous controlled Pharmaceuticals(Appendix A)has <br /> P place the expired controlled substance into a sealable plastic bag.A separate bag <br /> container,since the prior waste pick-up. should be used for each type of pharmaceutical,but multiple containers of the substance can be <br /> 3. Aher[he wastes in the container are picked up by the waste vendor,the label must be removed a stored in the bag.The container must also be labeled with the appropriate label(see below). <br /> and replaced with a new label that is completed with the hospital information and the new A �. Ensure the container label is completed with the required elements(see Section 3.9.1), <br /> date that waste is placed in the container. ncluding the hospital number and address,physical state(i.e.,liquid or solid),and an indication <br /> Daily Vace'ne Aaum It C lalners: , of haza rds associated with t he waste.Also,indicate the date that waste was first placed in the <br /> Due to the large number of vac it es tontainer,since the prior waste pickup. <br /> H c used each day,tlailyaaumulation containers can be utilizetl in the <br /> treatment no,The following requirements must be met for the daily accumulation containers: 3. Place the labeled bag(,)into the assigned veterinarian's locked Controlled Substances Drawer <br /> • The container is for storage. <br /> • The ced with a closing lid; <br /> ontainer i5 labeled with the Expired Rx label,and all of the required elements are Rlledin _ <br /> (see Section 3.4.11,with the Accumulation Start Date line noting"Daily Accumulation Only;"an0 _ <br /> • Thecontainer is emptied into the main expired non-controlletl pharmaceutical container at the <br /> end of each day. <br /> kk <br /> a .^ <br /> Am <br /> t 1 �� • <br /> Wy. <br /> Hozordous Wife Monopement Section <br /> ,do <br /> Hozous Wosre Monopement Sect 0. Contact[M1e M1axardous waste ventlor(see Quick Rekrenca Guide at the front of the WMP)to <br /> schedule a pickup wil-eo days. <br /> nt Re9u to Remember for Hazardous Exolred Controlled gupstanus: �. <br /> ^~ <br /> m the expiretl M1azardous controlled pharmaceutical or other product mus[be in its original r� <br /> • <br /> contains' <br /> The assigned veterinarian must remain in control of the expired hall rdous controlled \" <br /> Pharmaceutical,Until re[eased to the hazardous waste vendor with proper documentation. <br /> • If you have questions regarding expired controlled pha rmaceuticals,contact the HSE group I 4. Ensure the container label is completed with therequired element,(See Section 3.9.1), <br /> IHSElabanfeld mm). ncluding the hospital number and address,physical State(i.e.,liquid or solid),and an <br /> Sectio <br /> indication of hazards associated with the waste.The label must be dated for the date that <br /> n 3.3.3:Waste Pharmaceuticals dice was first placed in the container. <br /> Waste Pharmaceuticals consist of unused dispensed drugs(such az propofol in a syringe),dropped or w <br /> discarded pills,no,controlled pharmaceuticals from damaged containers,spilled drugs,or any other 1 B. After the wast es in the container are picked up by the waste vendor,the label must be <br /> Pharmaceutical that is unusable,with the exception of expired non-controlled pharmaceuticals(see I' removed and replaced with a new label that is completed with the hospital information and <br /> Section 3.3.1).Waste pharmaceuticals may have any of the hazardous characteristics of igni[abdi[y, the new date that waste is placed in the container. <br /> c lily,and/ortoxicity.Asa matter of policy,Banfield will dispose of all non-controlled waste ImnortantR <br /> pharmaceuticals as hazardouswasts. �.drement R_mberfor Waste Pharmaceuticals: <br /> Additionally,other wastes that should be placed in a sealable plastic bag,labeled,and placed in the • The waste pharmaceutical will not be in its original container and must be ina as plastic <br /> Propofol Hazardous Waste Container include the following: bag before being placed in the Container. <br /> • Spilled immersion oil or tissue marking dye - • If you have questions regarding waste pharmaceuticals,contact the HSE <br /> • Used Twindicator steam indicator strips (HSErdb f Itl group <br /> ) <br /> • Used silver nitrate sticks(entire package) Section 3.3.4:Gram&Differential Stains,Iso <br /> propyl Alcohol,and Methanol <br /> Containers 8 sorra.•The protocols for storin This waste stream consists of wastes exhibiting the ignitibility characteristic,which includes the <br /> below. 6 and disposing of waste pharmaceuticals are provided following: <br /> 1. Waste liquid pharmaceulicals,such as propofol,must be stabilized in cat litter,either by • Waste gram and differential stain fixative(methanol) <br /> discharging extra pharmaceuticals from syringes into a small sealable plastic bag containin • Waste isopropyl alcohol(IPA) <br /> litter or using cat litter or a paper towel to clean uspillIncluding bg tat Animal Odor Eliminator 5 <br /> and placing in a sealable plastic bag.A different Plastic ba roken bottles if present, • pray <br /> pharmaceuticals are generated. 6must be used each time waste Hand Sanitiser <br /> 2. Solid pharmaceuticals should not be m ixed with the propofol or other liquid Pharmaceuticals <br /> and kiny litter,but Instead should be placed direct) Containers&Storage,The protocols for storing and disposing of ignitable wastes are provided helot, <br /> and placed in the Propofol)Hazartlous Waste Container,ta a small sealable plastic bag,labeled, 1. Expired or contaminated gram Stain,odor elimination s <br /> 3. Label the plastic ba be ed in the Gram Stain Pray,or waste isopropylacohol shoidd <br /> g with the contents and lace in the rigid lactic container with tight fitting Pour container(see below). <br /> lid.The container must also be labeled with the a gI P g g <br /> appropriate label(see below). <br /> i"q� <br />