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0 <br />DAMERON HOSPITAL ASSOCIATI <br />DEPARTMENT: Interdisciplinary <br />Page 2 OF 4 <br />REFERENCE# 5010 <br />SUBJECT: Toxic Waste Management <br />EFFECTIVE DATE: 11/20/97 <br />FILING INSTRUCTIONS: Place in Departmental Policy <br />Binders <br />REVISION DATE(S): 6/15/01GA:ra <br />4/2/02GA:ra, 10/17/02, 5/27/03 <br />APPROVED BY: See last page <br />REVIEW DATE: <br />Carboplatin <br />. VePesid <br />• Folex <br />• Paraplatin <br />Floxuridine <br />. Rheumatrex <br />Carmustine <br />• FUDR <br />Mitoxantrone <br />• BCNU, BiCNU <br />Fludarabine <br />• Novantrone <br />Cisplatin <br />• Fludara <br />Plicamycin <br />• Platinol -AQ <br />Fluorouracil <br />• Mithramycin <br />Cytarabine <br />• 5 -FU, Adrucil <br />• Mithracin <br />• Cytosine <br />. Efudex <br />Procarbazine <br />arabinoside <br />• Fluoroplex <br />• Matulane <br />• Ara -C <br />Ganciclovir <br />Thiotepa <br />• Cytosar-U <br />• Cytovene <br />• Thioplex <br />Dactinomycin <br />Hydroxyurea <br />Vinblastine <br />• Actinomycin D <br />• Hydrea <br />• Velban <br />• Cosmegen <br />Idarubicin <br />Vincristine <br />Danorubicin liposomal <br />• Idamycin <br />• Oncovin <br />• Daunoxom <br />Ifosfamide <br />Vinorelbine <br />Daunorubicin <br />• Ifex <br />• Navelbine <br />• Daumomycin <br />• Cerubidine <br />4. Once the chemotherapy waste has been placed in the proper container, it will be removed from the <br />pharmacy. If waste is TRACE, it will taken to the yellow barrels in the room adjacent to the Histology <br />Lab. If waste is HAZARDOUS, the inventory log will be given to the Risk Manager, who will direct <br />transport of the waste to the appropriate site for final disposition <br />5. Tracking documents of medical waste sent for disposal will be kept by Risk Manager. <br />C. Hazardous waste <br />1. These are waste pharmaceuticals that meet the federal (EPA) definitions for a "listed" waste or a <br />"characteristic" waste contained in the federal Resource Conservation and Recovery Act (RCRA). <br />These are often referred to as "RCRA wastes". These must be handled as "true" hazardous wastes <br />and not medical wastes. For our purposes, bulk chemo waste and other "RCRA' wastes listed on the P <br />or U list of hazardous wastes and wastes that are ignitable (flammable) or corrosive would fall into this <br />category. Some examples are "pourable" (bulk) quantities of certain chemotherapeutic and <br />antineoplastic agents; flammables such as isopropyl alcohol or ethyl alcohol; compressed gases, such <br />as charged inhalers; and corrosives such as glacial acetic acid or potassium hydroxide. These wastes <br />must be segregated from other wastes (e.g., medical or solid wastes) and disposed of through a <br />licensed hazardous waste management firm. <br />Drugs listed as Hazardous Waste <br />0089 <br />56531 <br />Diethylstilbestrol <br />P042 <br />51434 <br />Epinephrine <br />U132 <br />70304 <br />Hexachlorophene (HCP) <br />0129 <br />58899 <br />Lindane <br />P075 <br />54115 <br />Nicotine <br />P081 <br />55630 <br />Nitroglycerin <br />P047,U188 <br />108952 <br />Phenol <br />P204 <br />57476 <br />Physostigmine <br />U182 <br />50555 <br />Reserpine <br />P00l <br />81812 <br />Warfarin <br />