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Management of RCRA/Hazardous Pharmaceutical Waste Page 4 of 7 <br /> Fast-Track Pyxis Medication Station <br /> Radiology Room #3 <br /> CT Scanner Room <br /> Pharmacy Clean Room <br /> Pharmacy Filling- Station <br /> Short Stay Surgery Annex Soiled Utility Room <br /> 2 . Identification/listing of hazardous pharmaceuticals : <br /> a. Alcohol content greater than 24 % <br /> b . Any medication under pressure (e . g. Hurricane) <br /> c . Barium - Barium contrast not used for its intended purpose must be discarded as RCRA <br /> waste ; barium removed from a patient is considered medical (infectious) waste and should <br /> not be placed in the RCRA container. <br /> d. Birth control pills with estrogen or estradiol <br /> e . Bulk chemotherapeutic agents <br /> f. Chlorambucil (Leukeran@) <br /> g . Cyclophosphamide (Cytoxan@, NeosarO) <br /> h. Dinoprostone (CervidilO) <br /> i . Gaseous anesthetic agents <br /> j . Glycopyrrolate (Robinul(D) <br /> k. Hexachlorophene (PhisohexO) <br /> 1 . Immunosuppressants <br /> in . Insulins <br /> n . Inhalers with residual contents : <br /> [e . g . , Ipratropium/Albuterol (Combivent@ Respimat@) , Fluticasone (FloventOO ) ] <br /> o . Itraconazole ( Sporanox@) <br /> p . Lindane <br /> q . Mitomycin (Mutamycin@) <br /> r . Nitroglycerin <br /> s . Oxytocin (Pitocin@) <br /> t. Phenol (Sore Throat Spray@) <br /> u. Physostigmine <br /> v . Reserpine <br /> w . Silver nitrate <br /> X4 Nicotine - Unused or partially used nicotine gum or patches (Nicoderm CQ@) <br /> y . Warfarin ( Coumadin@) <br /> z . Contrast media (Radiology) <br /> aa. Zinc oxide <br /> bb . Hydrogen peroxide <br /> cc. Epinephrine <br /> dd . Povidone- iodine solution <br /> B . Segregation : <br /> 1 . Hazardous pharmaceutical waste is to be separated from other waste types at the point of <br /> disposal by placing into an available RCRA black container . <br /> 2 . Chemotherapy and biotherapy bags/bottles with attached IV tubing and connections , IV <br /> piggyback bags with attached tubing and connections should be placed in chemotherapy <br /> ziplock bags before disposal into the RCRA containers to prevent release of free liquids . <br /> 3 . Chemotherapy and biotherapy pill containers , medicine cups , packaging and all other items <br /> that come into contact with hazardous drugs such as gauze, alcohol wipes, paper drapes and <br /> pads should be placed in specially marked , yellow collection container that is lined with a <br /> ed , boi -z { bad _fcr tl :ace Chez j ) erLjpet:; tic tiT ante . <br /> 4 : Chemotherapy spill items that have become contaminated by chemotherapy biotherapy such <br /> as PPE, linens , patient gowns , mop heads used for spill clean - up should be placed in <br /> chemotherapy ziplock bags before disposal into the RCRA containers . <br /> 5 . Other RCRA waste can be placed directly into the RCRA container . <br /> C . Collection : <br /> http : //dhaltsOl /policy/policy .nsf/2bO l 45f9f8 l 8Obc28725727600642564/ l a6848Oabe9cecfl . . . 3 / 18 /2015 <br />