[Pharmwaste] Marking Pharm Waste for Disposal Type

Chapman, Alice Alice.Chapman@METROKC.GOV
Thu, 27 Jan 2005 14:29:19 -0800


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Hello Teresa,
 
In 2003 when our pharmaceutical workgroup was drafting Best Management
Practices, we asked our industry experts about color coding.  We found that
no standards currently exist.  This is seen in the industry:
 

Color

May mean:


Red

Biohazardous, Infectious, Regulated Medical


Yellow, White

Chemotherapy - Trace/Debris or Hazardous Waste


Blue

Chemotherapy-Trace/Debris


Purple, Magenta, Yellow

Radioactive


Dark Blue

Hazardous Waste

 
I love the idea of coding HW status into drug databases such as the one used
by Pyxis.  I'm not aware of anyone doing this, but will check. ac
 
Alice Chapman, PE
Local Hazardous Waste Management Program in King County
130 Nickerson St, #100
Seattle, WA  98109
http://www.govlink.org/hazwaste/ <http://www.govlink.org/hazwaste/> 
 
206-263-3058 phone
206-263-3070 fax

  _____  

From: Tice, Teresa J. [mailto:Teresa.Tice@ParkNicollet.com] 
Sent: Monday, January 24, 2005 9:25 AM
To: pharmwaste@lists.dep.state.fl.us
Subject: [Pharmwaste] Marking Pharm Waste for Disposal Type



Our hospital pharmacy is looking to somehow color code the pharmaceuticals
for hospital patients so that the end user (nurse, other) would know what
container (i.e. hazardous waste container, yellow "chemo" container, etc) to
put it in. We are also looking at putting a message in the "Pixus"
dispensing system to alert the nurse that is taking the drug out that it is
hazardous waste. We are trying to make it easier for the end user to
determine how to dispose of it. Is anyone else doing this? What has worked
for you? What hasn't worked for you. Comments are appreciated.

Teresa Tice 
Safety Manager, EOHS 
Park Nicollet Health Services 
3800 Park Nicollet Blvd 
St. Louis Park, Minnesota 55416 
(952) 993-3957           email: Teresa.Tice@ParkNicollet.com 
Fax (952) 993-3396 


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<DIV dir=3Dltr align=3Dleft><SPAN class=3D585581322-27012005><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>Hello Teresa,</FONT></SPAN></DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D585581322-27012005><FONT =
face=3DArial=20
color=3D#0000ff size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D585581322-27012005><FONT =
face=3DArial=20
color=3D#0000ff size=3D2>In 2003 when our pharmaceutical workgroup was =
drafting Best=20
Management Practices, we asked our industry experts about color =
coding.&nbsp; We=20
found that no standards currently exist.&nbsp; This is seen in the=20
industry:</FONT></SPAN></DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D585581322-27012005><FONT =
face=3DArial=20
color=3D#0000ff size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV dir=3Dltr align=3Dleft><SPAN class=3D585581322-27012005>
<TABLE class=3DMsoTableGrid=20
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  <TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes">
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
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    vAlign=3Dtop width=3D183>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B=20
      style=3D"mso-bidi-font-weight: normal">Color<?xml:namespace =
prefix =3D o ns =3D=20
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/><o:p></o:p></B></P></TD>
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: =
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    vAlign=3Dtop width=3D352>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt"><B=20
      style=3D"mso-bidi-font-weight: normal">May =
mean:<o:p></o:p></B></P></TD></TR>
  <TR style=3D"mso-yfti-irow: 1">
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
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    vAlign=3Dtop width=3D183>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in =
0pt">Red<o:p></o:p></P></TD>
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: #c0c0c0; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; =
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solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; =
mso-border-top-alt: solid windowtext .5pt"=20
    vAlign=3Dtop width=3D352>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt">Biohazardous, =
Infectious,=20
      Regulated Medical<o:p></o:p></P></TD></TR>
  <TR style=3D"mso-yfti-irow: 2">
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
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    vAlign=3Dtop width=3D183>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt">Yellow,=20
    White<o:p></o:p></P></TD>
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: #c0c0c0; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; =
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solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; =
mso-border-top-alt: solid windowtext .5pt"=20
    vAlign=3Dtop width=3D352>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt">Chemotherapy =
&#8211; Trace/Debris=20
      or Hazardous Waste<o:p></o:p></P></TD></TR>
  <TR style=3D"mso-yfti-irow: 3">
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: #c0c0c0; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; =
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    vAlign=3Dtop width=3D183>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in =
0pt">Blue<o:p></o:p></P></TD>
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
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    vAlign=3Dtop width=3D352>
      <P class=3DMsoNormal=20
      style=3D"MARGIN: 0in 0in =
0pt">Chemotherapy-Trace/Debris<o:p></o:p></P></TD></TR>
  <TR style=3D"mso-yfti-irow: 4">
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: #c0c0c0; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; =
BORDER-LEFT: windowtext 1pt solid; WIDTH: 137.45pt; PADDING-TOP: 0in; =
BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; =
mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid =
windowtext .5pt"=20
    vAlign=3Dtop width=3D183>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt">Purple, =
Magenta,=20
      Yellow<o:p></o:p></P></TD>
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: #c0c0c0; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; =
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solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; =
mso-border-top-alt: solid windowtext .5pt"=20
    vAlign=3Dtop width=3D352>
      <P class=3DMsoNormal=20
    style=3D"MARGIN: 0in 0in 0pt">Radioactive<o:p></o:p></P></TD></TR>
  <TR style=3D"mso-yfti-irow: 5; mso-yfti-lastrow: yes">
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
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BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; =
mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid =
windowtext .5pt"=20
    vAlign=3Dtop width=3D183>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt">Dark =
Blue<o:p></o:p></P></TD>
    <TD=20
    style=3D"BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; =
BORDER-TOP: #c0c0c0; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0in; =
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    vAlign=3Dtop width=3D352>
      <P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt">Hazardous=20
      Waste<o:p></o:p></P></TD></TR></TBODY></TABLE></SPAN></DIV>
<DIV><FONT face=3DArial color=3D#0000ff size=3D2></FONT>&nbsp;</DIV>
<DIV><SPAN class=3D585581322-27012005></SPAN><FONT face=3DArial><FONT=20
color=3D#0000ff><FONT size=3D2>I<SPAN class=3D585581322-27012005> love =
the idea of=20
coding HW status into drug databases such as the one used by =
Pyxis.&nbsp; I'm=20
not aware of anyone doing this, but will check.=20
ac</SPAN></FONT></FONT></FONT></DIV>
<DIV><FONT face=3DArial><FONT color=3D#0000ff><FONT size=3D2><SPAN=20
class=3D585581322-27012005></SPAN></FONT></FONT></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial><FONT color=3D#0000ff><FONT size=3D2><SPAN=20
class=3D585581322-27012005>
<DIV align=3Dleft><FONT face=3DArial size=3D2>Alice Chapman, =
PE</FONT></DIV>
<DIV align=3Dleft><FONT face=3DArial size=3D2>Local Hazardous Waste =
Management Program=20
in King County</FONT></DIV>
<DIV align=3Dleft><FONT face=3DArial size=3D2>130 Nickerson St, =
#100</FONT></DIV>
<DIV align=3Dleft><FONT face=3DArial size=3D2>Seattle, WA&nbsp; =
98109</FONT></DIV>
<DIV align=3Dleft><FONT face=3DArial size=3D2><A=20
href=3D"http://www.govlink.org/hazwaste/">http://www.govlink.org/hazwast=
e/</A></FONT></DIV>
<DIV align=3Dleft><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV align=3Dleft><FONT face=3DArial size=3D2>206-263-3058 =
phone</FONT></DIV>
<DIV align=3Dleft><FONT face=3DArial size=3D2>206-263-3070=20
fax</FONT></DIV></SPAN></FONT></FONT></FONT></DIV>
<DIV><BR></DIV>
<DIV class=3DOutlookMessageHeader lang=3Den-us dir=3Dltr align=3Dleft>
<HR tabIndex=3D-1>
<FONT face=3DTahoma size=3D2><B>From:</B> Tice, Teresa J.=20
[mailto:Teresa.Tice@ParkNicollet.com] <BR><B>Sent:</B> Monday, January =
24, 2005=20
9:25 AM<BR><B>To:</B> =
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B>=20
[Pharmwaste] Marking Pharm Waste for Disposal Type<BR></FONT><BR></DIV>
<DIV></DIV><!-- Converted from text/rtf format -->
<P><FONT face=3DArial size=3D2>Our hospital pharmacy is looking to =
somehow color=20
code the pharmaceuticals for hospital patients so that the end user =
(nurse,=20
other) would know what container (i.e. hazardous waste container, =
yellow "chemo"=20
container, etc) to put it in. We are also looking at putting a message =
in the=20
"Pixus" dispensing system to alert the nurse that is taking the drug =
out that it=20
is hazardous waste. We are trying to make it easier for the end user to =

determine how to dispose of it. Is anyone else doing this? What has =
worked for=20
you? What hasn't worked for you. Comments are appreciated.</FONT></P>
<P><FONT face=3DArial size=3D2>Teresa Tice</FONT> <BR><FONT =
face=3DArial size=3D2>Safety=20
Manager, EOHS</FONT> <BR><FONT face=3DArial size=3D2>Park Nicollet =
Health=20
Services</FONT> <BR><FONT face=3DArial size=3D2>3800 Park Nicollet =
Blvd</FONT>=20
<BR><FONT face=3DArial size=3D2>St. Louis Park, Minnesota 55416</FONT> =
<BR><FONT=20
face=3DArial size=3D2>(952)=20
993-3957&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
email:=20
Teresa.Tice@ParkNicollet.com</FONT> <BR><FONT face=3DArial size=3D2>Fax =
(952)=20
993-3396</FONT> =
</P><BR><!--[object_id=3D#SID=3D0105000000000005150000005d6a527cb266cc61=
573c6225e7bf0000#]--><FONT=20
face=3DTahoma size=3D2><FONT color=3D#0000ff>
<P align=3Dcenter>PRIVACY NOTICE: This e-mail message, including any =
attachments,=20
is for the sole use of the intended recipient(s) and may contain =
business=20
confidential and privileged information. Any unauthorized review, use,=20
disclosure or distribution is prohibited. If this e-mail was not =
intended for=20
you, please notify the sender by reply e-mail that you received this in =
error.=20
Destroy all copies of the original message and=20
attachments.</P></FONT></FONT></BODY></HTML>

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