[Pharmwaste] Silent Knight pill crusher

[Margaret Hemauer]

Yes, we are required to follow this in Long term care as well.

Continued blessings,
Margaret
 
 
Margaret Hemauer, ACC MA LNH
The Good Samaritan Society
Network 30 Q/PI Consultant
Address: 2111 Cohansey Blvd. Roseville, MN 55113
Office:  605-362-5513
Mobile: 605-214-5390

-----Original Message-----
From: Grasso, Cheri [mailto:Cheri.Grasso at kingcounty.gov] 
Sent: Thursday, January 05, 2012 2:10 PM
To: Grasso, Cheri; Tenace, Laurie; pharmwaste at lists.dep.state.fl.us
Cc: Margaret Hemauer
Subject: RE: [Pharmwaste] Silent Knight pill crusher

          Here's the attachment of pills that shouldn't be crushed.

Cheri Grasso 
Pharmaceuticals Project 
Local Hazardous Waste Management Program in King County
130 Nickerson Street, Suite 100 | Seattle, WA  98109 | 206-263-3089
Local Governments for Health and the Environment www.lhwmp.org 
Protect our Kids, Families, the Environment  www.takebackyourmeds.org


-----Original Message-----
From: Grasso, Cheri 
Sent: Thursday, January 05, 2012 12:09 PM
To: 'Tenace, Laurie'; pharmwaste at lists.dep.state.fl.us
Cc: 'Margaret Hemauer'
Subject: RE: [Pharmwaste] Silent Knight pill crusher 

The Silent Knight pill crusher is designed to allow patients to crush pills before taking them. Time release medications should not be crushed. Attached is a list of medicines from the Institute for Safe Medication Practices that should never be crushed before ingestion.  

Crushing medicines, even the non time-release medicines, prior to disposal is very risky advice. Because trash cans at the curb are not secure, residents have been given advice on how to disguise medicines in an attempt to prevent theft.  Some recommendations include crushing the pills before mixing them with kitty litter or coffee grounds, but this could be harmful, and we hope others stop using this advice. Among other problems, the "crusher" could inhale dust from the crushed pills or get the medicine on their skin or spill the ground-up pills in their home, exposing other family members to the pills.  It is also impractical for large volumes of waste medicines. Exposure risk from crushing certain drugs can lead to a potential higher, more toxic concentration than the therapeutic doses prescribed to the patient.

Cheri

Cheri Grasso 
Pharmaceuticals Project 
Local Hazardous Waste Management Program in King County
130 Nickerson Street, Suite 100 | Seattle, WA  98109 | 206-263-3089
Local Governments for Health and the Environment www.lhwmp.org 
Protect our Kids, Families, the Environment  www.takebackyourmeds.org


-----Original Message-----
From: Tenace, Laurie [mailto:Laurie.Tenace at dep.state.fl.us] 
Sent: Thursday, January 05, 2012 8:53 AM
To: pharmwaste at lists.dep.state.fl.us
Cc: 'Margaret Hemauer'
Subject: [Pharmwaste] Silent Knight pill crusher and also need help with Colorado drug regs 

Can a list serve member in Colorado please contact Margaret Hemauer at mhemauer at good-sam.com? She has questions about drug regulations in that state.

Margaret also told me about a device I wasn't aware of, the Silent Knight pill crusher: http://www.healthykin.com/p-3765-silent-knight-pill-crusher.aspx?gclid=CLCblPX4tq0CFdKR7QodbBMelQ.


Thanks,
Laurie

Laurie Tenace
Environmental Specialist III
Waste Reduction Section
Florida Department of Environmental Protection
2600 Blair Stone Rd., MS 4555
Tallahassee FL 32399-2400
P: 850.245.8759
F: 850.245.8811
Laurie.Tenace at dep.state.fl.us
Mercury: http://www.dep.state.fl.us/waste/categories/mercury/default.htm
Batteries: http://www.dep.state.fl.us/waste/categories/batteries/default.htm
Pharmaceuticals:  http://www.dep.state.fl.us/waste/pharm/






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