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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Also see at the bottom of the page:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><a
href="http://www.deadiversion.usdoj.gov/pubs/brochures/stimulant/stimulant_abuse.htm#h">http://www.deadiversion.usdoj.gov/pubs/brochures/stimulant/stimulant_abuse.htm#h</a>
<o:p></o:p></span></font></p>
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<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>Stevan Gressitt, M.D., Medical Director</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>Office of Adult Mental Health Services</span></font><font
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<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>Department of Health and Human Services</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><st1:place w:st="on"><st1:PlaceName
w:st="on"><font size=2 color="#993366" face="Goudy Old Style"><span
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size=2 color="#993366" face="Goudy Old Style"><span style='font-size:10.0pt;
font-family:"Goudy Old Style";color:#993366'> <st1:PlaceType w:st="on">Building</st1:PlaceType></span></font></st1:place><font
size=2 color="#993366" face="Goudy Old Style"><span style='font-size:10.0pt;
font-family:"Goudy Old Style";color:#993366'>, 2nd Floor</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>11 State House Station</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><st1:Street w:st="on"><st1:address
w:st="on"><font size=2 color="#993366" face="Goudy Old Style"><span
style='font-size:10.0pt;font-family:"Goudy Old Style";color:#993366'>32
Blossom Lane</span></font></st1:address></st1:Street><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><st1:place w:st="on"><st1:City
w:st="on"><font size=2 color="#993366" face="Goudy Old Style"><span
style='font-size:10.0pt;font-family:"Goudy Old Style";color:#993366'>Augusta</span></font></st1:City><font
size=2 color="#993366" face="Goudy Old Style"><span style='font-size:10.0pt;
font-family:"Goudy Old Style";color:#993366'>, <st1:State w:st="on">ME</st1:State>
<st1:PostalCode w:st="on">04333-0011</st1:PostalCode></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>Ph: (207)287-4273</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span lang=FR style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>Fax: (207)287-1022</span></font><font color=navy><span lang=FR
style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span lang=FR style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>Cell Phone: (207) 441-0291</span></font><font color=navy><span
lang=FR style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#993366"
face="Goudy Old Style"><span lang=FR style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'>E-Mail : </span></font><font size=2 color="#993366"
face="Goudy Old Style"><span style='font-size:10.0pt;font-family:"Goudy Old Style";
color:#993366'><a href="mailto:stevan.gressitt@maine.gov"
title="mailto:stevan.gressitt@maine.gov"><span lang=FR>stevan.gressitt@maine.gov</span></a></span></font><font
size=2 color="#993366" face="Goudy Old Style"><span lang=FR style='font-size:
10.0pt;font-family:"Goudy Old Style";color:#993366'><o:p></o:p></span></font></p>
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face="Goudy Old Style"><span style='font-size:9.0pt;font-family:"Goudy Old Style";
color:blue'><a href="http://www.maine.gov/dhhs/mh/"><span lang=FR>http://www.maine.gov/dhhs/mh/</span></a></span></font></u><font
color=navy><span lang=FR style='color:navy'><o:p></o:p></span></font></p>
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face="Times New Roman"><span lang=FR style='font-size:12.0pt;color:navy'> <o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in;text-align:justify'><em><b><i><font
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color=black face="Goudy Old Style"><span style='font-size:8.0pt;font-family:
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(DHHS) does not discriminate on the basis of disability, race, color, creed,
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as amended, the Age Discrimination Act of 1975, Title IX of the Education
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requests for additional information regarding the <u1:place w:st="on"><u1:City w:st="on"><st1:City
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may be forwarded to DHHS’ ADA Compliance/EEO Coordinators, <u1:address w:st="on"><u1:Street w:st="on"><u1:Street w:st="on"><u1:address w:st="on"><st1:address
w:st="on"><st1:Street w:st="on">11 SHS-221 State Street</u1:address></u1:Street></u1:address></u1:Street></st1:Street>,
<u1:City w:st="on"><st1:City w:st="on">Augusta</u1:City></st1:City>, <u1:State w:st="on"><st1:State
w:st="on">Maine</u1:State></st1:State> <u1:PostalCode w:st="on"><st1:PostalCode
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10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<div>
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<p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;font-weight:bold'>From:</span></font></b><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b><span style='font-weight:
bold'>On Behalf Of </span></b>Tenace, Laurie<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, July 13, 2009 12:04
PM<br>
<b><span style='font-weight:bold'>To:</span></b> William More;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] Re:
Pharmwaste Digest, Vol 45, Issue 3</span></font><o:p></o:p></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face="Times New Roman"><span
style='font-size:11.0pt;color:#1F497D'>We have been asked this question in the
past and below is the response we developed with help from the Florida
Department of Health: <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'>Thank
you for your inquiry about how a school should dispose of student medicines
that have not been claimed by the parent/guardian at the end of a school
year. We collaborated at an earlier date about this question with
colleagues in the Florida Department of Health and the Florida Board of
Pharmacy to ensure that our guidance agreed with their applicable regulations
as well as our agency’s regulations.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'>
First and foremost, the school should make sure that our disposal
recommendations (below) do not conflict with any specific policies or
procedures of their school or school district. The school may have liability,
insurance, etc. concerns of which we are not aware that warrant or mandate a
different method of disposal of these medications. If there is a specific
policy for the school or school district, that policy should be followed.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'>
Absent a specific school or school district policy or procedure, we recommend
that the school make a good effort to return these unused medications to the
parent/guardian (not to the student due to the potential for misuse and its
attendant liability for the school). If the school can get them back to the
parents, provide the parents with a copy of our disposal guidance (attached). <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'>
For those medications that, for whatever reason, the school cannot get back to
the parents, the school should follow our disposal guidance (attached).
That disposal guidance recommends disposal of the medications in the trash,
after taking precautions to prevent intentional or unintentional misuse.
Those precautions include removing the patient name and prescription number
from the label; mixing in a substance to render the medication unusable or
unrecognizable; and sealing and disguising the medication
container. These medications should not be flushed down a toilet or
a drain. <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=2 face=Consolas><span style='font-size:10.5pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Our unused medication disposal guidance and other information is
available on our medications web in English and Spanish at <a
href="http://www.dep.state.fl.us/waste/categories/medications">http://www.dep.state.fl.us/waste/categories/medications</a>.</span></font><font
size=2 color="#1f497d"><span style='font-size:11.0pt;color:#1F497D'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face="Times New Roman"><span
style='font-size:11.0pt;color:#1F497D'><o:p> </o:p></span></font></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
0in;margin-left:.5in;margin-bottom:.0001pt'><b><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma;font-weight:bold'>From:</span></font></b><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b><span style='font-weight:
bold'>On Behalf Of </span></b>William More<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, July 13, 2009 11:44
AM<br>
<b><span style='font-weight:bold'>To:</span></b>
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> [Pharmwaste] Re:
Pharmwaste Digest, Vol 45, Issue 3<o:p></o:p></span></font></p>
</div>
</div>
<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
0in;margin-left:.5in;margin-bottom:.0001pt'><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'>Does anyone know what School Nurses
do with left over prescriptions at the end of the school
term/year? Epipens? Inhalers? Drugs? Is anyone aware of a school
district disposing of the same? Were they properly disposed?
Epipens are also Sharps?<o:p></o:p></span></font></p>
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