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<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Hopefully this helps answer your questions,</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>When you ask about hazardous drugs, there
are RCRA hazardous, and also NIOSH/OSHA hazardous.  Joint Commission also has a
new acute healthcare standard in </span></font><font color=blue><span
 style='color:blue'>EOC</span></font><font color=blue><span style='color:blue'>
(EC.02.02.01.08:  The hospital minimizes risks associated with disposing of
hazardous medications. (See also MM.01.01.03, EPs 1, 2, 3)</span> which
mentions hazardous medications but does not define hazardous.  In the most
basic definition, hazardous can mean: &#8216;capable of causing harm to humans
or the environment&#8217;.  </span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Please remember medical waste is not
hazardous waste.  Medical waste is either infectious waste, or biomedical waste/biohazardous;
all synonymous.  Hazardous waste is it&#8217;s own category of &#8216;solid&#8217;
waste at the federal level.  Many people refer to red-bag waste as hazardous
because they are not aware of the legal difference, in case that is part of
your question.  Your state could possibly cover medical waste under their
hazardous waste regulations, but in </span></font><font color=blue><span
  style='color:blue'>Delaware</span></font><font color=blue><span
style='color:blue'>, that is not the case.</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Just to give an example, we have 3000
formulary items and approximately 11% we have deemed as &#8220;hazardous&#8221;
when disposed of.  Guidance used to evaluate &#8216;hazard&#8217; was taken
from different sources;</span></font></p>

<p class=MsoNormal style='margin-left:.5in;text-indent:-.25in'><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>1)<font
size=1 face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font color=blue><span style='color:blue'>RCRA
listed or characteristic waste (complex process to evaluate)</span></font></p>

<p class=MsoNormal style='margin-left:.5in;text-indent:-.25in'><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>2)<font
size=1 face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font color=blue><span style='color:blue'>NIOSH
special handling list (i.e. antineoplastic agents) found at http://www.cdc.gov/niosh/docs/2004-165/2004-165d.html</span></font></p>

<p class=MsoNormal style='margin-left:.5in;text-indent:-.25in'><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>3)<font
size=1 face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font color=blue><span style='color:blue'>OSHA technical
manual (</span></font><font size=2 color=black face=Tahoma><span
style='font-size:9.5pt;font-family:Tahoma;color:black'><a
href="http://www.osha.gov/dts/osta/otm/otm_vi/otm_vi_2.html"
title="CHAPTER 2. CONTROLLING OCCUPATIONAL EXPOSURE TO HAZARDOUS DRUGS">CHAPTER
2. CONTROLLING OCCUPATIONAL EXPOSURE TO HAZARDOUS DRUGS</a>)</span></font></p>

<p class=MsoNormal style='margin-left:.5in;text-indent:-.25in'><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>4)<font
size=1 face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font color=blue><span style='color:blue'>PharmEcology
review classified &#8216;hazardous&#8217; pharmaceuticals, i.e. endocrine
disruptors, anti-virals, hormones, anti-retrovirals etc.</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>There are other solid wastes that can be
considered hazardous by EPA standards; i.e. laboratory solvents etc.</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>&nbsp;</span></font></p>

<p class=MsoNormal><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>I have profile lists we have developed here
for proper hazardous waste disposal that I can provide as examples upon request
but they will be site specific; we have a rather large formulary so I would
imagine some of the more frequently used pharmaceuticals will be on our lists. 
The guide found at this link was paramount to our development of our program
which we are still rolling out; <a
href="http://www.hercenter.org/hazmat/tenstepblueprint.pdf">http://www.hercenter.org/hazmat/tenstepblueprint.pdf</a>.
 This guide was in-part funded by an EPA grant.</span></font></p>

<div>

<p><font size=3 color=blue face="Times New Roman"><span style='font-size:12.0pt;
color:blue'>Good luck,  let me know if there are any other questions;</span></font></p>

<p><font size=3 color=blue face="Times New Roman"><span style='font-size:12.0pt;
color:blue'>Marcus Suhr, CSP<br>
Occupational Safety Specialist<br>
Christiana Care Health Services<br>
Occupational Safety Department, Office L840J<br>
</span></font><font color=blue><span style='color:blue'>4755 Ogletown-Stanton
  Road</span></font><font color=blue><span style='color:blue'><br>
</span></font><font color=blue><span style='color:blue'>Newark</span></font><font
 color=blue><span style='color:blue'>, </span></font><font color=blue><span
  style='color:blue'>DE</span></font><font color=blue><span style='color:blue'>
 </span></font><font color=blue><span style='color:blue'>19718</span></font><font
color=blue><span style='color:blue'><br>
302-733-3787 (office) <br>
302-573-7662 (pager)<br>
302-733-3771 (fax)<br>
<a href="mailto:MSuhr@christianacare.org">MSuhr@christianacare.org</a> </span></font></p>

<p style='margin-left:.5in'><i><font size=3 color=blue face="Times New Roman"><span
lang=DE style='font-size:12.0pt;color:blue;font-style:italic'>Alle Ding' sind
Gift, und nichts ohn' Gift; allein die Dosis macht, daß ein Ding kein Gift ist.</span></font></i><font
color=blue><span lang=DE style='color:blue'> <br>
</span>&quot;All things are poison and nothing is without poison, only the dose
permits something not to be poisonous.&quot; - Paracelsus </font></p>

</div>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'>-----Original Message-----<br>
<b><span style='font-weight:bold'>From:</span></b> Sue Dayton
[mailto:sdayton@swcp.com] <br>
<b><span style='font-weight:bold'>Sent:</span></b> </span></font><font size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>Wednesday,
 February 17, 2010</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'> </span></font><font
 size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>7:09 AM</span></font><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><br>
<b><span style='font-weight:bold'>To:</span></b>
pharmwaste@lists.dep.state.fl.us; 'Tenace, Laurie'<br>
<b><span style='font-weight:bold'>Subject:</span></b> [Pharmwaste] Question
about haz med waste</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Good morning!</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>I need help. Can anyone on this list
serve send me information re: the following: </span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:1.0in;text-indent:-.25in'><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>1.<font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>List of pharmaceutical drugs classified as hazardous.</span></font></p>

<p class=MsoNormal style='margin-left:1.0in;text-indent:-.25in'><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>2.<font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>List of chemotherapeutical chemicals classified as
hazardous.</span></font></p>

<p class=MsoNormal style='margin-left:1.0in;text-indent:-.25in'><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>3.<font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></font></span></font><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>Any other type of medical waste that may be
classified or considered hazardous waste.</span></font></p>

<p class=MsoNormal style='margin-left:.75in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Thank you in advance! </span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Best &#8211;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Sue Dayton</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Blue Ridge Environmental Defense
League</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
  style='font-size:10.0pt;font-family:Arial'>North Carolina</span></font><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'> Healthy
Communities Program</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
 style='font-size:10.0pt;font-family:Arial'>PO</span></font><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'> </span></font><font
  size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>BOX</span></font><font
 size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'> 44</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
  style='font-size:10.0pt;font-family:Arial'>Saxapahaw</span></font><font
 size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>, </span></font><font
  size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>NC</span></font><font
 size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'> </span></font><font
  size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>27340</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>(336) 525-2003</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'><a href="mailto:sdayton@swcp.com">sdayton@swcp.com</a></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>&nbsp;</span></font></p>

<div>

<p class=MsoNormal style='margin-left:.5in'><em><i><font size=3
face="Palatino Linotype"><span style='font-size:12.0pt;font-family:"Palatino Linotype"'>Our
lives begin to end the day we become silent about things that
matter.&nbsp;&nbsp; -&nbsp; Martin Luther King Jr.</span></font></i></em></p>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face=Arial><span
style='font-size:12.0pt;font-family:Arial'>&nbsp;</span></font></p>

</div>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>&nbsp;</span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>&nbsp;</span></font></p>

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