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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'>Hi all,<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'>As many of you know, I’ve worked in the healthcare pollution prevention arena for (yikes!) 15 years now. One LTC facility I worked with was using a blender to “disguise” pills. We found that in addition to short dosing for new meds, that an automated dispensing instrument, the Talyst, could reduce their medication waste, saving about $20K per year. I would encourage LTC facilities, along with their supplying pharmacy to look into this type of instrumentation. A waiver from their local board of pharmacy may be needed. Also, this can be worked in despite the “patient choice” caveat with Medicare/Medicaid.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Very truly yours,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Catherine Zimmer, MS, BSMT<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Industry Leader, Environment of Care<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>PSC Healthcare Services<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Office: 651.645.7509<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Mobile: 713.829.6365<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="http://www.pscnow.com/"><span style='color:blue'>www.pscnow.com</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="mailto:Catherine.zimmer@pscnow.com"><span style='color:blue'>Catherine.zimmer@pscnow.com</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#65C060'>Live green now!<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#65C060'>Reduce, reuse, repair, recycle.<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Stevan Gressitt<br><b>Sent:</b> Thursday, January 05, 2012 6:48 PM<br><b>To:</b> Grasso, Cheri<br><b>Cc:</b> Tenace, Laurie; pharmwaste@lists.dep.state.fl.us; Margaret Hemauer<br><b>Subject:</b> Re: [Pharmwaste] Silent Knight pill crusher<o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal style='margin-bottom:12.0pt'>Select Options<o:p></o:p></p><div><p class=MsoNormal>Silent Knight Pill Crusher - $93.95<o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal> <o:p></o:p></p></div><div><p class=MsoNormal>Silent Knight Pouches, Box of 1000 - $37.95 <o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>Hard for mre to see many families shelling ou t for one of these things anyway.... <o:p></o:p></p></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal>On Thu, Jan 5, 2012 at 3:10 PM, Grasso, Cheri <<a href="mailto:Cheri.Grasso@kingcounty.gov">Cheri.Grasso@kingcounty.gov</a>> wrote:<o:p></o:p></p><p class=MsoNormal style='margin-bottom:12.0pt'> Here's the attachment of pills that shouldn't be crushed.<br><br>Cheri Grasso<br>Pharmaceuticals Project<br>Local Hazardous Waste Management Program in King County<br>130 Nickerson Street, Suite 100 | Seattle, WA 98109 | <a href="tel:206-263-3089">206-263-3089</a><br>Local Governments for Health and the Environment <a href="http://www.lhwmp.org" target="_blank">www.lhwmp.org</a><br>Protect our Kids, Families, the Environment <a href="http://www.takebackyourmeds.org" target="_blank">www.takebackyourmeds.org</a><br><br><br>-----Original Message-----<br>From: Grasso, Cheri<br>Sent: Thursday, January 05, 2012 12:09 PM<br>To: 'Tenace, Laurie'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>Cc: 'Margaret Hemauer'<br>Subject: RE: [Pharmwaste] Silent Knight pill crusher<br><br>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.<br><br>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.<br><br>Cheri<br><br>Cheri Grasso<br>Pharmaceuticals Project<br>Local Hazardous Waste Management Program in King County<br>130 Nickerson Street, Suite 100 | Seattle, WA 98109 | <a href="tel:206-263-3089">206-263-3089</a><br>Local Governments for Health and the Environment <a href="http://www.lhwmp.org" target="_blank">www.lhwmp.org</a><br>Protect our Kids, Families, the Environment <a href="http://www.takebackyourmeds.org" target="_blank">www.takebackyourmeds.org</a><br><br><br>-----Original Message-----<br>From: Tenace, Laurie [mailto:<a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a>]<br>Sent: Thursday, January 05, 2012 8:53 AM<br>To: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>Cc: 'Margaret Hemauer'<br>Subject: [Pharmwaste] Silent Knight pill crusher and also need help with Colorado drug regs<br><br>Can a list serve member in Colorado please contact Margaret Hemauer at <a href="mailto:mhemauer@good-sam.com">mhemauer@good-sam.com</a>? She has questions about drug regulations in that state.<br><br>Margaret also told me about a device I wasn't aware of, the Silent Knight pill crusher: <a href="http://www.healthykin.com/p-3765-silent-knight-pill-crusher.aspx?gclid=CLCblPX4tq0CFdKR7QodbBMelQ" target="_blank">http://www.healthykin.com/p-3765-silent-knight-pill-crusher.aspx?gclid=CLCblPX4tq0CFdKR7QodbBMelQ</a>.<br><br><br>Thanks,<br>Laurie<br><br>Laurie Tenace<br>Environmental Specialist III<br>Waste Reduction Section<br>Florida Department of Environmental Protection<br>2600 Blair Stone Rd., MS 4555<br>Tallahassee FL 32399-2400<br>P: <a href="tel:850.245.8759">850.245.8759</a><br>F: <a href="tel:850.245.8811">850.245.8811</a><br><a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a><br>Mercury: <a href="http://www.dep.state.fl.us/waste/categories/mercury/default.htm" target="_blank">http://www.dep.state.fl.us/waste/categories/mercury/default.htm</a><br>Batteries: <a href="http://www.dep.state.fl.us/waste/categories/batteries/default.htm" target="_blank">http://www.dep.state.fl.us/waste/categories/batteries/default.htm</a><br>Pharmaceuticals: <a href="http://www.dep.state.fl.us/waste/pharm/" target="_blank">http://www.dep.state.fl.us/waste/pharm/</a><br><br><br><br><br><br><br>Please take a few minutes to share your comments on the service you received from the department by clicking on this link Copy the url below to a web browser to complete the DEP survey: <a href="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us" target="_blank">http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us</a><br><br><br><br><br><br>---<br>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<br>---<br>TO SUBSCRIBE, go to: <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste" target="_blank">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a><br>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.<br>If you believe you may be subscribed with a different email address, please visit the subscriber listing at <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste" target="_blank">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a><br>FOR PROBLEMS: Contact List Administrator <a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a><br>SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></p></div><p class=MsoNormal><br><br clear=all><br>-- <br>Stevan Gressitt, M.D.<br>Faculty Associate, University of Maine Center on Aging<br>Academic Member, Athens Institute for Education and Research<br>Athens, Greece<br>Medical Director, Umbrella, MHC<br>Founding Director, International Institute for Pharmaceutical Safety<br>University of New England, College of Pharmacy<br>Department of Pharmaceutical Sciences<br>Associate Professor of Clinical Psychiatry<br>University of New England, College of Osteopathic Medicine<br>314 Clark Road<br>Unity, Maine, 04988<br><a href="mailto:gressitt@gmail.com" target="_blank">gressitt@gmail.com</a> <br>Cell: 207-441-0291<br><a href="http://www.benzos.une.edu" target="_blank">www.benzos.une.edu</a><br><a href="http://www.safemeddisposal.com" target="_blank">www.safemeddisposal.com</a><o:p></o:p></p></div></body></html>