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<DIV><div class=WordSection1><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'>Please excuse the cross posting, but I thought this was an important point to share with the list serve about controlled substance disposal for medical facilities. Please note that this email did not originate with me.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'>Laurie<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Laurie Tenace<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>PHARMWASTE LIST SERVE ADMINISTRATOR<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Environmental Specialist III<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Waste Reduction Section<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Florida Department of Environmental Protection<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>2600 Blair Stone Rd., MS 4555<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Tallahassee FL 32399-2400<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>P: 850.245.8759<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>F: 850.245.8811<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Laurie.Tenace@dep.state.fl.us <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Mercury: <a href="http://www.dep.state.fl.us/waste/categories/mercury/default.htm"><span style='color:blue'>http://www.dep.state.fl.us/waste/categories/mercury/default.htm</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Batteries: <a href="http://www.dep.state.fl.us/waste/categories/batteries/default.htm"><span style='color:blue'>http://www.dep.state.fl.us/waste/categories/batteries/default.htm</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Pharmaceuticals: <a href="http://www.dep.state.fl.us/waste/pharm/"><span style='color:blue'>http://www.dep.state.fl.us/waste/pharm/</span></a><o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Times New Roman","serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><o:p> </o:p></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>Hello;<o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>This proposal is NOT for hospitals, as you stated Barbara. We (hospitals) have to remain in a holding pattern until there if further movement from the federal DEA. There is no federal DEA approved method of capturing narcotics in a type of solidifier or dedicated container and rendering them “unrecoverable or destroyed”. The federal DEA has recently advised their field offices not to approve anything like this. <o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>Hospitals have no choice but to continue sewering until there is approval. There may be a very small percentage that have the capacity to use fuel blending with the chain of custody in place, but this is very rare. Some vendors have told their customers to place narcotics in sharps containers. This is NOT legal and with many sharps containers headed to autoclaves, it is ineffective, as well. <o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>Practice Greenhealth knows this is a top issue for hospitals and will keep the community updated as additional information and options become available. Thanks for the notes…. Janet<o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal style='margin-left:.5in'><b><span style='color:#4F6228'>Janet Brown, EDAC<o:p></o:p></span></b></p><p class=MsoNormal style='margin-left:.5in'><b><span style='color:#4F6228'>Director of Facility Engagement<o:p></o:p></span></b></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#4F6228'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#4F6228'>866/598-2110<o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#4F6228'><a href="http://www.practicegreenhealth.org/">www.practicegreenhealth.org</a> <o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#4F6228'>Linked in Profile: </span><span style='color:#1F497D'><a href="http://www.linkedin.com/profile/view?id=39452472&trk=tab_pro">http://www.linkedin.com/profile/view?id=39452472&trk=tab_pro</a></span><span style='color:#4F6228'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='font-size:9.0pt;color:#4F6228'><img alt="cid:image001.jpg@01CC2055.65DC57F0" border=0 height=76 id="_x0000_i1025" src="cid:image001.jpg@01CDEA68.B92F0FE0" width=240></span><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><a href="http://www.cleanmed.org/"><span style='color:#1F497D;text-decoration:none'><img alt="cid:image004.jpg@01CD97DD.494CD0F0" border=0 height=150 id="_x0000_i1026" src="cid:image002.jpg@01CDEA68.B92F0FE0" width=410></span></a><span style='color:#1F497D'><o:p></o:p></span></p></div><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><b><span style='color:#1F497D'>From</span></b><span style='color:#1F497D'>: (clipped)</span><o:p></o:p></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>I reviewed the proposed rule and do NOT see a resolution for hospitals managing controlled substances. There is a proposal to allow co-mingling of non-hazardous pharmaceuticals and controlled substances for take-back programs, but not for hospitals, as they are not deemed as secure as i.e. a retail pharmacy. Any other comments?<o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Barbara Hamilton</span><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Sustainability Manager</span><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Palomar Health</span><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Office: 858-613-4899</span><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Cell: 760-801-5712</span><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'> <o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:green'>Making the connection between human health and the environment...</span></i><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'> <o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><b><span style='color:#1F497D'>Ask me about joining one of our Green Teams!</span></b><span style='color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><a href="http://greenteamblog.edublogs.org/files/2011/02/green_team-21gyb3o.jpg" target="_blank"><span style='font-family:"Arial","sans-serif";color:#0044CC;text-decoration:none'><img alt="http://greenteamblog.edublogs.org/files/2011/02/green_team-21gyb3o.jpg" border=0 height=84 id="_x0000_i1027" src="cid:image003.jpg@01CDEA68.B92F0FE0" width=126></span></a><span style='color:#1F497D'><o:p></o:p></span></p></div><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><div></DIV>
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<DIV STYLE="FONT-FAMILY: Courier New; FONT-SIZE: 9pt"><EM><FONT FACE="Arial" SIZE="2">Please take a few minutes to share your comments on the service you received from the department by clicking on this link <A HREF="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us" TARGET="_blank">DEP Customer Survey</A>.</FONT></EM></DIV>
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<DIV STYLE="FONT-FAMILY: Courier New; FONT-SIZE: 9pt"><p class=MsoNormal style='margin-left:.5in'><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"'> <span style='color:#1F497D'>clipped</span><br><b>Sent:</b> Friday, December 21, 2012 6:40 AM<br><b>To:</b> <o:p></o:p></span></p></div></div><p class=MsoNormal style='margin-left:.5in'><o:p> </o:p></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>Hello;<o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>The topic of controlled substance disposal continues to challenge all. Here is a link to an EPA grant where Albany Medical Center shares their practices for ZERO medication sewering and they have approval to remove narcotics by making them unrecoverable in a sticky substance. I am ccing the author, Dr. Russ Mankes.<o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>Here is a summary of the report: <a href="http://practicegreenhealth.org/sites/default/files/upload-files/pharmaceutical_grant_at_albany_medical_center.pdf">http://practicegreenhealth.org/sites/default/files/upload-files/pharmaceutical_grant_at_albany_medical_center.pdf</a><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>But also go to the page for video and much data and detail on Albany Medical Center’s Program:<o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><a href="http://practicegreenhealth.org/topics/waste/waste-categories-types/pharmaceutical-waste">http://practicegreenhealth.org/topics/waste/waste-categories-types/pharmaceutical-waste</a><o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'>I share the interest of any others that have received approval to move away from sewering. <o:p></o:p></span></p><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal style='margin-left:.5in'><span style='color:#1F497D'><o:p> </o:p></span></p></div></div></DIV></DIV></DIV></BODY></HTML>