<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=Windows-1252">
</head>
<body dir="auto">
<div>I have seen several presentations from Cactus Sink representatives and spoken to them at meetings. Fred's description of use of the product is great confirmation of what their rep's describe.</div>
<div>One of the things I appreciate about Cactus Sink's business model and outreach is their understanding that proper disposal of their unit depends on local laws and regulations for the drugs being disposed. We have discussed how their unit with captured
drugs is often disposed as hazardous waste as Jennifer suggests. A refreshing change from some other companies promoting pill sequestration products as "safe" for other disposal methods that are not appropriate. Cactus Sink does seem to be a better approach
for clinical disposal of controlleds, and I hope it will reduce flushing of those drugs, including unused partial doses in syringes.</div>
<div>Margaret Shield</div>
<div>Local Hazardous Waste Management Program in King County<br>
<div>
<div>cell 206-265-9732</div>
</div>
<div><br>
</div>
<div>iTyped with my iThumbs :-)</div>
</div>
<div><br>
On Jun 20, 2014, at 6:30 AM, "Volkman, Jennifer (MPCA)" <<a href="mailto:jennifer.volkman@state.mn.us">jennifer.volkman@state.mn.us</a>> wrote:<br>
<br>
</div>
<blockquote type="cite">
<div><style>
<!--
@font-face
{font-family:Calibri}
@font-face
{font-family:Tahoma}
@font-face
{font-family:Webdings}
@font-face
{font-family:"Comic Sans MS"}
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:11.0pt;
font-family:"Calibri","sans-serif"}
a:link, span.MsoHyperlink
{color:blue;
text-decoration:underline}
a:visited, span.MsoHyperlinkFollowed
{color:purple;
text-decoration:underline}
span.EmailStyle17
{font-family:"Comic Sans MS";
color:navy;
font-weight:bold;
font-style:normal;
text-decoration:none none}
span.EmailStyle18
{font-family:"Calibri","sans-serif";
color:#1F497D}
.MsoChpDefault
{font-size:10.0pt;
font-family:"Calibri","sans-serif"}
@page WordSection1
{margin:1.0in 1.0in 1.0in 1.0in}
-->
</style>
<div style="direction: ltr;font-family: Calibri;color: #000000;font-size: 12pt;">
I think it would work in MN if the contents were managed as a hazardous waste, it wouldn't fit our interpretation of reverse distribution. It seems like the main value is making controlled substances immediately unlikely to be diverted or sewered. <br>
<div style="font-family: Times New Roman; color: #000000; font-size: 16px">
<hr tabindex="-1">
<div id="divRpF114566" style="direction: ltr;"><font face="Tahoma" size="2" color="#000000"><b>From:</b>
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a>] on behalf of Massoomi, Fred [<a href="mailto:Fred.Massoomi@nmhs.org">Fred.Massoomi@nmhs.org</a>]<br>
<b>Sent:</b> Thursday, June 19, 2014 8:26 AM<br>
<b>To:</b> 'Lotzer Donna M'; '<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>'<br>
<b>Subject:</b> [Pharmwaste] RE: Anyone using Cactus Sink?<br>
</font><br>
</div>
<div></div>
<div>
<div class="WordSection1">
<p class="MsoNormal"><span style="color:#1F497D">Donna-</span></p>
<p class="MsoNormal"><span style="color:#1F497D">We have used the Cactus Sink for about a year now on our patient care units. Almost two years in our IV room.</span></p>
<p class="MsoNormal"><span style="color:#1F497D">We have limited its use for controlled substances waste only. Until we get updated regulations, this system offers a better solution than the alternative (sink or inappropriate use of sharps containers).</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="color:#1F497D">Rational: </span></p>
<p class="MsoNormal"><span style="color:#1F497D">Provides a good process to render unwanted controlled substances irretrievable (versus the sewer and sharps containers).
</span></p>
<p class="MsoNormal"><span style="color:#1F497D">The full cartridges can be picked up by a reverse distributor.</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Our waste hauler for our hospital had no other solution to provide us</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Addresses solids, liquids and patches</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="color:#1F497D">Issues:</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Other items end up in the sink, ie trash, attempts at syringes</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Cleaning, they get messy.</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Only one reverse distributor is assigned to take the full cartridges back, however the company is great to work with.</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Volume capacity for PCA and Epidurals</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="color:#1F497D">Overall:</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Great point of waste system that is small and secure.</span></p>
<p class="MsoNormal"><span style="color:#1F497D">Nursing adaptation was quick and well received.</span></p>
<p class="MsoNormal"><span style="color:#1F497D">The Cactus company has great videos and information to make the system successful.</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<p class="MsoNormal"><span style="color:#1F497D">Please let me know if you need any additional information.</span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<div>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:#1F497D">Firouzan 'Fred' Massoomi, Pharm.D., FASHP</span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial","sans-serif"; color:#1F497D">Nebraska Pharmacists Association</span></b><i><span style="font-family:"Arial","sans-serif"; color:#1F497D"></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:#1F497D">President 2014
</span></i><i><span style="font-size:10.0pt; color:#1F497D"></span></i></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"; color:#1F497D"> </span></p>
<p class="MsoNormal"><b><span style="font-family:"Arial","sans-serif"; color:#1F497D">Nebraska Methodist Hospital</span></b></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:#1F497D">Pharmacy Operations Coordinator</span></i><i><span style="font-size:10.0pt; font-family:"Times New Roman","serif"; color:#1F497D"></span></i></p>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:#1F497D">Department of Pharmacy Services</span><span style="font-size:12.0pt; color:#1F497D"></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"; color:#1F497D">8303 Dodge St.</span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"; color:#1F497D">Omaha, NE 68114</span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"; color:#1F497D"><a href="mailto:fred.massoomi@nmhs.org" title="mailto:fred.massoomi@nmhs.org" target="_blank"><span style="font-size:10.0pt">fred.massoomi@nmhs.org</span></a></span></p>
<p class="MsoNormal"><span style="color:#1F497D"> </span><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:#1F497D">(402) 354-4340 office
</span><span style="color:#1F497D"></span></p>
<p class="MsoNormal"><b><span lang="EN-GB" style="font-size:18.0pt; font-family:Webdings; color:green">P</span></b><b><span lang="EN-GB" style="font-size:7.5pt; font-family:"Arial","sans-serif"; color:green"> How do YOU dispose of unwanted drugs?</span></b><span style="color:#1F497D"></span></p>
</div>
<p class="MsoNormal"><span style="color:#1F497D"> </span></p>
<div>
<div style="border:none; border-top:solid #B5C4DF 1.0pt; padding:3.0pt 0in 0in 0in">
<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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Lotzer Donna M<br>
<b>Sent:</b> Thursday, June 19, 2014 8:11 AM<br>
<b>To:</b> '<a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a>'<br>
<b>Subject:</b> [Pharmwaste] Anyone using Cactus Sink?</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:navy">Just found out this morning our hospital is trialing Cactus Sink for controlled substance med disposal on two inpatient units and the emergency department – anyone
else using it? Any concerns/comments? Thanks…Donna Lotzer</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:navy"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:maroon">Donna Lotzer, Clinical Pharmacist, Poison Education Coordinator</span></b><span style="color:navy"></span></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:maroon">University of WI Hospital & Clinics Poison Prevention Center</span></b><span style="color:navy"></span></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:maroon">600 Highland Avenue, MC # 9475, Madison, WI 53792</span></b><span style="color:navy"></span></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:maroon"><a href="mailto:dlotzer@uwhealth.org" target="_blank">dlotzer@uwhealth.org</a> Phone: 608-265-8160</span></b><b><span style="color:navy"></span></b></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:#002060">Please encourage others to save 800-222-1222 in both cell and home phones.
</span></b></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:#002060">This number will connect callers anywhere in the U.S. to a poison center.
</span></b></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:#002060">Calls are free, confidential and answered 24/7/365.
</span></b></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:#002060">Please help me educate your community about poison prevention.
</span></b></p>
<p class="MsoNormal"><b><span style="font-size:7.5pt; font-family:"Tahoma","sans-serif"; color:#002060">Call or email me for materials or program opportunities.</span></b><span style="font-size:8.0pt; color:navy"></span></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:navy"> </span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Comic Sans MS"; color:navy"> </span></b></p>
</div>
<br>
This message and any included attachments are from Nebraska Methodist Health System and its affiliates and are intended only for the addressee. The message may contain privileged, confidential and/or proprietary information intended only for the person(s) named.
Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you
may call Nebraska Methodist Health System and its affiliates in Omaha, Nebraska, U.S.A at (402)354-2280.
</div>
</div>
</div>
</div>
</blockquote>
<blockquote type="cite">
<div><span>---</span><br>
<span>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.</span><br>
<span>---</span><br>
<span>TO SUBSCRIBE, go to: <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a>
</span><br>
<span>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.</span><br>
<span>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">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a>
</span><br>
<span>FOR PROBLEMS: Contact List Administrator <a href="mailto:Laurie.Tenace@dep.state.fl.us">
Laurie.Tenace@dep.state.fl.us</a> </span><br>
<span>SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a></span><br>
</div>
</blockquote>
</body>
</html>