<html><head><meta http-equiv="Content-Type" content="text/html charset=windows-1252"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;">Jeff:<div><br></div><div>We checked a couple years ago as well with our Savannah/Atlanta DEA offices when approached by Smart Sink and they said the same to us. </div><div><br></div><div><div>Brian Stenz, President</div><div>Return Logistics International Corporation</div><div>22 Artley Road</div><div>Savannah, GA 31408</div><div>561-573-5538 cell</div><div><br></div><div><br></div><div><div>On Jun 23, 2014, at 12:00 PM, <a href="mailto:pharmwaste-request@lists.dep.state.fl.us">pharmwaste-request@lists.dep.state.fl.us</a> wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"><div lang="EN-US" link="blue" vlink="purple" style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px;">Send Pharmwaste mailing list submissions to<br><span class="Apple-tab-span" style="white-space: pre;"> </span><a href="mailto:pharmwaste@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste@lists.dep.state.fl.us</a><br><br>To subscribe or unsubscribe via the World Wide Web, visit<br><span class="Apple-tab-span" style="white-space: pre;"> </span><a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste" style="color: purple; text-decoration: underline;">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a><br>or, via email, send a message with subject or body 'help' to<br><span class="Apple-tab-span" style="white-space: pre;"> </span><a href="mailto:pharmwaste-request@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste-request@lists.dep.state.fl.us</a><br><br>You can reach the person managing the list at<br><span class="Apple-tab-span" style="white-space: pre;"> </span><a href="mailto:pharmwaste-owner@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste-owner@lists.dep.state.fl.us</a><br><br>When replying, please edit your Subject line so it is more specific<br>than "Re: Contents of Pharmwaste digest..."<br>Today's Topics:<br><br> 1. RE: Anyone using Cactus Sink? (Jeff Hollar)<br><br><div style="margin: 0px;"><span style="font-family: Helvetica; color: rgb(127, 127, 127);"><b>From:<span class="Apple-converted-space"> </span></b></span><span style="font-family: Helvetica;">"Jeff Hollar" <<a href="mailto:jhollar@pwaste.com" style="color: purple; text-decoration: underline;">jhollar@pwaste.com</a>><br></span></div><div style="margin: 0px;"><span style="font-family: Helvetica; color: rgb(127, 127, 127);"><b>Subject:<span class="Apple-converted-space"> </span></b></span><span style="font-family: Helvetica;"><b>[Pharmwaste] RE: Anyone using Cactus Sink?</b><br></span></div><div style="margin: 0px;"><span style="font-family: Helvetica; color: rgb(127, 127, 127);"><b>Date:<span class="Apple-converted-space"> </span></b></span><span style="font-family: Helvetica;">June 22, 2014 at 1:58:31 PM EDT<br></span></div><div style="margin: 0px;"><span style="font-family: Helvetica; color: rgb(127, 127, 127);"><b>To:<span class="Apple-converted-space"> </span></b></span><span style="font-family: Helvetica;"><<a href="mailto:pharmwaste@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste@lists.dep.state.fl.us</a>><br></span></div><br><br><div class="WordSection1" style="page: WordSection1;"><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Let me start of by stating I believe the Smart Sink is a better environmental option than drain disposal for DEA Controls. I have two questions that primarily deal with the compliance of DEA’s current regulations.<o:p></o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Earlier this year I checked with our local (Des Moines) DEA office and they were very clear that for DEA Registrants, the Cactus Smart Sink, by itself, was not an acceptable technology for the disposal of DEA controls. It’s my understanding that they received their direction from the St. Louis division. Any controlled substances in the cartridge were to be handled as if they were in their original final dosage form. Meaning, any transference to another DEA Registrant would be subject to DEA regs (e.g., control inventory, DEA Form 222, etc) and in turn, any disposal would be subject to DEA regulations (e.g., control inventory, DEA Form 41). This makes sense to me because if the DEA felt the Smart Sink rendered the controlled substances unrecoverable, then the facility would have the option of simply discarding their cartridge in their regular trash (with some exceptions). Question #1 - Are other DEA regional divisions consistent with this position? <o:p></o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Question #2 - If your facility takes the stance that the DEA controls being disposed of are owned by the patient (ultimate user) and not the DEA registrant (hospital), then under today’s current DEA regulations, how can you transfer DEA controlled substances owned by non-DEA registrant (ultimate user) to a DEA registrant (reverse distributor) for disposal? In other words how can a DEA Registrant accept controlled substances from a non-DEA Registrant?<o:p></o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">As far as the hazardous waste side... Introducing hazardous drugs into the cartridge may increase your hazardous waste generation which in turn could affect your generator status. Not to mention the EPA and DOT regulatory handling of the resulting waste. Something to consider if you choose to discard hazardous drugs in the Smart Sink. In all the Cactus literature I reviewed, I could find no specific reference to RCRA hazardous drugs and usage in the Smart Sink.<o:p></o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Are there any representatives on this listserv from: Cactus LLC, EXP, DEA or EPA that could give us some insight? <o:p></o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(31, 73, 125);">Jeff Hollar</span><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(31, 73, 125);">President</span><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: navy;">PharmWaste Technologies, Inc.</span></b><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(31, 73, 125);">4164 NW Urbandale Dr., Ste A</span><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(31, 73, 125);">Urbandale, IA 50322</span><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(31, 73, 125);">515-276-5302 (general)</span><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(31, 73, 125);">515-331-7310 (direct)<o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif; color: rgb(31, 73, 125);">515-360-9785 (cell)</span><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><a href="http://www.pwaste.com/" title="http://www.pwaste.com/" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">www.pwaste.com</span></a><span style="color: rgb(31, 73, 125);"><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span></div><div><div style="border-style: solid none none; border-top-color: rgb(181, 196, 223); border-top-width: 1pt; padding: 3pt 0in 0in;"><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">From:</span></b><span style="font-size: 10pt; font-family: Tahoma, sans-serif;"><span class="Apple-converted-space"> </span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste-bounces@lists.dep.state.fl.us</a><span class="Apple-converted-space"> </span>[<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]<span class="Apple-converted-space"> </span><b>On Behalf Of<span class="Apple-converted-space"> </span></b>Shield, Margaret<br><b>Sent:</b><span class="Apple-converted-space"> </span>Friday, June 20, 2014 10:06 AM<br><b>To:</b><span class="Apple-converted-space"> </span>Volkman, Jennifer (MPCA)<br><b>Cc:</b><span class="Apple-converted-space"> </span><a href="mailto:pharmwaste@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b><span class="Apple-converted-space"> </span>Re: [Pharmwaste] RE: Anyone using Cactus Sink?<o:p></o:p></span></div></div></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">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.<o:p></o:p></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">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.<o:p></o:p></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Margaret Shield<o:p></o:p></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">Local Hazardous Waste Management Program in King County<o:p></o:p></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">cell 206-265-9732<o:p></o:p></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><o:p> </o:p></div></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;">iTyped with my iThumbs :-)<o:p></o:p></div></div></div><div><p class="MsoNormal" style="margin: 0in 0in 12pt; font-size: 11pt; font-family: Calibri, sans-serif;"><br>On Jun 20, 2014, at 6:30 AM, "Volkman, Jennifer (MPCA)" <<a href="mailto:jennifer.volkman@state.mn.us" style="color: purple; text-decoration: underline;">jennifer.volkman@state.mn.us</a>> wrote:<o:p></o:p></p></div><blockquote style="margin-top: 5pt; margin-bottom: 5pt;"><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="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. <o:p></o:p></span></div><div><div class="MsoNormal" align="center" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: center;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><hr size="2" width="100%" align="center"></span></div><div id="divRpF114566"><p class="MsoNormal" style="margin: 0in 0in 12pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">From:</span></b><span style="font-size: 10pt; font-family: Tahoma, sans-serif;"> </span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">pharmwaste-bounces@lists.dep.state.fl.us</span></a><span style="font-size: 10pt; font-family: Tahoma, sans-serif;"><span class="Apple-converted-space"> </span>[</span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">pharmwaste-bounces@lists.dep.state.fl.us</span></a><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">] on behalf of Massoomi, Fred [</span><a href="mailto:Fred.Massoomi@nmhs.org" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">Fred.Massoomi@nmhs.org</span></a><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">]<br><b>Sent:</b><span class="Apple-converted-space"> </span>Thursday, June 19, 2014 8:26 AM<br><b>To:</b><span class="Apple-converted-space"> </span>'Lotzer Donna M'; '</span><a href="mailto:pharmwaste@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">pharmwaste@lists.dep.state.fl.us</span></a><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">'<br><b>Subject:</b><span class="Apple-converted-space"> </span>[Pharmwaste] RE: Anyone using Cactus Sink?</span><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><o:p></o:p></span></p></div><div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Donna-</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">We have used the Cactus Sink for about a year now on our patient care units. Almost two years in our IV room.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">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><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Rational:</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Provides a good process to render unwanted controlled substances irretrievable (versus the sewer and sharps containers). </span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">The full cartridges can be picked up by a reverse distributor.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Our waste hauler for our hospital had no other solution to provide us</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Addresses solids, liquids and patches</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Issues:</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Other items end up in the sink, ie trash, attempts at syringes</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Cleaning, they get messy.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Only one reverse distributor is assigned to take the full cartridges back, however the company is great to work with.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Volume capacity for PCA and Epidurals</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Overall:</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Great point of waste system that is small and secure.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Nursing adaptation was quick and well received.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">The Cactus company has great videos and information to make the system successful.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);">Please let me know if you need any additional information.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span><span style=""><o:p></o:p></span></div><div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Firouzan 'Fred' Massoomi, Pharm.D., FASHP</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Nebraska Pharmacists Association</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><i><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">President 2014 </span></i><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-family: Arial, sans-serif; color: rgb(31, 73, 125);"> </span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Nebraska Methodist Hospital</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><i><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Pharmacy Operations Coordinator</span></i><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Department of Pharmacy Services</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-family: Arial, sans-serif; color: rgb(31, 73, 125);">8303 Dodge St.</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-family: Arial, sans-serif; color: rgb(31, 73, 125);">Omaha, NE 68114</span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><a href="mailto:fred.massoomi@nmhs.org" target="_blank" title="mailto:fred.massoomi@nmhs.org" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Arial, sans-serif;">fred.massoomi@nmhs.org</span></a><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span><span style="font-size: 10pt; font-family: Arial, sans-serif; color: rgb(31, 73, 125);">(402) 354-4340 office </span><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span lang="EN-GB" style="font-size: 18pt; 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=""><o:p></o:p></span></div></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="color: rgb(31, 73, 125);"> </span><span style=""><o:p></o:p></span></div><div><div style="border-style: solid none none; border-top-color: rgb(181, 196, 223); border-top-width: 1pt; padding: 3pt 0in 0in;"><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">From:</span></b><span style="font-size: 10pt; font-family: Tahoma, sans-serif;"> </span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">pharmwaste-bounces@lists.dep.state.fl.us</span></a><span style="font-size: 10pt; font-family: Tahoma, sans-serif;"><span class="Apple-converted-space"> </span>[</span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></a><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">]<span class="Apple-converted-space"> </span><b>On Behalf Of</b>Lotzer Donna M<br><b>Sent:</b><span class="Apple-converted-space"> </span>Thursday, June 19, 2014 8:11 AM<br><b>To:</b><span class="Apple-converted-space"> </span>'</span><a href="mailto:pharmwaste@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">pharmwaste@lists.dep.state.fl.us</span></a><span style="font-size: 10pt; font-family: Tahoma, sans-serif;">'<br><b>Subject:</b><span class="Apple-converted-space"> </span>[Pharmwaste] Anyone using Cactus Sink?</span><span style=""><o:p></o:p></span></div></div></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style=""> <o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; 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><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: 'Comic Sans MS'; color: navy;"> </span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><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=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><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=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><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=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><a href="mailto:dlotzer@uwhealth.org" target="_blank" style="color: purple; text-decoration: underline;"><b><span style="font-size: 7.5pt; font-family: Tahoma, sans-serif;">dlotzer@uwhealth.org</span></b></a><b><span style="font-size: 7.5pt; font-family: Tahoma, sans-serif; color: maroon;"> Phone: 608-265-8160</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 7.5pt; font-family: Tahoma, sans-serif; color: rgb(0, 32, 96);">Please encourage others to save 800-222-1222 in both cell and home phones.</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 7.5pt; font-family: Tahoma, sans-serif; color: rgb(0, 32, 96);">This number will connect callers anywhere in the U.S. to a poison center.</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 7.5pt; font-family: Tahoma, sans-serif; color: rgb(0, 32, 96);">Calls are free, confidential and answered 24/7/365.</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 7.5pt; font-family: Tahoma, sans-serif; color: rgb(0, 32, 96);">Please help me educate your community about poison prevention.</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 7.5pt; font-family: Tahoma, sans-serif; color: rgb(0, 32, 96);">Call or email me for materials or program opportunities.</span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: 'Comic Sans MS'; color: navy;"> </span></b><span style=""><o:p></o:p></span></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><b><span style="font-size: 10pt; font-family: 'Comic Sans MS'; color: navy;"> </span></b><span style=""><o:p></o:p></span></div></div><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><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.<o:p></o:p></span></div></div></div></blockquote><blockquote style="margin-top: 5pt; margin-bottom: 5pt;"><div style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;">---<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: </span><a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste" style="color: purple; text-decoration: underline;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></a><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><span class="Apple-converted-space"> </span><br>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to<span class="Apple-converted-space"> </span></span><a href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;">pharmwaste-unsubscribe@lists.dep.state.fl.us</span></a><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><span class="Apple-converted-space"> </span>-- 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</span><a href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste" style="color: purple; text-decoration: underline;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</span></a><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><span class="Apple-converted-space"> </span><br>FOR PROBLEMS: Contact List Administrator<span class="Apple-converted-space"> </span></span><a href="mailto:Laurie.Tenace@dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;">Laurie.Tenace@dep.state.fl.us</span></a><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><span class="Apple-converted-space"> </span><br>SEND MAIL to the list server at: </span><a href="mailto:pharmwaste@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;"><span style="font-size: 12pt; font-family: 'Times New Roman', serif;">pharmwaste@lists.dep.state.fl.us</span></a><span style="font-size: 12pt; font-family: 'Times New Roman', serif;"><o:p></o:p></span></div></blockquote></div><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" style="color: purple; text-decoration: underline;">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a><span class="Apple-converted-space"> </span><br>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to<span class="Apple-converted-space"> </span><a href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste-unsubscribe@lists.dep.state.fl.us</a><span class="Apple-converted-space"> </span>-- 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<span class="Apple-converted-space"> </span><a href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste" style="color: purple; text-decoration: underline;">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a><span class="Apple-converted-space"> </span><br>FOR PROBLEMS: Contact List Administrator<span class="Apple-converted-space"> </span><a href="mailto:Laurie.Tenace@dep.state.fl.us" style="color: purple; text-decoration: underline;">Laurie.Tenace@dep.state.fl.us</a><span class="Apple-converted-space"> </span><br>SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us" style="color: purple; text-decoration: underline;">pharmwaste@lists.dep.state.fl.us</a></div></blockquote></div><br></div></body></html>