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<p class="MsoNormal"><span style="color:#1F497D">I think they use the standard raccoon trap.
<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">For CS, there is specific regulatory protocol and forms for matching what comes in with what is dispensed and then what is returned or disposed through another registrant. And a form for discrepancies. There
is no requirement that CS have to be made non-retrievable before disposed or sent through reverse distribution. The registrant that accepts them for disposal or reverse distribution has to demonstrate that they were redistributed (which I don’t really think
happens) or that they were disposed of in a manner that meets the non-retrievable definition. (Generally met by incineration of the pharms.) DEA says in their comments to the rule that they will not issue approvals or certify that any particular technology
meets their definition. <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">If a hospital wants to render CS non-retrievable to prevent employee diversion, they might want to try to establish a system they believe meets DEA’s definition, or just something that tracks them to a secure
receptacle that can be handed off for disposal with a registrant. If they dispose of CS on-site, the Plan needs to address non-retrievable. I think this is the niche that the drug buster type systems are trying to fill. They can claim they meet DEA’s definition
(and they do claim this), but they can’t say that DEA approved or certified that their system meets the definition.
<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">Take a look at pages 53547-53550 of the Federal Register…it is somewhat helpful on this issue.<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>
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<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>Kernen, Brandon<br>
<b>Sent:</b> Friday, October 17, 2014 7:29 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] Disposal of Dispensed Controlled Substances in Hospitals<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I am looking for examples of detailed standard operating procedures for disposing of “dispensed” controlled substances in a hospital setting – both residual and bulk volumes.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I have seen a lot of hospital plans for medicine disposal, but just about all lack specific instructions for rendering drugs “non-recoverable.” The plans just say the drugs need to be “non-recoverable” and are absent of explicit guidance
on how to achieve this.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thank you.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:8.0pt;font-family:"Arial","sans-serif";color:#548DD4">Brandon Kernen, PG| NHDES | 603 271 0660
</span><span style="font-size:8.0pt;color:#548DD4"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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