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<p>The full service provided by Stericycle, the Yellow Jug Old Drugs Program, and possibly others, is a great service that appeals to many pharmacies.
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<p>Having a scale in the box to automatically alert Stericycle to empty it is an interesting innovation. It isn't a problem if a bunch of (dense) liquids were deposited, causing a premature "full" indication. I wonder if they ever run into overfill problems
when, by chance, a box gets filled only with particularly light items?</p>
<p> </p>
<p>Many years ago, the lack of a commercially available, narrow profile drop-box pushed me to partner with a manufacturer to design one. The solution I came up with to determine the fill level without unlocking the box was to install two frosted Plexiglas
windows (roughly 1" x 6") on the back half of the top. You can shine a flashlight in one and see the level through the other. The "frosting" prevents details, like personal information on labels, from being readable. Sorry, the web site doesn't show the
view ports. <a href="http://www.takebackexpress.com/slimline-medication-collection-unit/">
http://www.takebackexpress.com/slimline-medication-collection-unit/</a> All but one of our nine law enforcement partners choose this box over the commonly sold ones because it is only 14" deep and fit better in their tight spaces. </p>
<p> </p>
<p>Our law enforcement partners empty their bins (that hold 3.5 cubic feet/26 gallons) and transport the inner liners to the Sheriff, who has lots of secure storage space (a trailer we bought for this purpose). Custody is transferred and the Sheriff holds
it until the DEA collection day pick-up.</p>
<p> </p>
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<div style="FONT-SIZE: 13px; FONT-FAMILY: Tahoma"><font size="+0"><span lang="en-US">
<div><font size="2">Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal<br>
Board Member, New York Product Stewardship Council<br>
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<div><font size="2">Industrial Pretreatment Coordinator</font></div>
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<div><font size="2">Ithaca Area Wastewater Treatment Facility</font><br>
<font size="2">525 3</font><sup>rd</sup><font size="2"> Street</font></div>
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<div><font size="2">Ithaca, NY 14850</font></div>
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<div><font size="2">(607) 273-8381</font></div>
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<div><font size="2">fax: (607) 273-8433</font></div>
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<div id="divRpF83987" style="DIRECTION: ltr"><font color="#000000" size="2" face="Tahoma"><b>From:</b> Pharmwaste [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Jaramillo, Jeanie [Jeanie.Jaramillo@ttuhsc.edu]<br>
<b>Sent:</b> Tuesday, August 08, 2017 3:51 PM<br>
<b>To:</b> Volkman, Jennifer (MPCA); pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] New Stericycle med disposal kiosks<br>
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<p class="MsoNormal"><span style="COLOR: #1f497d">We use a kiosk as well, although we maintain it, empty, affix vendor labels and ship on our own. My unwritten question was whether the technician shipped the liner from the pharmacy/site vs. hauling it away
in their truck (can’t remember if they can legally do that.) I like that it has a sensor for notification of when it’s full, although I don’t like the idea of locking the drop drawer until the vendor comes. As you all know, experience has shown that if customers
come to dispose of their meds and the bin is locked, they’ll simply throw them in the trash on their way out the door.
</span></p>
<p class="MsoNormal"><span style="COLOR: #1f497d"></span> </p>
<p class="MsoNormal"><span style="COLOR: #1f497d">It would be neat if the bins could electronically communicate directly with the vendor when they’re full and pickup could then be “on demand”. Otherwise, it seems the vendor would be coming either when the bin
is not full yet or well after it’s full. We are currently spending about $4,500/year on our bin. Some months we may fill one box, other times two boxes can be filled in one day. It’s real sporadic. We still do two community-wide take back events per year and
they continue to grow in spite of the presence of 4 disposal bins in our community (1 Walgreens, 2 sheriffs’ depts., and us). I’m really hoping for the day that all pharmacies have disposal bins.
</span></p>
<p class="MsoNormal"><span style="COLOR: #1f497d"></span> </p>
<p class="MsoNormal"><span style="COLOR: #1f497d"></span> </p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Dr. Jeanie Jaramillo-Stametz</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Managing Director, Texas Panhandle Poison Center</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Asst. Professor, Pharmacy Practice</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Director, Medication Cleanout</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Texas Tech University Health Sciences Center</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">School of Pharmacy</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d"><a href="mailto:jeanie.jaramillo@ttuhsc.edu" target="_blank"><span style="COLOR: #0563c1">jeanie.jaramillo@ttuhsc.edu</span></a></span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Office: (806) 414-9402</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Voice mail: (806) 414-9299</span></i></p>
<p class="MsoNormal"><i><span style="COLOR: #1f497d">Mobile: (806) 376-0039</span></i><span style="COLOR: #1f497d"></span></p>
<p class="MsoNormal"><span style="COLOR: #1f497d"></span> </p>
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<p class="MsoNormal"><b>From:</b> Volkman, Jennifer (MPCA) [mailto:jennifer.volkman@state.mn.us]
<br>
<b>Sent:</b> Tuesday, August 08, 2017 2:38 PM<br>
<b>To:</b> Jaramillo, Jeanie <Jeanie.Jaramillo@ttuhsc.edu>; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: New Stericycle med disposal kiosks</p>
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<p class="MsoNormal"><span style="FONT-SIZE: 12pt; FONT-FAMILY: "Calibri Light",sans-serif; COLOR: #1f497d">That’s how it works. They are permitted by DEA to handle the collected liners, so they replace them, while pharmacy staff watch so everything is above
board. I believe they are servicing the Walgreens collection sites here in MN. The Sharps Compliance system operates the same way.</span></p>
<p class="MsoNormal"><span style="FONT-SIZE: 12pt; FONT-FAMILY: "Calibri Light",sans-serif; COLOR: #1f497d"></span> </p>
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<p class="MsoNormal"><b>From:</b> Pharmwaste [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Jaramillo, Jeanie<br>
<b>Sent:</b> Tuesday, August 08, 2017 1:41 PM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] New Stericycle med disposal kiosks</p>
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<p class="MsoNormal"> </p>
<p class="MsoNormal"><a href="http://cp.mcafee.com/d/FZsScxMA72hJ5-WqqqdNPVKVJd5x5NMQsCzBZUSCyMyUeLsQsICQQm4n73hOqenPhOrhLtNUQsIf3zhOr4vS4LUhSeGOffG2FPr9QJTEdCVPr9QJTEdCQQmktud7b_nVd5NVYsy_RXBQSmnKpvuuooKzR4kRHFGTohVkffGhBrwqrhdECXYCYqekS7XITodTdw0Q8JApRmBqDaRg-c5vgBqkfVv48JAiYWHiJj8uoFxwDIOW5iVqHsiWSPBY9QbElbJMrFW1tnQa4wA4MQeeq208zWLGAfyHVObgg14W7nuKYDt4sr4vx2jLNUPkYGHI0liuP_BosTgSyCNtwS2NF8Qg0PP1Ew69_6lyRz_d42LE6y12l5GQQYQg5plElErpudZugyg8Ww" target="_blank">http://drugtopics.modernmedicine.com/drug-topics/news/what-do-your-patients-do-unused-meds?GUID=&rememberme=1&ts=08082017</a></p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">This is interesting. The system is apparently entirely managed by Stericycle. The article indicates a “technician” (i.e. Stericycle rep) will come to empty the kiosk while two people from the pharmacy site are present. It’s not crystal
clear, but sounds like that technician then ships the liner. The video panel is interesting with the ability to provide directions in different languages.
</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><i>Dr. Jeanie Jaramillo-Stametz</i></p>
<p class="MsoNormal"><i>Managing Director, Texas Panhandle Poison Center</i></p>
<p class="MsoNormal"><i>Asst. Professor, Pharmacy Practice</i></p>
<p class="MsoNormal"><i>Director, Medication Cleanout</i></p>
<p class="MsoNormal"><i>Texas Tech University Health Sciences Center</i></p>
<p class="MsoNormal"><i>School of Pharmacy</i></p>
<p class="MsoNormal"><a href="mailto:jeanie.jaramillo@ttuhsc.edu" target="_blank"><i>jeanie.jaramillo@ttuhsc.edu</i></a><i></i></p>
<p class="MsoNormal"><i>Office: (806) 414-9402</i></p>
<p class="MsoNormal"><i>Voice mail: (806) 414-9299</i></p>
<p class="MsoNormal"><i>Mobile: (806) 376-0039</i></p>
<p class="MsoNormal"> </p>
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