[Pharmwaste] Re: Pharmwaste Digest, Vol 52, Issue 26

Terri Buckner tbuckner at ibiblio.org
Thu Feb 18 11:05:44 EST 2010


I think one of the biggest problems environmentalists face in dealing with
issues such as this is language. When Sue asked about hazardous
chemotherapeutical drugs, I immediately thought of the warnings I was given
by the medical staff when I was getting chemotherapy. I was told that my
body fluids were hazardous to others for at least 48 hours after each chem
treatment. The advice I was given was that if I needed to leave the house
during that time, I should carry a plastic bag and chlorox wipes to ensure
the health and safety of others in case of an accident.

But then we get the technical response that 'hazardous' has a legal meaning.
That legal meaning means that my response is inaccurate from a technical
perspective, but yet has value for non-technical people and when it was used
by the medical staff, I took it seriously because the word 'hazardous' has
denotative meaning to me.





> ---------- Forwarded message ----------
> From: "Suhr, Marcus W." <MSuhr at ChristianaCare.org>
> To: <pharmwaste at lists.dep.state.fl.us>
> Date: Wed, 17 Feb 2010 10:47:05 -0500
> Subject: RE: [Pharmwaste] Question about haz med waste
>
> Hopefully this helps answer your questions,
>
>
>
> When you ask about hazardous drugs, there are RCRA hazardous, and also
> NIOSH/OSHA hazardous.  Joint Commission also has a new acute healthcare
> standard in EOC (EC.02.02.01.08:  The hospital minimizes risks associated
> with disposing of hazardous medications. (See also MM.01.01.03, EPs 1, 2, 3)which mentions hazardous medications but does not define hazardous.  In the
> most basic definition, hazardous can mean: ‘capable of causing harm to
> humans or the environment’.
>
>
>
> Please remember medical waste is not hazardous waste.  Medical waste is
> either infectious waste, or biomedical waste/biohazardous; all synonymous.
> Hazardous waste is it’s own category of ‘solid’ waste at the federal level.
> Many people refer to red-bag waste as hazardous because they are not aware
> of the legal difference, in case that is part of your question.  Your state
> could possibly cover medical waste under their hazardous waste regulations,
> but in Delaware, that is not the case.
>
>
>
> Just to give an example, we have 3000 formulary items and approximately 11%
> we have deemed as “hazardous” when disposed of.  Guidance used to evaluate
> ‘hazard’ was taken from different sources;
>
> 1)      RCRA listed or characteristic waste (complex process to evaluate)
>
> 2)      NIOSH special handling list (i.e. antineoplastic agents) found at
> http://www.cdc.gov/niosh/docs/2004-165/2004-165d.html
>
> 3)      OSHA technical manual (CHAPTER 2. CONTROLLING OCCUPATIONAL
> EXPOSURE TO HAZARDOUS DRUGS<http://www.osha.gov/dts/osta/otm/otm_vi/otm_vi_2.html>
> )
>
> 4)      PharmEcology review classified ‘hazardous’ pharmaceuticals, i.e.
> endocrine disruptors, anti-virals, hormones, anti-retrovirals etc.
>
>
>
> There are other solid wastes that can be considered hazardous by EPA
> standards; i.e. laboratory solvents etc.
>
>
>
> I have profile lists we have developed here for proper hazardous waste
> disposal that I can provide as examples upon request but they will be site
> specific; we have a rather large formulary so I would imagine some of the
> more frequently used pharmaceuticals will be on our lists.  The guide found
> at this link was paramount to our development of our program which we are
> still rolling out; http://www.hercenter.org/hazmat/tenstepblueprint.pdf.
>  This guide was in-part funded by an EPA grant.
>
> Good luck,  let me know if there are any other questions;
>
> Marcus Suhr, CSP
> Occupational Safety Specialist
> Christiana Care Health Services
> Occupational Safety Department, Office L840J
> 4755 Ogletown-Stanton Road
> Newark, DE 19718
> 302-733-3787 (office)
> 302-573-7662 (pager)
> 302-733-3771 (fax)
> MSuhr at christianacare.org
>
> *Alle Ding' sind Gift, und nichts ohn' Gift; allein die Dosis macht, daß
> ein Ding kein Gift ist.*
> "All things are poison and nothing is without poison, only the dose permits
> something not to be poisonous." - Paracelsus
>
> -----Original Message-----
> *From:* Sue Dayton [mailto:sdayton at swcp.com]
> *Sent:* Wednesday, February 17, 2010 7:09 AM
> *To:* pharmwaste at lists.dep.state.fl.us; 'Tenace, Laurie'
> *Subject:* [Pharmwaste] Question about haz med waste
>
>
>
> Good morning!
>
>
>
> I need help. Can anyone on this list serve send me information re: the
> following:
>
>
>
> 1.       List of pharmaceutical drugs classified as hazardous.
>
> 2.       List of chemotherapeutical chemicals classified as hazardous.
>
> 3.       Any other type of medical waste that may be classified or
> considered hazardous waste.
>
>
>
> Thank you in advance!
>
>
>
> Best –
>
>
>
> Sue Dayton
>
> Blue Ridge Environmental Defense League
>
> North Carolina Healthy Communities Program
>
> PO BOX 44
>
> Saxapahaw, NC 27340
>
> (336) 525-2003
>
> sdayton at swcp.com
>
>
>
>
>
>
>
> *Our lives begin to end the day we become silent about things that
> matter.   -  Martin Luther King Jr.*
>
>
>
>
>
>
>
>
>
>
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