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LOGO

DisposalDisposal

Medication Education Module 2Medication Education Module 2

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LOGO ObjectivesObjectives

1. What does med disposal mean? 1. What does med disposal mean? 1. What does med disposal mean? 1. What does med disposal mean?

2. When would I dispose of meds? 2. When would I dispose of meds? 2. When would I dispose of meds? 2. When would I dispose of meds?

3. How are meds disposed of? 3. How are meds disposed of? 3. How are meds disposed of? 3. How are meds disposed of?

4. How many staff are needed?4. How many staff are needed?4. How many staff are needed?4. How many staff are needed?

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LOGO Medication DisposalMedication Disposal

PurposePurpose To make the To make the

medication uselessmedication useless

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LOGO Medication DisposalMedication Disposal

WhenWhen DroppedDropped RefusedRefused ExpiredExpired DiscontinuedDiscontinued Person leavesPerson leaves

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LOGO Disposal MethodsDisposal Methods Unless prohibited by local ordinanceUnless prohibited by local ordinance

Read the med information sheet first to see if Read the med information sheet first to see if there are specific disposal instructions. If notthere are specific disposal instructions. If not Take the med out of original containerTake the med out of original container Crush and/or dissolve in water in a sealable bagCrush and/or dissolve in water in a sealable bag Mix with liquid soap, used coffee grounds or kitty litterMix with liquid soap, used coffee grounds or kitty litter Place sealable bag in non descript containerPlace sealable bag in non descript container Place in trashPlace in trash

Following disposal remove all identifying Following disposal remove all identifying personal information from labelpersonal information from label

Only flush if the med information sheet provides Only flush if the med information sheet provides that as a disposal optionthat as a disposal option

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LOGO Disposal ProcessDisposal Process If the meds are expired If the meds are expired

or discontinuedor discontinued Disposal must be Disposal must be

completed with 2 completed with 2 Certified staff present, 1 Certified staff present, 1 must be a Supervisormust be a Supervisor

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LOGO Disposal ProcessDisposal Process If a med is refused or If a med is refused or

accidentally droppedaccidentally dropped And a Supervisor is unavailable And a Supervisor is unavailable

Two Certified staff may dispose of Two Certified staff may dispose of the med following acceptable DPH the med following acceptable DPH disposal practicesdisposal practices

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LOGO Documentation RequiredDocumentation Required

DPH Controlled Substance DPH Controlled Substance Disposal Record Form for Disposal Record Form for allall prescription medicationprescription medication Schedule II-VI disposalsSchedule II-VI disposals

May use for over the counter medsMay use for over the counter meds

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LOGO DPH Disposal FormDPH Disposal Form

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LOGO Disposal Form Scenario 1Disposal Form Scenario 1Connections 100 North St. MAP05555

1-yr 12/20/yr

Joseph Smith 11/22/yrAtivan 0.5mg

one tab Dropped on floor

1D388857

11 Cornerstone

Reggie Newton

Lisa Long

1

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LOGO

Name: Joseph Smith q Original EntryDoctor: Paula Whiten x Transfer from page 2 from page 10Pharmacy: Cornerstone Prescription Number: D388857Medication Prescription Date: 11/22/yr& Strength: Ativan 0.5mg Prescription Number: Directions: Take 1 tab by mouth every morning Prescription Date:

Take 2 tabs by mouth at bedtime

Date Time Amount Amount Amount Signatureon Hand Used Left

12/19/yr 8:00 AM 9 Transfer 9 Karen Mason/Lisa Long

12/19/yr 8:00 AM 9 One 8 Karen Mason

12/19/yr 8:00 PM 8 Two 6 Lisa Long Reggie Newton/Lisa Long

12/20/yr 8:15 AM 5 One 4 Reggie Newton

Count Sheet Scenario 1Count Sheet Scenario 1Page 11Page 11

12/20/yr 8am dropped on floor and 12/20/yr 8am dropped on floor and disposed of. Karen Mason, Supervisor disposed of. Karen Mason, Supervisor notified. notified.

66 one dropped 5 one dropped 5

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LOGO

Name: Joseph Smith q Original EntryDoctor: Paula Whiten x Transfer from page 2 from page 10Pharmacy: Cornerstone Prescription Number: D388857Medication Prescription Date: 11/22/yr& Strength: Ativan 0.5mg Prescription Number: Directions: Take 1 tab by mouth every morning Prescription Date:

Take 2 tabs by mouth at bedtime

Date Time Amount Amount Amount Signatureon Hand Used Left

12/19/yr 8:00 AM 9 Transfer 9 Karen Mason/Lisa Long

12/19/yr 8:00 AM 9 One 8 Karen Mason

12/19/yr 8:00 PM 8 Two 6 Lisa Long Reggie Newton

12/20/yr 8:15 AM 6 One 5 Reggie Newton

Count Sheet Scenario 1aCount Sheet Scenario 1aPage 11Page 11

12/20/yr 8am one tab dropped on floor. In 12/20/yr 8am one tab dropped on floor. In cup in locked box waiting for disposal. cup in locked box waiting for disposal. Karen Mason, Supervisor notified.Karen Mason, Supervisor notified.

12/20/yr 4p tab dropped at 8a 12/20/yr disposed of- leaves 4 Lisa Long/ Reggie Newton

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LOGO

Name: Joseph Smith q Original EntryDoctor: Paula Whiten x Transfer from page 2 from page 10Pharmacy: Cornerstone Prescription Number: D388857Medication Prescription Date: 11/22/yr& Strength: Ativan 0.5mg Prescription Number: Directions: Take 1 tab by mouth every morning Prescription Date:

Take 2 tabs by mouth at bedtime

Date Time Amount Amount Amount Signatureon Hand Used Left

12/19/yr 8:00 AM 7 Transfer 7 Karen Mason/Lisa Long

12/19/yr 8:00 AM 7 One 6 Karen Mason

Count Sheet Scenario 2Count Sheet Scenario 2Page 11Page 11

12/19/yr 1:30pm Ativan discontinued at this morning's PCP appointment. Karen Mason, Supervisor notified that med needs to be disposed of. Reggie Newton12/20/yr 10am Six Ativan tabs discontinued 12/19/yr were disposed of. _______________________________________________ zero Karen Mason/Reggie Newton

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LOGO Disposal Form Scenario 2Disposal Form Scenario 2Connections 100 North St. MAP05555

1-yr 12/20/yr

Joseph Smith 11/22/yrAtivan 0.5mg

1D388857

11 Cornerstone

Reggie Newton

1

Karen Mason

six tabs Discontinued

Company

LOGO Disposal Form Scenario 3Disposal Form Scenario 3Connections 100 North St. MAP05555

1-yr 12/20/yr

Joseph Smith 11/22/yrAtivan 0.5mg

1D388857

11 Cornerstone

Reggie Newton

1

Karen Mason

six tabs Discontinued

2-yr Dec. 21, yr

Mike Jones Nov. 30, yrAcetaminophen 325mg

eighty five tabs expired

123654Cornerstone

Reggie NewtonKaren Mason3-yr Dec. 30, yr

Mike Jones July 1, yrTegretol 100mg

one tab fell on floor654321

Cornerstone

Lisa Long Reggie Newton

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LOGO QuestionsQuestions