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Pharmaceutical Management—Meeting JCAHO Standards with Pollution Prevention

Pollution prevention (P2) activities make great performance improvement initiatives. They can help you achieve JCAHO standards included in the Comprehensive Accreditation Manual for Hospitals (CAMH) and meet rules, regulations and Hospitals for a Healthy Environment (H2E) goals. They also promote the health of the public-keeping in line with the basic premise of health care.

Mismanaged waste pharmaceuticals may cause or significantly contribute to increased mortality, or an increase
in serious incapacitating illness. Properly manage waste pharmaceuticals in the organization.

Many pharmaceuticals are considered hazardous waste when disposed of, including many chemotherapeutic agents, epinephrine, nicotine, nitroglycerin, physostigmine and warfarin.

Disposal of greater than 1 kg (2.2 lbs) in any calendar month of RCRA P-listed wastes such as arsenic trioxide, epinephrine, nicotine and warfarin (>0.3%), makes the organization a Large Quantity Generator of hazardous waste. Trace chemotherapy waste is considered hazardous waste in Minnesota.

Reducing container size, quantity ordered and spills, and improving management can prevent pollution and reduce costs.

 

 



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Achieve JCAHO CAMH Standards Meet Rules, Regulations and Goals
EC.1.3, EC.2.3: The organization plans for managing hazardous materials and waste and implements its plan.
  Managing waste pharmaceuticals makes managing hazardous materials and waste simpler. Many waste pharmaceuticals are considered hazardous waste when disposed of.

EC.2.8: Personnel have appropriate knowledge and skills regarding the proper management and disposal of hazardous materials.
  All personnel that handle medication should be trained to appropriately manage waste medication.

TX.3.4.2: Medication recall system provides for safe disposal of recalled and discontinued medications.
  Properly managing waste pharmaceuticals provides for a safe environment and meets water and waste regulations.
Clean Water Act, National Pollution Discharge Elimination System (NPDES), 40 Code of Federal Regulations (CFR) 122 and 403
Hospital wastewater, 40 CFR 460
Local wastewater permits. Restrict discharge of certain chemicals, heavy metals and high biological loads to sanitary sewer.

Resource Conservation and Recovery Act (RCRA), 40 CFR 261-263
Requirements for hazardous waste management
Waste minimization sec 3002(b)

 

Pollution prevention activities that make great performance improvement initiatives:

mercury | solid waste | infectious waste | chemicals and waste | hazardous waste spills and exposure | ignitable chemicals | pest management | pharmaceutical management | patient safety | environmentally preferable purchasing

JCAHO introduction page

 

 
 
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