Part 2: How New EPA Rule Will Affect Long-Term Care

In our last blog post, we discussed the Environmental Protection Agency’s (EPA) Proposed Rule on the Management Standards for Hazardous Waste Pharmaceuticals (HWP) This week’s post will examine how this regulation may affect long-term care facilities.

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Part 1: New EPA Rule Explained

The Environmental Protection Agency (EPA) released a Proposed Rule on the Management Standards for Hazardous Waste Pharmaceuticals (HWP) in September 2015. The proposed rule streamlines hazardous pharmaceutical waste management standards for healthcare facilities operating in the United States, including pharmacies, veterinary clinics, physicians’ offices, dentists’ offices, outpatient care centers, chiropractors, hospitals, nursing care facilities, pharmaceutical reverse distributors and medical examiners and coroners’ offices.

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Management of Pharmaceuticals at Healthcare Facilities

Medicines improve our quality of life, but there are some important issues regarding the proper disposal of unneeded or unwanted medicines. The disposal of pharmaceuticals when no longer needed poses a threat to our environment. Sharps Compliance has developed a program to manage these unwanted pharmaceuticals safely and in compliance with all federal, state, and local laws and regulations.

One of the ramifications of mismanagement of unused medications is the environmental effects resulting from poor pharmaceutical disposal practices. Through the years, pharmaceuticals have been largely discarded through either flushing or “sinking” them into the wastewater stream or discarding them into the solid waste stream. In the first instance, the wastewater is treated to remove physical, chemical, and biological contaminants, such as sediment, bacteria, and viruses. However, this treatment does not remove all organic molecules, which are inherent in pharmaceuticals. Thus, many of these molecules remain entrained in the treated waste water which is discharged into reservoirs, rivers, or lakes. Likewise, drugs disposed of as solid waste (into landfills) may leach these organic molecules into aquifers and into the fresh water supply.

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Hazardous Wastes at Retail Pharmacies

There has been increased scrutiny of the generation of hazardous waste in the retail industry – especially in the pharmacy area of stores. The importance of correctly managing the disposal of pharmaceuticals has become a critical issue. There is a category of waste that describes chemicals and constituents that are harmful to the environment – and these materials are classified as hazardous wastes under the Resource Conservation and Recovery Act (RCRA). A number of drugs and pharmaceutical formulations meet the definition of hazardous waste when discarded – and in some cases the empty containers that these pharmaceuticals came in may also need to be managed as hazardous waste.

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