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Webinar:

Managing Pharmaceutical Waste:
Strategies and Implementation

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There has been an increase in awareness regarding pharmaceutical waste, including waste from hazardous drugs, among healthcare institutions as well as consumers. Hospitals have been implicated as a large source of concentrated pharmaceutical waste in contrast to the public whose pharmaceutical waste is naturally diluted by the body. Recent media attention has focused on contamination of community waterways with trace concentrations of pharmaceuticals such as antibiotics and estrogen disruptors. There is also increased regulatory pressure from state and federal environmental agencies to develop and implement appropriate pharmaceutical waste programs.

Many agencies, departments, and organizations have a hand in regulating such waste including the Drug Enforcement Administration (DEA), Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA), Department of Transportation (DOT), Centers for Medicare & Medicaid Services (CMS), the Joint Commission, and local and state bodies. In recent years, the EPA has been more active in investigating institutions for violations. There are few methods available to manage pharmaceutical waste within an institution; the purpose of this webinar is to provide an overview of issues surrounding pharmaceutical waste and to showcase a best practice at Nebraska Methodist Hospital.

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This presentation is about an hour long.

Speaker

Firouzan ‘Fred’ Massoomi, Pharm.D., FASHP
Nebraska Methodist Hospital
Department of Pharmacy Services

Fred received his Doctor of Pharmacy Degree from the University of Kansas School of Pharmacy, Lawrence, Kansas, 1990. His post-doctoral education included the completion 1 year of a 2 year ACCP-Accredited Fellowship in Infectious Diseases and Pharmacokinetics at the Universite Laval Laboratoire de Pharmacocinetique in Quebec City Quebec Canada 1991; completed an ACCP-Accredited Residency in Clinical Pharmacokinetics at Saint Joseph Hospital & Creighton University School of Pharmacy and Allied Health Professionals, Omaha, Nebraska in 1992. His current position is acting Pharmacy Operations Coordinator with the Department of Pharmacy at Nebraska Methodist Hospital in Omaha, Nebraska. A position he has held since 1996.

Dr. Massoomi has overseen the updating the pharmacy department to current practice standards as defined by American Society of Heath-System Pharmacists, Occupational Safety and Health Administration, United States Pharmacopeia (USP) <795> and <797>.Dr. Massoomi has lectured nationally on implementation strategies for compliance with USP <797>, proper hazardous drug management as outlined in the Centers for Disease Control’s National Institute of Occupational Safety and Health Alert, and, proper disposal of hazardous drug waste as outlined by the Environmental Protection Agency’s Resource and Conservation Act of 1976.

Learning Objectives and Major Content Areas

1. Provide a brief overview of regulations surrounding pharmaceutical waste.
2. Describe the benefits of a comprehensive waste disposal plan.
3. Differentiate between the different categories of pharmaceutical waste (i.e. U-listed and P-listed) and the implications for proper disposal of each category.
4. Define corresponding waste streams for pharmaceutical waste.
5. Provide 4 methodologies for developing a process for managing pharmaceutical waste at your institution.