Competency #2 – Law and Ethics

Using reference material such as your textbook and the Internet research either topic A or B. Select either topic A or B. Post your research in the comment box below. Your posting should be between 1-3 paragraphs. Good writing skills are required.  After the topic has been posted please respond to at least two other students’ posting.

When responding to your fellow students the following guidelines should be followed:

  • Information clearly relates to the topic and adds new concepts or information. It includes several supporting details and/or examples.
  • Enhances the critical thinking process through reflection and difference questioning of self and others.
  • Encourages interaction among your classmates.
  • Professional vocabulary and writing style are used throughout the discussion.

Topics:

A. State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

B. Research a recent health-care legislative issue. Please include the web site or location for the issue.


46 Responses to Competency #2 – Law and Ethics

  1. cskapatak says:

    B. Research a recent health-care legislative issue. Please include the web site or location for the issue.
    To contain Ebola, states create a patchwork of quarantine rules

    Ebola has been one of the top current events happening in the United States and the world, especially in West Africa. This particular article was about questioning the guidelines on particular states on how to quarantine possible Ebola patients; those that have been in West Africa, those that have been exposed or possibly exposed, those living with a possible Ebola patient or that are an Ebola patient, and those who work in the healthcare industry. Each state has their own standards for when to quarantine patients and if needed, when the president decides to step in to handle the situation. States listed in the article on quarantining, stated that possible Ebola patients go on a day by day screening, even if they do not have symptoms of this infectious disease. A particular doctor, Dr. Georges Benjamin had a very intriguing thought on this. He said that they shouldn’t do so much for the possible Ebola patient that has no symptoms because the public would think indifferently on this in the long run. The public would distrust the government and if they have been exposed would not get help and I agree with Dr. Benjamin on his theory. Even the Director the Center of Disease Control, Dr. Thomas Frieden, thought some of the state’s quarantine process was less than ideal for possible Ebola patients; and so it was when a nurse, Kaci Hickox, who was treating patients in Africa, thought she was being detained against her will for quarantining and is threatening to sue the state of New Jersey. It comes to question on how far will the state go to treat possible Ebola patients and I guess their strategy concerns some. Nurses are concerned for the well being of their health to treat Ebola patients and want to ensure that their health is just as concerning as Ebola patients. They want to have the most effective personal protective equipment to use when treating the patients’ and the National Nurse United is stepping in to make their voice heard.

    http://www.msn.com/en-us/news/us/to-contain-ebola-states-create-a-patchwork-of-quarantine-rules/ar-BBbzj6G

    • bjellanna says:

      This is a very hot topic currently. Some individuals feel that their rights are being taken away when they are forced into quarantine after being a care giver for those who have Ebola. I feel that if you are a health care provider and volunteer or work in a hospital where you are required to take care of patients with Ebola, then you should be responsible enough to be in quarantine for the required time. I sure would not want to put my community, family and friends into danger of contracting Ebola. Even if you have followed all precautions, there may have been some exposure that you are unaware of and to be on the safe side. Better to be safe then sorry!

    • rlpomeranz says:

      The topic of Ebola is very well known right now in the media and legislature. As a health care provider you are there to help others when they need medical attention. You are ready for anything that walks through the hospital door. This may be the common cold to Ebola. This may also require you to stay in quarantine for a few days if you have been in contact with a patient who has a disease. Many think they are being help against their will but this is just helping and protecting others until they have cleared you. You bring up a good point about using personal protective equipment. Using this equipment will help protect you against many diseases you will encounter. Good post.

    • scburton says:

      Thank you for posting this information. At the facility where I work guidelines and protocols have already been established. All patients are being questioned as to their travel history and contacts. It can be considered intrusive, but I believe the well being of the populous is more important at this time.

    • jjensen13 says:

      Great article! While I love my rights and freedom I don’t think anyone who might have the chance of spreading Ebola should have the right to refuse the quarantine guidelines. If there is even a chance that a person was exposed or is contaminated they should have no choice but to sit the 21 days and make sure they aren’t spreading an epidemic. I also have great respect for the medical personnel that are treating the patients and risking their own safety. Thank you for sharing this.

    • Linnea says:

      I agree completely. If you want to help out and take care of someone with ebola, that’s great and thank you, but you should also be willing to take every precaution to stop the spread of it and ensure that no one else has even the slightest chance of catching the virus.

    • lydavis2 says:

      In my view I do not think anyone who could potentially spread or could have came in contact with people infected with Ebola should be allowed to ignore guidelines that are meant to protect society. I think it is totally irresponsible morally and ethically because it shows a lack of respect and sensitivity to this monumental issue.

    • Annie Ngo says:

      Ebola is a scary thing but it doesn’t seem to be an epidemic, just an outbreak and I think some people may be over reacting. Especially the airports, although I do understand the need to be cautious but TSA seems to be making many mistakes on the screening of potential Ebola patients.

    • Mishaela Mckay says:

      It is extremely important for everyone involved in the care taking of Ebola patients to get the utmost protection for themselves as well as being responsible when it comes to being quarantined. I feel that it is important for those who had contact with Ebola patients to go under the quarantined period for their safety, as well as anyone they may be in contact with. Very good post! I enjoyed reading it! :)

  2. bjellanna says:

    A. State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

    Controlled substances are regulated under the Controlled Substances Act of 1970. It is enforced by the Drug Enforcement Agency (DEA) with input from the Food and Drug Administration on which drugs should be included on the controlled substance list. The controlled substance list has five classifications, with various qualifications for a controlled substance to be included in one of the list. Depending on which classification the controlled substance is listed can affect in how the controlled substance is disposed.
    The two types of disposal that are talked about in the Rules-2012 for Drug Enforcement Administration are disposal by registrants and ultimate users. The Secure and Responsible Drug Disposal Act of 2010 expanded the options for disposal or collection of controlled substances from ultimate users. There are take-back events, mail-back programs, and collection receptacles that allow patients who don’t need their controlled substances any more to dispose of them. Some pharmacies have collection receptacles for ultimate users to return the controlled substances.
    For registrant users (physicians) controlled substances must be kept in a locked cabinet, out of sight, and they must keep a record of each transaction for 2 – 3 years. If any controlled substance is stolen the local authorities and the nearest DEA must be notified immediately. If a controlled substance is lost due to a breakage, spillage or other witnessed loss (substance is not considered lost because it is known where it went) it should be recorded as any other controlled substance disposal. Controlled substances disposal by a registrant can be disposed of by contacting their local DEA requesting permission for disposal of the controlled substance. They should receive written approval before sending the drug to the DEA. A DEA Form 41 should be filled out for disposal. The controlled substances can also be shipped to a reverse distributor registered by DEA (a DEA Form 41 may not be required).

    Sources used:
    http://www.deadiversion.usdoj.gov/21cfr_reports/surrend/index.html
    http://www.deadiversion.usdoj.gov/fed_regs/rules/2003/fr0708.htm
    https://www.federalregister.gov/articles/2012/12/21/2012-30699/disposal-of-controlled-substances#h-14
    Lippincott Williams & Wilkins, Administrative Medical Assisting, pg. 31.

  3. Desiree says:

    When your prescription is getting old, and you haven’t needed to use them in a while, what do you do with the left over bottles? If your like most people, you probably just throw it away in the trash. However this is not the appropriate way to dispose of your unused medications. This could be dangerous especially with certain medications which with even a single dose can be deadly to a person whom it is not meant for. If these dangerous medications get into our water, or worse, someone manages to discover it, they could pose a significant problem. When you don’t dispose of medications properly others may be able to get to them, or they could find their way into the environment. It is very important to learn how to dispose of medicine appropriately to prevent endangering our world, wildlife and the other people.
    Until recently the D.E.A. had a program called the “Drug Take-Back Program” but they decided September twenty-seventh of this year that they would instead allow authorized medical facilities (also known as registrants, a business with authorization to distribute and collect medications) to collect the unused medicines for the public (1). The new rules also allow law enforcement agencies, pharmacies, the users, distributors and reverse-distributors to collect unused pharmaceuticals as well. Some medication will come with specific instructions on how to dispose of it. Often your pharmacist might give you special instructions as well, especially if your medication is particularly dangerous. It is a common practice to dispose of certain medications by flushing them, you can also find more information about special disposal at the FDA.gov (2) they also have a list of medications and how they should be disposed. The D.E.A. doesn’t have any specific laws about how the controlled substances are to be disposed, just that they have to be non-retrievable (3). This allows for a variety of different disposal methods, and gives the community a chance to offer this valuable service to the public. It is still alright to dispose of controlled substances yourself however if there are no disposal sites in your area. The laws still allow for people to dispose of their medications by previous methods, such as flushing, taking the controlled substances to a law enforcement agency, or sending drugs to a collection agency. The F.D.A. recommends for home disposal to mix all the medicines together, without crushing any of them. Then pour them into a container such as a coffee can, and mix them with water to dissolve them. After that you combine the liquid with an inedible substance such as coffee grounds or kitty litter. Place the mixture in a sealed garbage bag and throw it in your trash (2). This method will help deter animals, children and people from messing with it, either by accident or intentionally.
    It is important that we take care with the methods that we use to dispose of medications. Many people have entire cabinets filled with medicines, and never give it a second thought. The reality is 100 people die from prescription drug overdose each day (4). Almost twice as many Americans abuse prescription drugs as people that use cocaine, herion, inhalants, and hallucinogens, all together combined (1). But that is not the only danger, there are environmental issues as well. We have a major problem developing in the Pacific ocean, it has been not so fondly referred to as the Worlds largest dump, The Great Pacific Garbage patch by Discover Magazine. In the Central North Pacific plastic refuse outweighs surface zoo-plankton 6:1 (5). In the year two-thousand and two the U.S. Geological Survey team took samples from 139 streams in the United States and found that 80 percent had measurable amounts of prescription drugs, steroids and hormones in their water (6). Hopefully with the new disposal methods we can help to reduce these numbers. People need to be conscious of the way they dispose of their unused prescriptions and controlled substances, because it can do serious damage to our environment and drinking water, and it already has.

  4. rlpomeranz says:

    Recently, there has been a lot of discussion about concussions and who can make the return to play call after an injury to the head. There has been an increase public awareness due to the amount of concussions occurring and the severity of these injuries. In 2010, the NFL encouraged states to pass the law for youth concussions. Concussions do not just occur while playing sports. These well known in the military during the different wars. There have been many bills introduced and about a fourth of these have been enacted. Each of these bills talks about the guidelines among concussion and these need to be followed everywhere to avoid Second Impact Syndrome. The legislation has specifically named providers who can make the call for the player to return to the game. These are MD, RN, NP, PA, DO, ATC, PT,SLP or neuropsychologist. There are a few states such as Iowa, Nevada, and Pennsylvania who have passed the law that have made Physical Therapist providers to make the return to play call. Vermont passed that Physical Therapist specially can make this call. The Physical Therapy state board has been discussing the management for concussion with the legislation. In November 2013, a few representatives reintroduced student athletes and concussions. They talked about the prevention as well as the management of concussions. Physical Therapists have certain guidelines to follow when evaluating and treating concussion injuries. In July 2014, the legislation acknowledged Physical therapist as health care professionals who are qualified to make the return to play call. Concussions are a very serious injury and if an athlete returns to play without being checked this may cause many medical issues.
    https://www.fsbpt.org/download/Forum_Fall2011_StateOfJurisdictions.pdf
    http://www.apta.org/FederalIssues/ConcussionManagement/

    • Geneviene Mercado says:

      Concussion are very serious injuries that I think should take a player out of a game at least for that game that is being played. I think once a concussion occurs that a work up needs to be done to evaluate the state of the players condition. I don’t believe that a whole work up can be done in the amount of time that the game is still going on.

  5. scburton says:

    State the ways in which controlled substances must be disposed of to maintain compliance with government regulations

    The Drug Enforcement Administration (DEA) is the agency that enforces the Controlled Substances Act of 1970. This federal law regulates the manufacturing, distributing and dispensing of narcotic and non-narcotic drugs that have been the potential for abuse. This law was established to decrease the illegal use of controlled substances, and to prevent medical personnel from becoming substance abusers. All physicians who dispense, administer, or prescribe any of these controlled substances must be registered with the DEA. In order to dispose of these drugs properly accurate records must be kept. At least two individuals should be present when disposal is taking place. Also education on a regular basis should be required by those who are responsible for the disposal.

  6. knwilson2 says:

    One thing that I have seen and read about few times is having options for people to dispose their pills that are outdated. Having pharmacies, hospitals and police departments as drop of stations. That is where your outdated pills can be imposed of properly and not get into the wrong hands. This act is call Secure and Responsible Disposal Act of 2010. We actually have had this offered here in Fairbanks. The police station offers drop of spots for unused and outdated medicines. I do remember this happening the last two years. I think this is a great way to get medicines out of the house that aren’t being used.

  7. Linnea says:

    B. Research a recent health-care legislative issue

    What to Look for in Judging the Affordable Care Act

    For someone like me, who knows nothing about the Affordable Care Act, or “Obamacare,” this article was very enlightening. This November ACA’s second year of enrollment will be opening up. Some of the important questions that people have been asking about ACA such as, “Is public health improving?” “Are people experiencing less medical debt and bankruptcies?” and “Is the coverage affordable and useful to people?” will be that much closer to having solid answers. Because of the act’s short span thus far, there is not much data to be compared. However, when this year’s markets are opened for health care, we will have a better insight into how the insurance markets are doing since the act began based on the prices and companies competing in each market. As time goes on in the second year of enrollment there will also be many more surveys and data released regarding the effects the ACA had on employer insurance and the effects it had on consumers.

    http://www.nytimes.com/2014/10/28/upshot/what-to-look-for-in-judging-the-affordable-care-act.html?_r=0&abt=0002&abg=0

    • Renee Campiglia says:

      I am interested in seeing how the results of the first year of “Obamacare” compare with other forms of insurance. I am also interested to see if this insurance did anything to aid in the rising health care costs across the country(from my research I don’t believe it has helped at all). Overall, I have heard NOTHING positive about this form of “insurance”.

    • cskapatak says:

      I think there has been a lot of negativity about the Affordable Care Act. I don’t think this has helped anyone. One post I read about was if this couple should get divorced because they would pay less as a single person and people have been getting denied of personal healthcare insurance.

  8. jjensen13 says:

    State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

    The DEA is not only trying to protect the environment and stop accidental poisoning but they are making sure these substances don’t reach the street to be sold or used inappropriately. The DEA final rule of 2014 expanded a regulation called the Secure and Responsible Drug Disposal Act of 2010 by providing other options for registrants and ultimate users to dispose of controlled substances. They include Take-back events, mail-back programs and collection receptacles in specified locations. Take-back events are one day and are an anonymous collection of unwanted and expired medicines. The mail-back program is where the ultimate user uses a special envelope and through USPS mail the controlled substance to a DEA-approved law enforcement agency. Finally the collection receptacles are usually located at a pharmacy, police stations, long-term care facilities and some hospitals in a secure bin.

    Ultimate users, you and I, can use any of the 3 options on a voluntary basis but are under no rule or regulation to do so. DEA registrants, reverse distributors, pharmacies and medical facilities must abide by the language as written. The regulations allow law enforcement to have control over each program on a voluntary basis. Authorized manufactures, distributors, hospitals, clinics and so on will also be able to administer the receptacles and mail options. The rule reorganizes the previous regulations and allows for a more convenient way to dispose of controlled substances.

    If you would like to read a more in depth version of this new rule please go to http://deachronicles.quarles.com/ and explore this site.

    • Renee Campiglia says:

      I work for a drug/rehab facility and we just started introducing this idea at our facility as an option for our patients.
      It was a little odd walking into work with a big sign on the door that said “Got Drugs?”, but through the flyer it was obvious what the idea was behind the interesting catch phrase!
      I had no idea that this “program” was even in existence. I had always been taught to flush my unused medications down the toilet or in the garbage disposal. The idea of safely getting rid of these controlled substances seems very logical and a great way of preventing these drugs from ending up in the hands of people who could abuse them.

    • lydavis2 says:

      I remember years ago the military hospital on post would have drug take-back events once a quarter. It was a great idea because if you know as I do military doctors love to give patients a lot of pills in prescriptions they prescribe (i.e. Motrin). What used to be quarterly can be done all the time now because there is a designated place to drop off excess and/or old medication for proper disposal in the hospital. Part of it is a deterrence to keep people honest and not have them share medications because prescription drug abuse is continuing to rise.

  9. Renee Campiglia says:

    http://www.nahu.org/legislative/containing_costs/index.cfm

    Currently the state legislature is attempting to resolve the issue of affordable health care in the United States. While this issue was addressed and given a tentative resolution by the Patient Protection and Affordable Care Act as a means to control the cost of health care; this has not proven to be a concrete solution because it failed to adequately address the issues at hand. Medical costs in the United States are constantly increasing, making affordable insurance coverage nearly unreachable for some. The reasons for the increase in medical costs are too many to name.
    As the “baby-boomer” population begins to approach the age of frequent required medical attention, the demand for health care services is growing, as is the need for adequate insurance coverage to provide affordable health care to those in need. The issue of affordable medical care, both government costs and in the private-sector, is becoming a necessity in this country as the demand for it increases to an unfamiliar level.
    One of the common solutions among entities is the idea of pushing wellness in this country as a whole to prevent the need for increasing health care services. This idea does not directly address the rising cost of health care, however, it may lower demand and ultimately prevent our medical resources from becoming scarce, thus indirectly lowering the cost of health care. Another preventative measure is by reducing the rate of malpractice and fraud in the health care industry.
    This issue will continue to be addressed as more solutions arise, however, it may take time before there is a working solution in this matter.

  10. lydavis2 says:

    A. State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

    In 2012 the Drug Enforcement Administration (DEA) published its Notice of Proposed Rulemaking for the Disposal of Controlled Substances. It propose regulation seeking to implement the Secure and Responsible Drug Disposal Act of 2010. The regulations set provisions of drug disposal by allowing law enforcement to conduct drug voluntary take-back events, mail-back programs and the maintenance of drug collection boxes. It also allowed manufacturers, distributors and retail pharmacies to voluntarily have collection boxes and mail-back programs. Lastly it allowed collection boxes to be maintain at long term care facilities.

  11. Annie Ngo says:

    State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

    The Drug Enforcement administration is now allowing hospitals and clinics to have an onsite pharmacy and to have collectors to maintain collection bins for controlled substances. The hospitals and clinic pharmacies are said to be more secure compared to retail pharmacies, although the pharmacies can have collection bins and mail-back programs as well. The patient must be the one doing the drop-off for disposal of their prescriptions. The nurses and doctors are not allowed to take the unwanted or unneeded prescriptions from the patients.

    The DEA did this because they do not want to have controlled substances be sold on the streets. Nor do they want the hospitals or anyone to flush the prescriptions down the toilet as a means of disposal because the substances can still be retrieved from the pipes. This regulation is not a set law, but more of a voluntary option and agencies and companies must register in order to have these disposable sites.

    http://www.ashp.org/menu/News/PharmacyNews/NewsArticle.aspx?id=4109

  12. Trish says:

    Last year state legislatures passed a slew of bills designed to curtail the provision of abortion services. North Dakota banned abortion, in some cases, as early as the sixth week of pregnancy, while Arkansas enacted a ban on abortions after 12 weeks. Alabama, Mississippi, Texas and Wisconsin passed laws requiring doctors at abortion clinics to have admitting privileges at local hospitals, largely as a way to shut down many abortion clinics. All of these laws are being challenged in court. This November, Tennessee voters will decide whether to amend the state’s constitution to specifically state that the document doesn’t protect the right to abortion.
    http://www.governing.com/topics/politics/gov-2014-legislative-issues-to-watch.html

    All around the world women are getting abortions for once reason or another, usually within the first trimester. When they cannot seek help some have to wait until they are going through their second trimester which they are about 4 months pregnant. There are some states like Nebraska who ban getting abortion after 6 weeks of the pregnancy, while Arkansas bans abortions after 12 weeks. my question is why does the government try to ban abortions? There are many views on this subject, but there are also many reasons behind an abortion.

    • Amber Washington says:

      My personal opinion is that abortions are wrong, as human beings we should not have a say so of who should live and who should die. In my eyes no life is greater than another life. Abortions kill little innocent babies who did nothing wrong. So many woman would do anything to have a child, while other woman take advantage of being able to create and use abortion as a form of birth control.

      At 12 weeks:
      The fetus is now about 2.5 inches (6cm) length and weighs about 0.7 ounce (20 g).
      The feet are almost half an inch (1cm) long.
      The fetus starts moving spontaneously.
      The face is beginning to look like a baby’s face.
      The pancreas is functioning and producing insulin.
      Fingernails and toenails appear.
      The baby can suck his thumb, and get hiccups.

    • cskapatak says:

      Abortion is always going to be an on going political issue. I would say it is only appropriate if she was being forcefully subdued or if she knows that it will have fatal birth defects that would prevent it to live when it is born. It is religiously wrong because in my religion, God gave it life and we are killing someone.

    • Geneviene Mercado says:

      Abortion is always a touchy topic for discussion and people believe very strongly in where they stand on the topic. The question I ask myself when these laws are be created is why is it that states have different dates for termination of a pregnancy. Like what makes them think that 12 weeks is okay opposed to 6 weeks?

  13. ssledgett says:

    How to Dispose of Old Drugs
    By: Sarah Ledgett

    On September 9, 2014, the DEA put forth, what they call, Final Rule. This rule uses the Secure and Responsible Drug Disposal Act of 2010 and add to it, expanding the options that are available for collecting controlled substances. Becoming effective on October 9, 2014, these regulations allow law enforcement to voluntarily continue take-back events, administer mail-back programs, and maintain collection receptacles. They expand the authority of authorized hospitals, clinics, and retail pharmacies to voluntarily maintain collection receptacles at long-term care facilities. Under these regulations, authorized manufacturers, distributors, and narcotic treatment programs (NTPs). With take-back events, mail-back programs, and collection receptacles, consumers are able to have their left over pharmaceuticals disposed of safely, rather than dumping them down the drain or just throwing them away.

    • iflowers says:

      In the military, soldiers can get in trouble if they are found to have expired medications and if I remember correctly they should be taken to the nearest pharmacy to give back for disposal. When doing room checks supervisors such as myself at the time would have to make sure there were none of these in the rooms of the soldiers to ensure they are taking great care of themselves.
      Good post by the way, I didn’t mention that there were take back events that take place but I think that the mention of it can encourage people to look into it and help in the efforts to collect expired medication.

  14. Mishaela Mckay says:

    A. State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

    In order to maintain compliance with government regulations, controlled substances can be disposed of in three different ways if the prescription medication is damaged, expired, contaminated, or unwanted. If this scenario happens then the dispenser or the distributor may return the controlled substance to the manufacturer. The dispenser, manufacturer, or the distributor may even dispose of this product themselves if they follow the procedures specified by federal regulation or they can “reverse distributor” so that they can basically take custody of the substance so that they can arrange for its proper disposal.

    People on the other hand who have prescription drugs and controlled substances that are expired or they no longer need, can always pay attention to mail-back programs, when law enforcement agencies conduct take-back events, and where their local collection receptacle locations are. These are all places that will accept unused, damaged, expired, or extra medications. These places are there so that they can properly disposed of these controlled substances.

    Our environment is affected by the improper disposal of these prescriptions and medications. So many chemicals are being leaked in to the water system because these substances are just being flushed down the toilet rather than being brought to a proper place to dispose them. Places everywhere are being encouraged to play the responsible role in proper disposal. Many places are even developing more convenient methods to do so. Most of these places will take your controlled substances at no charge and destroy what they receive on site. Since most towns and cities make the proper disposal of controlled substances a more convenient thing to do, more people should join this cause to help our environment and get rid of their substances in the proper way.

  15. Amber Washington says:

    A. State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

    Disposal of Controlled Substances: This rule governs the secure disposal of controlled substances by registrants and ultimate users. These regulations will implement the Secure and Responsible Drug Disposal Act of 2010 by expanding the options available to collect controlled substances from ultimate users for the purpose of disposal, including: Take-back events, mail-back programs, and collection receptacle locations. These regulations contain specific language allowing law enforcement to voluntarily continue to conduct take-back events, administer mail-back programs, and maintain collection receptacles. These regulations will allow authorized manufacturers, distributors, reverse distributors, narcotic treatment programs (NTPs), hospitals/clinics with an on-site pharmacy, and retail pharmacies to voluntarily administer mail-back programs and maintain collection receptacles. In addition, this rule expands the authority of authorized hospitals/clinics and retail pharmacies to voluntarily maintain collection receptacles at long-term care facilities. This rule also reorganizes and consolidates previously existing regulations on disposal, including the role of reverse distributors.

    https://www.federalregister.gov/articles/2014/09/09/2014-20926/disposal-of-controlled-substances

    http://www.deadiversion.usdoj.gov/drug_disposal/takeback/

    http://www.alaskapharmacy.org/html/community-affairs/national-take-back-day.php

    The National Prescription Drug Take-Back Day aims to provide a safe, convenient, and responsible means of disposing of prescription drugs. I’ve seen them accept prescription drugs at the hospitals. Our last drug take back day was April 26th. Four ways to properly dispose prescription drugs is by, 1. Flushing it down the toilet if the box says it is allowed. 2. Taking the drugs out of the container and throwing them in the trash. 3. Mixing the medication in used coffee beans or kitty litter and trashing it. 4. Take advantage of prescription take back day and drop them off at your local hospital.

  16. cllarsen3 says:

    State the ways in which controlled substances must be disposed of to maintain compliance with government regulations.

    The Controlled Substance Act (CSA) was designed to decrease the illegal use of controlled substances and to prevent substance abuse by medical professionals. Law requires that any physician who dispenses, administers, or prescribe narcotics or other controlled substances be registered with the DEA.
    The Disposal Act amended the CSA to authorize ultimate users to deliver their controlled substances to another person for the purpose of disposal in accordance with regulations promulgated by the Attorney General. There are three voluntary options for disposal of controlled substances,; take back events, mail-back programs, and collection receptacles.
    The goal of the Disposal Act is to encourage public and private entities to develop a variety of methods of collection and disposal in a secure and responsible manner.

  17. iflowers says:

    A. State the ways in which controlled substances must be disposed of to maintain compliance with government regulations

    According to the FDA, there is a “take-back” program in which there is a centrally located area in communities and you can take your expired and unwanted medication to and this facility can dispose of the medications properly. There is also a list available on their website as to how to dispose of certain medications and it tells you which medications are considered safe to flush or dispose of down the sink. With this list you can check your medication name and follow the disposal procedures. It is not always considered wise to just throw away your medication in the trash unless you mix it with Kitty litter, or used coffee grounds and seal it in a container or seal tight bag and put it in the trash. You do not want to leave your personal information on the bottles because this leaves room for error. When I say error somebody could try and use your information to refill the medication and can harm themselves.
    The government does not recommend that we throw medications around and litter because some of these drugs can be absorbed in to the ground and in some places this could get into the drinking water. In San Antonio we have our water in the Edwards Aquifer System and this is our way of having water filtered naturally before going back into the drinking system. This natural system depends heavily on rainfall and with that water to come from everywhere and this is an example as to why it would be very important to handle medications properly

    I’m sure there are other way to dispose of medications but these are coming from the Food and Drug Administration and I would have an expectation that they would be the subject matter experts to medications. The link for medications safe to flush or dispose of in the sink is: http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm

  18. Becky says:

    For the purposes of this assignment, I chose topic A, disposal of controlled substances. Since this is a medical class, I will focus on controlled medications as the controlled substances. Each state has it’s own rules, in addition to the Food and Drug Agency’s federal guidelines.
    The FDA has numerous recommendations, the first being that all directions printed on the bottle label be followed. It also specifically states not to flush any medications down the toilet. If no disposal facilities exist in your local area, the FDA recommends that you remove the medication(s) from their original packaging and throw them away in your household garbage, ensuring you mix them well into it (half a bottle in one trash can, half in another ensuring mixing them evenly throughout the trash).
    Many local healthcare agencies sponsor ‘Drug Take-Back Days.’ These events are also sponsored by the FDA. These events allow you to bring in your unused medications (in their original packaging or not) and turn them over to a healthcare provider. This is the suggested method to dispose of controlled substances by all governmental agencies and healthcare organizations as this ensures no unauthorized access to these controlled items.
    “U.S. Food and Drug Administration.” How to Dispose of Unused Medicines. Web. 17 Nov. 2014. .

  19. cswalding says:

    According to the Federal Register website, Disposal of Controlled Substances rules governing the secure disposal of controlled substances. The new regulations will help execute the Secure and Responsible Drug Disposal Act of 2010 by offering more options for disposal. Some of the new options will include, take-back events, mail-back programs, and collection receptacle locations. The FDA also offers helpful tips on the proper way to dispose of unused medications. For example, they advise following any specific disposal instructions on the drug label or patient information that accompanies the medication. Do NOT flush prescriptions down the toilet unless this information specifically instructs one to do so. They also suggest that people take advantage of community drug take-back programs. A call to the city or country government’s household trash and recycling service can let you know about take-back programs in the local community. If there are no specific instructions given on the label of the drug and no take-back programs available in the local community, one can mix the drugs in the trash. An easy way would be to place them in a zip lock bag with some coffee grounds to: one, make them undesirable to animals and children and two, keep them from spilling out of the trash bag. These are just a few of many options and helpful tips on proper drug disposal.

  20. Jessica Sipho says:

    As of October 9, 2014 the DEA has revised its regulations regarding the disposal of controlled substances. Authorized retail pharmacies; hospital and clinics are permitted to place collection receptacles inside their establishments and permit people to drop off or mail back unwanted or unused controlled substance medications. Law enforcement agencies are now allowed to place collection receptacles inside their stations, conduct drug take-back events, and administer drug mail back programs.

    For security reasons all collection receptacles must be securely fastened to a permanent structure. Secondly, the receptacles must be placed in immediate proximity of a facility employee, an employee must always be present to monitor the use of the collection receptacle. Only the users of the controlled substances should be permitted to deposit substances into the receptacles. Pharmacy and hospital staff cannot take the drugs and put the into the container.

    The DEA does not require a specific method of destruction for the controlled substances that are collected. Facilities are allowed to develop their own method of disposal so long as the drug is permanently altered so that the substances physical or chemical state is irreversible and unusable for all practical purposes. The DEA does require that any sealed liners that have been removed from the collection receptacle to be stored for up to three business days in a securely locked cabinet. Hospital or clinics should limit the transportation of large quantities for it poses a security risk. Facilities that accept controlled substance drop-off’s are required to keep a disposal log, signed off by a designated supervisory level employee of the long term care facility.

  21. Geneviene Mercado says:

    Topic A:

    There are plenty of ways to dispose of controlled substances in a correct manner. If anyone is unsure on how to dispose of and medication this website http://www.awarerx.org/get-local/alaska is a great link to go to. It provides three informational ways to dispose of medications. First is to take them to a location that is involved in a medical disposal program or the police department drop box. There are currently two-drop boxes in Anchorage and Fairbanks is working on installing some in the future. Second option is to take them to a Prescription Drug Take-Back event, which some pharmacies including military post/bases have during the year. Third option is if you’re unsure how to dispose of any controlled substance to follow the FDA guidelines for getting rid of any unwanted medications.

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