Lakichia Carrier, Funda Simsek, and Sarah Rombauer
Executive Summary
• Healthcare systems produce highly toxic chemicals and pharmaceuticals.
• It is required by the Environmental
Protection Agency (EPA) for healthcare systems to meet the regulations of the
Resource Conservation and Recovery Act
(RCRA).
2
Executive Summary
• Failure to adhere to the regulations can result in costly fines.
• Releasing and not properly disposing of hazardous materials is detrimental to the environment, the water supply, and the community. 3
Project Description
• Setup a pharmaceutical waste plan for a large health system
4
High Level Product
Characteristics
• Implement pharmaceutical waste plan to segregate hazardous medications and dispose them off properly.
– Develop Task Force
– Inventory Analysis of current medications
– Segregation of Pharmaceutical Waste
– Education and Training of Staff
– Auditing of Plan
5
Project Purpose or
Justification
• Meet RCRA Regulations (Resource
Conservation and Recovery Act) enforced by the EPA and also can be enforced at a state level.
• Meet TJC (The Joint Commission) standards in order to maintain TJC accreditation. • Sustainability of water supply.
6
Project Objectives
• Pharmaceutical Waste Task Force will create a plan with guidance of consulting group,
PharmEcology to implement segregation of pharmaceutical waste within 6 months.
• Cost goal of the project is not to exceed
$100,000.
• Educate and train healthcare staff (nurses, pharmacists, pharmacy technicians, patient care assistants, environmental services employees)
7
Project Objectives
• Implement plan
• Monitor and Audit plan results
• Close – Handoff to operations employees, safety department, and environmental services department.
8
Project Benefits
• Reduces risk of fines, penalties, and loss of accreditation.
• Prevents hazardous medications from entering the local water supplies.
9
Project Success Criteria
• Pharmaceuticals are properly being disposed of at all locations in the health system and verified by auditing.
• Staff can successfully communicate and demonstrate proper way to dispose of pharmaceutical waste to regulators and inspectors. 10
Stakeholder Register
Name
Position
Role
Internal / External
Janice Doe
Director of Pharmacy
Tram Member
Internal
Susan Doe
Pharmacist Supervisor
Team Member
Internal
Stephanie Doe
Lead Pharmacist
Team Member
Internal
Lead Pharmacist
Team Member
Internal
Sarah Rombauer
Pharmacy Tech Supervisor /
Project Manager
Project Manager
Internal
Rita Doe
Pharmacy Nurse Supervisor
Team Member
Internal
Frank Doe
Director, Supply Chain
Management
Team Member
Internal
Larry Doe
Manager, Environmental
Services
Team Member
Internal
Mark Doe
General Manager,
Environmental Services
(interim)
Team Member
Internal
Susan Doe
11
Stakeholder Register
Name
Position
Role
Internal / External
Stephanie Doe
Director, Regulatory and
Customer Relations
Team Member
Internal
Sarah Doe
Director of Nursing Practice and Research
Team Member
Internal
Clarke Doe
Director, Cardiopulmonary
Services
Team Member
Internal
Kim Doe
Supervisor, Infection Control
Team Member
Internal
Cindy Doe
Director, Clinical Informatics
Team Member
Internal
Joan Doe
VP Organizational Quality &
Performance Improvement
Internal Advisor
Internal
Phil Doe
Sr. VP and COO
Internal Advisor
Internal
Paul Doe
V.P. Facilities & Support
Services
Internal Advisor
Internal
Nick Doe
VP, Oncology
SPONSER
Internal
Sheri Doe
VP, Nursing
Internal Advisor
Internal
12
Stakeholder Register
Name
Position
Role
Internal / External
Charlotte Doe
PharmEcology Consultant
External Advisor
External
Suzy Doe
PharmEcology
Implementation Coordinator
External Advisor
External
Customers and Patients
External
City of Harrisburg
External
Environment (Water Supply)
External
13
Internal Structure
Nick Doe
SPONSER
Janice Doe
Director of
Pharmacy