Medicine disposal

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Specializes in Hospice.

When we have a death we dispose of the liquid meds (morphine, lorazepam etc.) down the sink and the po meds down the toilet. What are some other methods that are used in your agency? Disposing into cat litter or coffee grounds are two other methods I have heard of. Right now our policy is to put them down the drain/toilet. I am not thrilled with this method. Thanks for your input.

Specializes in Cardiac, Hospice.

We are using the kitty litter/coffee grounds method because of concerns about the drugs going into the sewer system.

Specializes in Hospice, Palliative Care, Gero, dementia.

another way to deal with liquid meds is to use diapers (depending on the quantity you have).

I would imagine if you you tabs/capsules and a sharps container, you could use that. Having to grind them up and then mix w/litter or coffee grounds seems like a major problem.

Also, they are rare and far between, but I have found some places that will accept unused medications (but that would require an agency-level policy change.

Specializes in Gyn Onc, OB, L&D, HH/Hospice/Palliative.

I never put anything down the sink-- into the h20 supply, pretty much flush everything down the toilet. We are also allowed to mix the meds in a baggy w/flour or cat litter and add h20 to mush it and then throw in the trash.

Specializes in Hospice.

The water from the toilet or the sink ends up in the same place. In the rural areas we have septic tanks so the problem is more localized. I sure would like to get my agency to start using the cat litter or some other procedure. I attend 1-4 deaths on some nights. A lot of drugs go down the drain.

Specializes in hospice,, psych, L&D,.

We place medications ( liquid, tabs and capsules) in a plastic zip lock bag and add dish or laundry detergent. the bag is closed and then placed in regular trash. Detergen must be a regular detergent and not a natural product. The regular detergent turns the meds into a gel.

Specializes in Med/Surge, Psych, LTC, Home Health.

that's how we are told to do it where we work.... to dispose of all medications down the drain.

Where I work, capsules and pills go into the sharps box, and liquids go down the toilet.

Specializes in Hospice.
We place medications ( liquid, tabs and capsules) in a plastic zip lock bag and add dish or laundry detergent. the bag is closed and then placed in regular trash. Detergen must be a regular detergent and not a natural product. The regular detergent turns the meds into a gel.

I like this idea best of all. I'll take it to the powers that be and see if it flies. Thanks.

Specializes in L&D, Hospice.

i like the detergent use and then throw it in the trash - unless the trash goes into a landfill, then we end up with medications in the drinking water again at some point..... we use cat litter; cat litter with water makes enough of a mess that no one will ever want to take those meds again; some of our nurses microwave meds incl. suppositories in a plastic bag and then throw that in the trash. We also have families who will not put meds into their garbage, they consider it medical waste and want no part in that - i have taken meds home and mixed into my own used cat litter already; I also returned some liquids to our pharmacies for appropriate disposal and they take it no questions asked.

Specializes in Hospice.

When the trash goes to the landfill it is unlikely to enter the ground water. The landfill is a closed system where the area where the trash is being dumped is lined with plastic. This prevents toxins from reaching the ground water. I am surprised that your agency allows you to transport meds. We are not even allowed to transport an aspirin. It is funny that we can have morphine delivered by a cab driver who's background in unknown but we cannot deliver any meds. Go figure

Specializes in hospice,, psych, L&D,.

I just wanted to confirm that the detergent must be liquid. Guess everyone figured that out but wanted to make sure. There doesn't seem to be any ideal way to do this to keep things environmentally safe. Another suggestion that I have heard of is to add quick setting concrete mix and water to a zip lock bag with meds.

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