rxmeds dr. sterling w. hayden, archs nicole m. gattas, pharm.d., bcps regional excess medication...
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RxMEDSRxMEDSDr. Sterling W. Hayden, ARCHS
Nicole M. Gattas, Pharm.D., BCPS
RRegional egional eeXXcess cess MEMEdication dication DDisposal isposal SServiceervicePartnershipPartnership
Goal of RxMEDS Partnership: Goal of RxMEDS Partnership: Create an efficient regional Create an efficient regional
model that removes and model that removes and disposes of unwanted disposes of unwanted
medications and informs the medications and informs the citizens of related health and citizens of related health and
environmental issues.environmental issues.
Goal of RxMEDS Partnership: Goal of RxMEDS Partnership: Create an efficient regional Create an efficient regional
model that removes and model that removes and disposes of unwanted disposes of unwanted
medications and informs the medications and informs the citizens of related health and citizens of related health and
environmental issues.environmental issues.
RxMEDS’ Partners RxMEDS’ Partners Area Resources for Community and
Human Services (ARCHS)
Area Resources for Community and Human Services (ARCHS)
Schnuck Markets, Inc. Schnuck Markets, Inc.
Cintas Corporation Cintas Corporation
St. Louis College of Pharmacy St. Louis College of Pharmacy
Missouri AARP Missouri AARP
Mid-East Area Agency on Aging Mid-East Area Agency on Aging
St. Louis OASISSt. Louis OASIS
Senior Services Plus Senior Services Plus
Partnerships Growing Partnerships Growing
WK Health WK Health
Stericycle Stericycle
St. Louis City on Aging St. Louis City on Aging
Metropolitan Sewer District Metropolitan Sewer District
STL County Waste Management Program STL County Waste Management Program
MO Environmental Water Ass’n MO Environmental Water Ass’n
Living Lands and Waters Living Lands and Waters
American Water Company American Water Company
PhRMA PhRMA
Saint Louis University Saint Louis University
Time LineTime Line
Determine feasibility of on-going take-back programs
Determine feasibility of on-going take-back programs
12 months of take-back programs:
provide the service and educate the
public
12 months of take-back programs:
provide the service and educate the
public
6 months of planning set-up: Controls,
policies and procedures, marketing, scheduling
6 months of planning set-up: Controls,
policies and procedures, marketing, scheduling
Phase 1Phase 1 Phase 2Phase 2 Phase 3Phase 3
Goal: Create an efficient regional model that removes and Goal: Create an efficient regional model that removes and disposes of unwanted medications and informs the citizens disposes of unwanted medications and informs the citizens
of related health and environmental issuesof related health and environmental issues..
Goal: Create an efficient regional model that removes and Goal: Create an efficient regional model that removes and disposes of unwanted medications and informs the citizens disposes of unwanted medications and informs the citizens
of related health and environmental issuesof related health and environmental issues.. Objectives: Identify 25 regional
supermarkets that will serve as collection centers.
Establish an environment friendly methodology to dispose of unwanted medications.
Plan and present a major regional workshop for seniors through our senior services partners.
Provide educational programs to 10-20 regional schools on drug safety, etc.
Conduct relevant research on the topic. Such as:
Demographics of patrons What types of medications are being turned in Previous disposal methods
MeasurementMethodology: Surveys at point of
collection Data collected at
point of collection Feedback from
involved parties Attendance at
Regional Senior Workshop(s)
Pre/post senior survey on knowledge gained
# of school programs conducted
# of students in the programs
Pre/post student survey on knowledge gained
Outcomes: Immediate Public awareness of an issue
that affects the region but until now has not been addressed on a major scale.
Intermediate Removal of medications that
harm the environment and pose a health hazard.
Long Term An attitudinal change of the
general public that currently accepted and promoted means of medication disposal are not correct.
A shift in the advertising by major pharmaceutical companies towards an improved disposal method for unused medications.
Hurdle #1: Control Medication Hurdle #1: Control Medication
• EPA and federal DEA approved plan of separate bins, multiple person check off, and officer picks up immediately following the drop off period. – Specifically for this grant
• State BNDD would not agree• Therefore, we will not accept control
medications – Ambien to Methylphenidate to Xanax – Pseudoephedrine
Approvals Approvals √US EPA
√US EPA Human Subjects Review & St. Louis University IRB Board
√ IL EPA
√MO EPA
√Hazardous Materials Information Center (US Dept of Transportation)
√MO Bureau of Narcotics and Dangerous Drugs (BNDD)
√US DEA, MO & IL
√MO Board of Pharmacy
Unwanted Medication Disposal Program Set-up
Unwanted Medication Disposal Program Set-up
• 20 locations, 3 hour drop off time once a month
• Accept non-controls unwanted medications, document controls but do not accept
• Inform patrons what to do with non-returnable materials
• Only collect medications during collection times
Personnel Personnel
Greeter Tech Student Extern
Pharmacist
•Show location•Manage flow
•Market •Ready materials• Assist with workflow
•Document •Determine drug •Discuss drug related problems
•Check drug documentation •Feedback
Liability/reliability of information Liability/reliability of information
Policies and Procedures Policies and Procedures
• Greet and explain purpose
• Background
• Facts & Comparisons 4.0 drug database on students laptop for quick tablet identification
• Form may be printed out for patron
• Educational materials offered
• Incentive offered
Public EducationPublic Education
• 20 school age presentations
• Presentations at Area Agencies on Aging
• Marketing the disposal program