Albany Medical Center. Pharmaceutical waste management: A 2 year pilot project Funded by the US EPA grant X9-97256506-0 In collaboration with HANYS (Healthcare Association of New York State) and the New York State Department of Environmental Conservation. Russell F. Mankes, PhD
Pharmaceutical waste management:
A 2 year pilot project
Funded by the US EPA grant X9-97256506-0
In collaboration with HANYS (Healthcare Association of New York State) and the New York State Department of Environmental Conservation
Russell F. Mankes, PhD
Associate Professor, Center for
Neuropharmacology and Neuroscience and
Center for Immunology and Microbial Disease
4 gallon compatible
2 gallon incompatible
Ondansetron – Eco Hazard
diphenhydraminePreliminary Results (cont’d)Typical drugs collected:
Process Improvement – Propofol (Diprivan®)
Propofol is an injectable anesthetic agent used for outpatient or inpatient surgical procedures or to provide conscious sedation. It is a suspension in liquid supplied in 20, 50 or 100 mL vials. It is considered a 9 of 9 for persistence, bioaccumulation and toxicity (Environmentally classified pharmaceuticals, http://ww.janusinfo.se). During waste segregation, propofol was found to comprise 29% of the total waste generated from the operating rooms as for each case required a new vial of propofol to be opened and all propofol from the preceding case to be discarded.
Solution: 50 and 100 mL vials of propofol were removed from AMC Pharmacy inventory. Propofol would only be available in the smallest size manufactured to reduce wastage.