Any drug classified as a controlled substance that remains after administration must be disposed of so that it meets Drug Enforcement Agency (DEA) and Environmental Protection Agency (EPA) requirements. The DEA requires that these medications must be disposed of so that they are "unrecoverable" and the EPA does not allow these medications to go directly into the sanitary sewer system.
Cactus Smart Sink
Pharma Lock
In order to comply with both federal agency requirements, VUMC uses these two products: the Cactus Smart Sink and Pharma Lock.
- The Pharma Lock is used to dispose of larger liquid volumes. These are located in Perioperative Services and in the Pharmacies.
- The Smart Sink is used to dispose of both liquid and solid wastes, including pills, capsules and patches. These are located in all inpatient and outpatient clinical areas where controlled substances are administered.
Resources
- Cactus Smart Sink training:
- Use the Cactus Smart Sink flyer (pdf)
- Video (4:04 minutes)
- Pharma Lock training:
- Use The Pharma Lock flyer (pdf)
- Video (2:46 minutes)
- Vendor FAQ
More About Hazardous Drugs at VUMC
- Pharmaceutical Drug Waste discusses additional types of drug wastes.
- Handling Hazardous Medication provides more information about hazardous medications.
Policies and procedures available in PowerPolicy.
| Controlled Substance Administration and Accountability | Main Campus | Regional Hospital |
| Hazardous Waste Handling and Disposal (SOP) | Main Campus | Regional Hospital |
| Medication Storage and Handling (Policy) | Main Campus | Regional Hospital |
(Unless otherwise indicated, "Main Campus" includes hospitals and clinics on the main campus and at One Hundred Oaks. "Regional Hospitals" includes regional hospitals, their associated clinics, and VIP locations.)