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| Letter from the Editor |
| News |
| Did You Know? |
| Tip of the Week |
| IJPC now on Facebook and Youtube |
| Looking Back |
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| Info@CompoundingToday.com or (800) 757-4572 ext 1 |
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| To place a classified advertisement please contact: Lauren Bernick lbernick@ijpc.com or (405) 513-4236 |
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GETTING BACK TO "NORMAL"
Several things are happening that should allow compounding to get back to "normal," as follows:
- States are opening back up from the stay-at-home policies related to the COVID-19 virus.
- The contested revised USP chapters are postponed and will be reviewed/revised, but the entire process will take time, and, meanwhile, the current chapters are still in effect for those states adopting them. Some states have their own or have modified the USP chapters to meet their individual state needs.
- It seems that fewer than 10 states have adopted USP <800>, which is appropriate since the OSHA, NIOSH, and EPA federal regulations already affect us.
- Physicians, clinics, hospitals, and others are getting back to normal so pharmacy activities should be recovering.
- We (IJPC) and the pharmacy compounding support companies remain ready to assist compounding pharmacies in whatever ways we can to "get back to normal."
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| Environmental Protection Agency, Part 14 (Final) |
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10 Steps to Develop and Implement a Pharmaceutical Waste Management Program
Step 1 begins with some action items that you can begin immediately.
Step 2 is an overview of how the federal Resource Conservation and Recovery Act (RCRA) regulations apply to pharmaceutical waste management.
Step 3 begins where the regulations leave off providing guidance on how to manage nonregulated hazardous pharmaceutical waste.
Step 4 walks you through the steps necessary to perform a drug inventory review. This step can be very tedious and time consuming.
Step 5 alerts you to waste minimization opportunities.
Step 6 assesses current practices.
Step 7 takes on the communication/labeling challenge.
Step 8 considers management options.
Step 9 prepares personnel for hazardous waste implementation.
Step 10 launches the program.
Summary
Pharmaceutical waste continues as a new frontier in environmental management for healthcare facilities, including pharmacies. The compliant, cost-effective management of waste pharmaceuticals is a complex challenge that is interdisciplinary in nature, involving;
- pharmacy,
- nursing,
- environmental services,
- safety,
- infection control,
- quality assurance,
- risk management,
- education,
- administration, and
- purchasing.
It also requires the implementation of new systems to insure proper waste management. Professionals within state and federal environmental protection agencies can assist the healthcare facilities in developing practical compliance models. It will take the involvement of the entire supply chain, from manufacturers through distributors to hospitals, to develop more user-friendly systems to insure protection of human health and the environment.
For the complete document, go to:
http://www.hercenter.org/hazmat/tenstepblueprint.pdf
Loyd V. Allen, Jr., PhD, RPh
Editor-in-Chief
IJPC
Remington: The Science and Practice of Pharmacy Twenty-second edition
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News
Some COVID-19 Patients Taken Off Ventilators May Take Days or Weeks to Wake Up
A significant number of patients with severe COVID-19 who have spent long periods on ventilators are taking days or weeks to awaken from medically induced comas. Even after they do regain consciousness many face the need for months of cognitive and physical rehabilitation, and some may never return to their previous level of functioning. "Some of these patients, we wean them on off sedation, take the breathing tube out, and right away they give us a thumbs up, or a few words," said Nicholas Schiff, a neurologist at Weill Cornell Medicine in New York who specializes in treating disorders of consciousness. "But there are others who are still not following commands and still not expressing themselves weeks later."
https://www.washingtonpost.com/health/2020/06/07/coronavirus-ventilators-prolonged-comas/
WHO Resumes Hydroxychloroquine Study for COVID-19
The World Health Organization (WHO) has resumed clinical studies to assess the viability of hydroxychloroquine as a treatment for COVID-19. Researchers stopped accepting new patients earlier after safety concerns were raised. Upon reviewing results generated to date, however, the current trial's data safety monitoring board found "no reasons" to discontinue their work. The hydroxychloroquine investigation - which represents just one arm of WHO's Solidarity Trial of potential coronavirus therapies - is back on track. Thousands of people from dozens of countries are participating.
https://www.statnews.com/2020/06/03/who-resuming-hydroxychloroquine-study-for-covid-19/
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Did You Know ...
...that Thomas Jefferson said the following?
"Men are inherently capable of making proper judgments when they are properly informed."
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Tip of the Week
But what if they are not informed or are misinformed by the news media, either accidentally or purposefully? The news media today has lost credibility and respect and are almost of no use in making important decisions; referring to both the national and local media. From lies, misinformation, and interviews using inappropriate leading questions and sharply limiting responses, one cannot rely on much of the news today. The media loves to criticize and degrade an individual being interviewed but totally overlook their own lies and the adverse effects their lies have on our society.
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IJPC Now on Facebook and Youtube
Become a fan of the IJPC Facebook page and share ideas, photos, and keep up to date with the latest compounding information - https://www.facebook.com/IJPCompounding
View our growing collection of educational and training videos at www.ijpc.com/video or by subscribing to our Youtube channel at https://www.youtube.com/IJPCompounding.
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Looking Back
They missed the turn,
The car was whizz'n
Fault was her'n
The funeral his'n!
Burma-Shave
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