Destruction Of CDs

Question 1

What drugs must be denatured before disposal?

Answer 1

Schedule 2, 3 and 4 part 1 to be rendered irretrievable

Question 2

Do you need a license to denature?

Answer 2

Usually but pharmacies can register an exemption without needing to obtain a license

Question 3

Is denaturing required for patient returned controlled drugs?

Answer 3

Yes if schedule 2, 3 or 4 part 1

Question 4

Is an authorised witness required for patient returned controlled drugs?

Answer 4

No - but should be witnessed by another member of staff familiar with CDs

Question 5

Does a record need to be kept for patient returned CDs?

Answer 5

Not in the CD register but records of their return and destruction should be kept in a separate record

Question 6

Is denaturing required for expired/obsolete/unwanted stock of controlled drugs?

Answer 6

Yes if schedule 2, 3 or 4 part 1

Question 7

Is an authorised witness required for destruction of expired/obsolete/unwanted stock of controlled drugs?

Answer 7

Yes if schedule 2

Schedule 3 and 4 part 1 - no but should be witnessed by a member of staff

Question 8

Does a record need to be kept for patient returned CDs?

Answer 8

An entry should be made into the Cd reg for schedule 2

Question 9

How are solid dosage forms destroyed?

Answer 9

1. Grind/crush before adding to denaturing kit
2. Small amount of water can be added to reduce particles of dust in the air

Question 10

How are solid dosage forms destroyed if there is no cd denaturing kit?

Answer 10

1. Crush or grind the tabs/capsules
2. Place into a small amount of warm soapy water and stir to ensure the drug is dissolved or dispersed
3. Pour mixture into a suitable product then into the waste disposal bin

Question 11

How are liquids destroyed?

Answer 11

1. Pour into a CD denaturing kit
2. Rinse bottle

Question 12

How do you destroy liquid if no CD denaturing kit?

Answer 12

Pour onto a suitable product then add this to waste disposal bin

Question 13

How are liquid amps and vials denatured?

Answer 13

1. Open the amps and empty the liquid into denaturing kit
2. Dispose of sharps in sharps bin

Question 14

How are powder amps and vials denatured?

Answer 14

1. Open amp and add a small amount of water to dissolve
2. Pour into denaturing kit
3. Glass in sharps bin

Question 15

How are patches denatured?

Answer 15

1. Remove backing and fold patch over on itself
2. Place in waste disposal bin or CD denaturing kit

Question 16

How are aerosols destroyed?

Answer 16

1. Expel into water and dispose of liquid

Or

1. Expel into an absorbent material and dispose as pharmaceutical waste

Question 17

When is an authorised witness needed for CD destruction?

Answer 17

Schedule 2 out of date/unwanted/obsolete

If an entry made into the CD register then it needs to be witnessed (schedule 3 in prison kept in register so would need witnessed)

Question 18

Who can authorise a witness?

Answer 18

1. Home Secretary
2. Secretory of state
3. Accountable officer