• Medication Management

  • Expiration dates (sample meds, clinic meds, fridge meds, E-kit meds).  Check expiration dates within the first 2 weeks of the month and REMOVE any medications that are expiring that month. 

    • Multidose vials - expire 28 days after first use.  Must label with initials, date opened, and expiry date.

    • EXCEPTION TO THIS IS POLIO VACCINE - use manufacturer's expiration date.

    • Must also remove expired medications from AccuShelf kiosk(s)

  • Ordering. 

    • Medications and private vaccines are currently ordered by Nursing leadership.  Connect with your nursing supervisor or manager to learn the process for your clinic.

    • May only order medications on formulary.

    • Non-pharmacy items include IUD's, Nexplanon, phenol swabs, and Drysol (aluminum chloride).  Request this order from site's Coupa user (usually site supervisor or lead MA). 

• Record-keeping

  • If transferring medications from one clinic to another, create a transfer in AccuShelf to document.

  • All packing slips should be signed, dated, and kept in the clinic RN binder for at least 3 years.

  • All injectable medications, including IUD's, should be added to eCW inventory.

• Policies

  • CSM.061 Disposing of Expired Meds/Biologics by RN

  • RX.001 Legal Requirements for Drug Dispensing

  • RX.002 Clinic Medication Administration

  • RX.004 Clinic Medication Dispensing 

  • RX.003 Dispensing Samples

There are three types of pharmaceutical waste:

1. Pharmaceutical (white bin)

2. RCRA (black bin)

3. Narcotic (RX Destroyer)

 All pharmaceutical waste should be logged on the appropriate form, then placed in the correct container.  Remove as much packaging as possible to minimize bulk.  Don't put loose pills or liquids in the container.

RCRA bin pick-up request form

Pharmaceutical Waste Record

Vaccine waste:  VFC/VFA/State wasted/expired vaccines should be returned to the appropriate program.  *Some* private vaccines may be able to be returned to the manufacturer, but most will need to be disposed of in Pharmaceutical or RCRA waste.