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Fridge requirements for MMRV and Varicella/Zoster vaccines?
-58F-5F
Fridge Requirements for Hep B, Flu, and Tdap vaccines?
35F-46F
Fahrenheit to Celsius conversion
5F=9C+160
Class I recall
A medication is being recalled because there is a strong chance of serious adverse effects or death
Class II Recall
A product is being recalled because there is a temporary (but reversible) chance of adverse effect or little chance of serious adverse effect
Class III recall
A product is being recalled because of a problem that is not likely to cause adverse effects
USP chapter —— addresses the handling of hazardous medications
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Which institute addresses the handling of hazardous medications?
The National Institute for Occupational Safety and Health (NIOSH)
P-listed medications
Acutely hazardous medications. Bottles are also considered dangerous (e.g. Warfarin, Nicotine, Epinephrine)
D-listed medications
Toxic, ignitable, corrosive, or reactive. They have the potential to get into drinking water, and contain mercury or heavy metals. All aerosols are considered in the ignitable category. (e.g. Silver Sulfadiazine, Albuterol inhalers)
U-listed medications
Toxic and are usually chemotherapy (e.g. mercury)
Which government agency can inforce a drug recall?
The FDA (not the DEA!)
Responsibilities of CDC
Monitors diseases and protects public health
Responsibilities of OSHA
Establishes and enforces standards for workplaces to ensure safe working conditions
Responsibilities of the FDA
Establishes and enforces standards for medication manufacturing and purity
Which form is used to request permission to destroy expired controlled substances?
DEA Form 41
What is DEA Form 106 for?
Document the loss or theft of controlled substances
What is DEA Form 224 used for?
Apply for new registration to dispense controlled substances
What is DEA Form 222 used for?
Ordering Schedule I or II controlled substances
What is FDA MedWatch used for?
Reporting adverse drug events.
What is the Orange Book?
reference published by the FDA that lists approved medications and their therapeutic equivalents
What is the Merck Index
reference that lists the chemical attributes of chemicals, medications, and biologicals
What is the Pink Book?
Vaccines and diseases
Which government agency to report stolen controlled substances?
DEA and local law enforcement