Improper Disposal of Used Fentanyl Patches
Penalty
Summary
The facility failed to properly dispose of used fentanyl patches, a potent opioid medication, as observed during a survey. Nine opened and used fentanyl patches were found stored in a plastic cup inside a medication cart by an LVN, who stated that the patches were awaiting disposal by the DON. The DON confirmed that used fentanyl patches should not have been stored in the medication cart and should have been brought directly to the DON for proper disposal. The facility pharmacist explained that used fentanyl patches should be cut up and placed into a disposal bin containing liquid to ensure they cannot be reused, noting that residual medication on the patches could be dangerous if touched. Review of the facility's policy indicated that destruction of controlled substances must render them non-retrievable, permanently altering their properties so they cannot be used or diverted.