Section 657.11.32. Destruction or disposal of controlled substances.

Disposal or destruction of controlled substances shall be pursuant to the requirements of this rule and rule 657—11.29(124,147A,155A). Records shall be maintained at the primary program site and, if the program is a pharmacy-based service, records shall be maintained at the pharmacy.

       11.32(1) Outdated, adulterated, or unwanted supply. EMS personnel shall not destroy any controlled substances except as provided in subrule 11.32(2). Any drug that requires disposal or destruction shall be removed from administration stock and quarantined until the drug can be returned to the responsible individual. The responsible individual shall dispose of or destroy controlled substances according to the following procedures:

        a.           The responsible individual shall utilize the services of a DEA-registered and Iowa-licensed disposal firm (reverse distributor), or

        b.           The responsible individual shall utilize such other means determined and approved by the board.

       11.32(2) Administration wastage. Except as otherwise specifically provided by federal or state law or rules of the board, the unused portion of a controlled substance resulting from administration to a patient may be destroyed or otherwise disposed of by the administering EMS personnel, the medical director, or a pharmacist. Any wastage of a controlled substance shall be conducted in the presence of a responsible adult witness who is a member of the EMS team, a member of the professional or technician pharmacy staff, or a licensed health professional. A written or electronic record of controlled substance wastage shall be made and maintained at the primary program site and, if the program is a pharmacy-based service, at the pharmacy, for a minimum of two years following the destruction or other disposal. The record shall include the signatures or other unique identification of the witness and of the individual destroying or otherwise disposing of the wastage of the controlled substance and shall identify the following:

        a.           The controlled substance wasted;

        b.           The date of destruction or other disposition;

        c.           The quantity or estimated quantity of the wasted controlled substance;

        d.           The source of the controlled substance, including identification of the patient to whom the substance was administered; and

        e.           The legibly printed names of the person wasting the unused portions of the controlled substance and of the qualified witness.

[ARC 9786B, IAB 10/5/11, effective 11/9/11]