500's Flashcards by Brad Kennedy

The location of all controlled drugs on the ALS apparatus will be in a locked box secured within the temperature-controlled medical cabinet. The cabinet must be maintained between __________ degrees.

59-86

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Temporary use of a ___________ within the designated compartment of the apparatus is acceptable.

locked bag

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A key ring with a key to the lock box will be carried by the ____________. No other Fire Station personnel will have access to the keys (see NarcoBox Storage Device section for keyless storage boxes).

Lead Paramedic

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Overstock of controlled substances will be in an alarmed and locked storage area within a __________.

substantial safe

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EMS personnel identified as _____________ will have the only access to overstocked controlled substances and are also the only personnel with an extra key to the ALS apparatus controlled substances lock boxes.

Narcotic Distribution Officers (NDOs)

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The NDO shall notify the Medical Director or ______________ of the need to order any controlled substances.

Power of Attorney

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Once signed by the Medical Director or Power of Attorney, the DEA receipt/form will be forwarded to the _________ at the Operations Warehouse to place the order.

Administrative Coordinator

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The ___________________, when placing the order, shall ensure the vendor has a current DEA licensure for the sale of the narcotic being ordered and provide the DEA receipt/form to the vendor to complete the sale.

Administrative Coordinator

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EMS

Order(s) will be inventoried by _____ NDOs.

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EMS

Verified inventory is entered in the ______________________.

Master Controlled Substances Log

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EMS

Totals will be placed on the DEA _____ receipt/form.

blue

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EMS

There will be no transfer of controlled substances between EMSA and/or other agencies without approval by the ________________.

Office of the Medical Director (OMD)

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EMS

A Controlled Substance Log maintains all transactions of controlled substances and will be kept in a secure location at all times. OKCFD ALS apparatus are approved to carry _______________.

Fentanyl, Morphine, Valium, and Versed

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EMS

Due to drug shortage, one or more of the approved controlled substances may not be issued to ALS apparatus. A ______________ form is only required for controlled substances actually present on ALS apparatus.

Verification of Use

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EMS

An entry on the appropriate Verification of Use form will be made for each:

-Verification of inventory at shift change or other changes in Lead Paramedic. The paramedic must sign the log prior to leaving the Fire –Station at shift change.
-Delivery of drugs or pick up of expired drugs by NDOs
-Each time drugs are dispensed
-Any time the balance changes for any reason.

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________ will be the only individuals to distribute re-supply stock.

NDO’s

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Paramedics shall email EMSupply (group email) detailing the Fire Station Number, Medication Name, and Quantity on Hand when a controlled substance has been reduced to the following quantities:

Two (2) containers of Morphine
One (1) container of Valium
One (1) container of Fentanyl
One (1) container of Versed

Emergency After-Hours Resupply - After emailing EMSupply (group email) with the resupply need, Paramedics will notify the EMS Coordinator via phone at 405-297- 2865 for re-supply when:

Both Fentanyl and Morphine have been depleted; OR
Both Versed and Valium have been depleted.

Should a controlled substance be lost or damaged, the following shall occur:

Notify EMS immediately at 405-297-1315 during normal business hours or at 405-297-2865 after hours.
An EMS Controlled Substance (IR) Incident Report form will be completed by the responsible Lead Paramedic and forwarded to EMSTraining@okc.gov immediately. The form may be obtained on FDWEB. Damaged or broken containers will be attached to the IR form unless they contain no medication or are a sharps hazard.
An entry will also be made in the Controlled Substance Log indicating the new balance.
EMS will notify the Office of the Medical Director within 12 hours of the incident.
The Medical Director or designee will report the loss/misplacement/theft of the controlled substance, within 24 hours, to the appropriate local civil authorities. State and Federal authorities (DEA and State of Oklahoma Agency for controlled and dangerous drugs) will be notified in writing.
If indicated, an internal investigation will be conducted as a joint effort, by NDO(s) and the Medical Director. This information will be shared, if requested, with local, State, and Federal authorities.

The Office of the Medical Director will conduct a __________ audit of all controlled substances.

quarterly

Verification of Use forms will be kept for a period of __ years. DEA forms and related shipping receipts shall be kept for a period of __ years.

The Oklahoma City Fire Department is certified by the Oklahoma State Department of Health (OSDH) EMS Division as an __________.

Emergency Medical Response Agency (EMRA)

The ___________ will also maintain an inventory of all CPR equipment and supplies.

AHA Coordinator

The EMS staff will coordinate with 601 District Officer for the maintenance/delivery of _______ and stocking of EMS supplies and equipment.

ATMR bicycles

According to the Oklahoma State Department of Health (OSDH) EMS Division "Statutes and Regulations" section 310:641-5-14; EMTs and Paramedics licensed after ______________ shall maintain both State and National Registry Licensure.

April 1, 2010

Tax holds not removed by _________ of the license expiration year will be considered lapsed.

June 30th

Paramedic candidates seeking initial credentialing will complete a minimum of ________ supervised shifts with EMSA.

eight (8)

EMT Refresher

8 hr

Paramedic Refresher

24 HR/3 day refresher

At the direction of OMD personnel who are absent from work for a period of greater than _______, but less than 180 days may be required to: Complete a protocol examination with a minimum score of 80% Complete a minimum of four (4) shifts on OKCFD apparatus under the supervision of a preceptor.

90 days

The radio designation for OKCFD Paramedics is ______, if more than one paramedic is on the scene, call signs are MTAC -1, MTAC-2, etc.

(MTAC)

Anytime a ______________ responds to an incident, they will notify Fire Dispatch and inform them of the OCPD Tactical Unit incident. Fire-Dispatch will notify the on-duty Shift Commander.

Tactical Paramedic

When staffing is available and prior to 2200 hrs. on the day of the event, __________ Tactical Paramedics will be the first option utilized to accommodate the request from OCPD. The use of a Hold Person is approved to accommodate an OCPD Tactical Unit request.

On-Duty

If staffing is not available or if after 2200 hrs. when notified of an OCPD Tactical Unit, an __________ Tactical Paramedic may be utilized. The Tactical Paramedics will decide among themselves who is going to respond. Unless specifically requested by the Police Incident Commander for a bona fide reason, only one Tactical Paramedic will respond.

Off-Duty

There are four OKCFD paramedics assigned to the Unit.

MTAC

_______________ are required to attend monthly and annual training.

Tactical Paramedics

Any OCPD Tactical Unit training that is "Academy Style" will be requested through a Travel/Training Request. If approved, the employee will initially schedule their time off using personal leave, and when within six shifts of the Training, the time will be converted to _____________.

Granted Time

Immediately following a conflict resolution meeting, the OKCFD representative will email _________ with a summary of the conflict and the resolution reached.

EMSTraining@okc.gov

Each district will have at least two District EMS Supply Coordinators assigned from the Blue Shift. Each station will submit EMS supply orders via email to their District EMS Supply Coordinator located at the District Officer station on the _________________.

second to last Blue Shift of the month

The District EMS Supply Coordinator will enter these requests into the District EMS Supply Order form located on FDWEB the Fireweb EMS webpage and forward via email by the _________ of the month to EMSupply (group email).

last Blue Shift