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LT 2024 > Controlled Substance Policy > Flashcards

Controlled Substance Policy Flashcards

1
Q

What are controlled substances within PF&R?

A

Fentanyl (schedule 2)
Midazolam (schedule 4)

Any other drug determined by the Physician Supervisor

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2
Q

What is an authorized member in regards to controlled substances?

A

Sworn PF&R officer or paramedic assigned to the unit

Employee designated by EMS Battalion Chief

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3
Q

What is a witness?

A

Sworn member of PF&R

Any employee designated by EMS Battalion Chief

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4
Q

All log entries made in LogRX or the backup log must include what 2 things from the authorized member?

A

Verification and signature of the authorized member.

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5
Q

When do you ALSO need verification and signature from a witness?

A

Any entry made when security seal is broken

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6
Q

Is a Unit apparatus considered ALS or BLS?

A

ALS

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7
Q

Who fills out the daily LogRx?

A

Authorized member assigned to the unit

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8
Q

What 3 drugs USED and CARRIED by PF&R are classified as controlled substances?

A

Midazolam
Fentanyl
Ketamine
Any other drug determined by Physician Supervisor

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9
Q

Who classifies the drugs as controlled substances?

A

DEA

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10
Q

What 5 PF&R forms shall be used with controlled substances?

A
  1. Controlled Substance Allocation
  2. Controlled substance Damaged Tamperproof Seal
  3. Backup Controlled Substance Inventory Log
  4. Back up Log examples
  5. LogRx instruction sheets
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11
Q

Each ALS unit shall carry what 6 things for controlled substances?

A
  1. Controlled Substance notebook
  2. Minimum supply of substances
  3. Double lock secured steel lockbox
  4. RSI kit pelican case
  5. Supply of security seals
  6. Bottle of RX destroyer or equivalent
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12
Q

Which of these items will CHAT rigs NOT carry?

A

RSI Kit

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13
Q

What 4 things will the Controlled Substance notebook include?

A
  1. Controlled Substance Allocation form signed by Physician Supervisor
  2. LogRx instruction sheets
  3. Controlled Substance Inventory Log
  4. Copy of this OG
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14
Q

What is the minimum of each drug that each ALS unit will carry?

A

1

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15
Q

Who determined how many we should carry?

A

Physician Supervisor

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16
Q

What is the max amount of each drug we can carry?

A

Versed max 6 (60mg)
Fentanyl max 2 (200mcg)
Ketamine max 2 (1000mg)

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17
Q

Where can you find the supply allotment?

A

Controlled Substance Allocation Form 900.21

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18
Q

Where will the lock box key be kept?

A

In a Supra type key safe

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19
Q

How many drugs are allowed to be stored OUTSIDE the locked steel drug box?

A

Versed (min 2, max 4)

Carried in RSI kit

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20
Q

If your station has a reserve apparatus, how many reserve drugs can you carry at the station?

A

Should have at least minimum inventory for each apparatus

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21
Q

Where can we get new security seals?

A

EMS Office
Work and Supply request

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22
Q

When a seal is broken, who must be present at all times until resealed??

A

Authorized Member and Witness

Unless an emergency, then a single Paramedic or EMT may break the seal

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23
Q

When the 2 members sign and verify, what 5 things must be verified and documented whenever a seal is broken?

A
  1. Broken seal matches LogRx listing
  2. Drug count matches
  3. Drugs used, amount
  4. Drugs wasted, amount
  5. New seal number
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24
Q

If LogRx isn’t working, where should you verify and sign?

A

Back up Controlled Substance Inventory Log

25
Q

Only who dispenses controlled substances from EMS office to the apparatus?

A

PF&R EMS staff authorized by EMS Chief

OR their designee

26
Q

When will LogRx alert the EMS office of expired drugs?

A

90 days in advance of expiration

27
Q

If a drug is expired in LogRx what color will the drug appear?

28
Q

Who do you immediately notify if you use a drug or notice an expired drug?

A

Immediately place Work Supply request to notify EMS office

29
Q

How long does EMS office have to replenish drug?

A

Within 30 days

30
Q

Are expired drugs counted in the tally with usable drugs in the box?

31
Q

Where do you store expired drugs?

A

In the lock box

32
Q

If you need drugs replenished and EMS office unable in timely manner, where can you obtain necessary stock?

A

ANY neighboring station

33
Q

How will you know if neighboring apparatus has enough stock?

A

Check stock via LogRx

34
Q

Can an authorized member from one unit pick up or drop off EXPIRED drugs at EMS for another unit?

A

YES. Document on both drug logs and place drugs in unit lockbox with new seal for transport

35
Q

Upon receiving/surrendering any drugs, what 4 steps do you take to restore the lock box?

A
  1. Use LogRx to make transfer entry
  2. With witness, document changes and put new drugs in
  3. Ensure amounts match on Log
  4. Lock and seal box
36
Q

When shall the ON-coming member verify drugs at the station?

A

Beginning of each shift day or change of drug custody. DO NOT accept custody until verifying

37
Q

What does the member verify when checking before change of custody of drugs?

A

Lock box seal intact
Min 2 Versed in RSI kit visually inspected

38
Q

What time will an automated email be generated and sent to station as a reminder if not accounted for in LogRx?

39
Q

If you notice at any time the seal is damaged or contains an incorrect seal number while doing a change of custody check, who do you notify?

A

Immediately notify the COMPANY OFFICER

Then with a witness present conduct a re-count

40
Q

If during counting the drug counts don’t match, what 5 people must now be notified?

A
  1. Station Captain
  2. EMS Office
  3. Battalion Chief
  4. C103
  5. On duty Investigator
41
Q

If crew is reassigned from apparatus leaving it unstaffed for up to 24 hours, what do you do with the drugs?

A

Transfer the Versed from RSI kit to lockbox before leaving

Do a daily check with LogRx on return

42
Q

What do you do if no crew is assigned to an apparatus for longer than 1 shift?

A
  1. Notify EMS office
  2. Move RSI Versed to lockbox
  3. On reassignment, notify EMS rig is back in service
43
Q

When do we do a monthly drug inventory check?

A

First day of each month

Authorized member and Witness present

44
Q

Drugs reported stolen must be investigated by who?

A

PF&R Investigator

45
Q

What do you do with the drug if a tamper resistant cap on a controlled substance drug is damaged or missing?

A
  1. Take drug out of service
  2. Notify EMS office
  3. Put drug in ZIPLOCK bag and label BROKEN/MISSING SEAL
  4. Document the reason on Damaged Tamperproof Seal Form 900.22 and forward to EMS office
46
Q

All controlled substances will be administered in compliance with what protocols? (2)

A

Multnomah County Protocols or
Online medical control

47
Q

Can you hand off controlled drugs to personnel from another agency?

A

NO. They must remain in possession and control of PF&R authorized member

48
Q

Who retains the security seal from the lockbox?

A

The member that retrieved the controlled substance

49
Q

Do you need to break the RSI seal during a rig swap?

50
Q

What do you do with a drug removed from the lockbox but not used?

A

Put it back in the lockbox

51
Q

To avoid accumulating large amounts of expired drugs, EMS office will work within what guidelines to dispose of drugs?

A

DEA guidelines

52
Q

EMS office will put expired drugs where after receiving and scanning them with LogRx?

A

In the EXPIRED STOCK lockbox

53
Q

Any leftover drug remaining after administration or if you broke security cap or packaging will be wasted how?

A
  1. In presence of witness
  2. Empty all unused medication into RX Destroyer bottle
54
Q

How many drugs can you put in RX Destroyer bottle?

A

Use it until almost full

55
Q

Can you put expired drugs into RX Destroyer bottle?

56
Q

Who is responsible for transfer of controlled drugs during a rig swap?

A

Authorized member

57
Q

What 6 people are notified if a drug is missing, stolen, lockbox seal damaged or missing?

A
  1. Station Officer
  2. Station Captain
  3. Battalion Chief
  4. C103
  5. EMS Office
  6. Investigator
58
Q

Drugs reported stolen must also be reported to the DEA. Who will be responsible for filing all DEA reports?

A

EMS Office

LT 2024 (53 decks)

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