Department Bulletins 2014 -2017 Flashcards
DB #14-02 - Any questions regarding the radio channel change to Tactical Channel 2 at LAX should be addressed to the Station Commanders of Fire Station ____.
- Fire Station 80
DB #14-02 - Effective February 9, 2014 at 0800 hours, Tactical Channel ___ (800 MHZ) will be used as the default Aircraft Rescue Firefighting (ARFF) _______ channel at aircraft incidents occurring on or around Los Angeles International Airport (LAX).
- Tactical Channel 2 (800 MHZ)
- ARFF Group channel
Use of the FIREMARS international channel for ARFF Group communications shall be discontinued.
DB #14-02 - The use of the FIREMARS international channel for ARFF Group communications shall be ________.
- Discontinued
DB #14-02 - (Radio Channel Change LAX) Companies responding to an Alert ___ or ___ aircraft incidents at LAX or its surrounding area shall monitor Tactical Channel ___ ARFF Group channel, in addition to all other assigned incident channels.
- Alert 2 or 3
- Tactical Channel 2
Metro Fire Communications (MFC) dispatch will continue to assign an incident tactical channel for aircraft incidents at LAX.
DB #14-02 - (Radio Channel Change LAX) If Tactical Channel 2 is being utilized for a non-aircraft emergency incident, a different channel, normally Tactical Channel ___, will be designated for ARFF Group communications.
- Tactical Channel 1
Tactical Channel 2 will continue to be utilized by South Division resources of MFC for emergency and non-emergency communications.
DB #14-03 - (Controlled Narcotics On RA’s) After an inspector from an outside agency requests to inspect the narcotic inventory and/or documentation of the inventory, forward an F-225 to the Commander of _________, within ____ hour(s) of the inspection.
- Emergency Services Bureau
- 24 hours
The report shall include all of the information contained in the journal entry along with any legal documents (notices, citations, etc.) provided by the inspector. A copy of this report shall be forwarded directly to the EMS Division Commander.
DB #14-03 - (Controlled Narcotics On RA’s) Anytime a narcotic expires or is damaged, complete the DHS Form _____ “Expired/Broken Controlled Drug Pharmacy Report.”
- DHS Form 702.1 “Expired/Broken Controlled Drug Pharmacy Report”
DB #14-03 - (Controlled Narcotics On RA’s) To protect against unauthorized access, _________ shall normally remain in the possession of the paramedics assigned to the RA and authorized EMS Battalion Captains.
- Narcotic keys
Remain in possession until the keys are exchanged at time of relief.
DB #14-03 - (Controlled Narcotics On RA’s) The DHS Form 702.5 “Lost/Missing Controlled Drug Pharmacy Reporting Form” will be forwarded to the EMS Battalion Captain with a copy to remain in the unit’s station file for ____ year(s).
- 3 years
DB #14-03 - (Controlled Narcotics On RA’s) During bi-monthly inspections, who shall check the F-903 “Controlled Medication Inventory Record” and medical supply lockers?
- EMS Battalion Captains
DB #14-03 - (Controlled Narcotics On RA’s) If you have questions regarding narcotic procedures, who do you direct your questions to?
- 2.
- EMS Battalion Captain
- Emergency Medical Services Division
DB #14-03 - (Controlled Narcotics On RA’s) The EMS Battalion Captain will normally re-supply the controlled medications within ____ hour(s).
- 24 hours
Other assignments or emergency activity may delay the re-supply. However, at no time shall the Narcotic inventory on an ALS RA be less than the minimum inventory required by Department of Health Services (DHS).
DB #14-03 - (Controlled Narcotics On RA’s) Who confirms that all paramedic equipment, supplies and paramedic signage have been removed from an ALS apparatus being downgraded to BLS status?
- Station Commander
The Station Commander shall confirm that all paramedic equipment and medications have been removed and document the removal in the fire station journal (F-2).
DB #14-03 - (Controlled Narcotics On RA’s) When downgrading an ALS RA to BLS status, remove the drug safe and store in a locked cabinet, then document the narcotic count and time of closure and write “________” within the Booklet Number column.
- “RA Closed”
All paramedic equipment and supplies shall be removed from the apparatus and all paramedic signage shall be removed or covered. The Station Commander shall confirm that all paramedic equipment and medications have been removed and document the removal in the fire station journal (F-2).
DB #14-03 - (Controlled Narcotics On RA’s) Who shall conduct a monthly inspection of all controlled drugs assigned to ALS resources?
- EMS Battalion Captains
DB #14-03 - (Controlled Narcotics On RA’s) Morphine Sulfate will normally be carried on ALS RA’s in ____ mg unit doses. The minimum inventory of Morphine Sulfate is ____ mg and the maximum inventory shall not exceed ____ mg without prior approval from the Los Angeles County EMS Agency.
- Morphine - 4 mg doses
- Morphine - 32 mg minimum
- Morphine - 60 mg maximum
EMS Battalion Captains are exempt from the above minimum quantity requirements. ALS RA personnel have the option of carrying 4 mg of Morphine and 5 mg of Midazolam in the locked narcotic pouch within the starter kit. Whenever a starter kit containing a narcotic pouch is not locked in the rescue ambulance, it shall be in the personal possession of a Fire Department Paramedic.
DB #14-03 - (Controlled Narcotics On RA’s) When narcotics or lost or missing, the _________ shall conduct an investigation and submit a written report (F-225) detailing the facts of the lost/missing drugs to the Commander of the _________.
- Station Commander
- Emergency Services Bureau
The report shall include the names and assignments of all involved members, copies of any appropriate journal pages and a copy of the F-903 from the involved RA. A copy of the report shall be forwarded directly to the Commander, EMS Division. A police report is also required for any suspected lost, stolen, or missing controlled substance. Station Commanders shall enter the incident into the Complaint Tracking System.
DB #14-03 - Members assigned to a Paramedic Rescue Ambulance (RA) are responsible for narcotic security and accountability which are best maintained through secured access, timely inventory checks, and accurate documentation on….
- F-_____
- 3.
- F-903 “Controlled Medication Inventory Record”
- RA journal (F-2)
- Patient’s EPCR
DB #14-03 - (Controlled Narcotics On RA’s) Narcotic inventories shall be checked by ________ members upon placing their ________ on the apparatus. It is essential for the narcotic inventory to be checked prior to the _______ of the off-going members at relief.
- Responsible members
- Protective gear
- Departure
Failure to do so may create uncertainty as to which members were on duty if a discrepancy were to occur.
DB #14-03 - (Controlled Narcotics On RA’s) Narcotic inventories and logs are subject to inspection by the California Board of _______, agents of the Bureau of _______ Enforcement Administration of the Justice Department, _______ Drug Enforcement Administration, Los Angeles County ______ Agency, and responsible officers of the Fire Department.
- California Board of Pharmacy
- Bureau of Narcotics Enforcement Administration
- Federal Drug Enforcement Administration
- LA County EMS Agency
DB #14-03 - (Controlled Narcotics On RA’s) The F-____ shall be carried at all times on each ALS RA and by EMS Battalion Captains who supply controlled medications.
- F-903
The F-903 is the only narcotic control record approved for use on Fire Department apparatus.
DB #14-03 - (Controlled Narcotics On RA’s) Who will the responsible member notify whenever an inspector from an outside agency requests to inspect the narcotic inventory and/or documentation of the inventory?
- 3.
- Station Commander
- Battalion Commander
- Administrative EMS Captain
Check the identification of the inspector, and if it is in order, give full cooperation and access to the requested information. A Fire Department member shall accompany the inspector at all times.
DB #14-03 - (Controlled Narcotics On RA’s) On the _____ day of each month, the __________ shall review the previous month’s F-903 for legibility, accuracy, and completeness (including all signatures).
- First day
- Station Commander
The Station Commander shall sign the F-903 in the appropriate space to confirm the proper completion of all daily inventory checks.
DB #14-03 - (Controlled Narcotics On RA’s) Who are the only authorized members of the Fire Department to procure controlled drugs from County-operated pharmacies?
- EMS Battalion Captains