EMOM 303.01, 704, 711

Question 1

What are the controlled drugs?

EOM 303.01 Narcotic Management

Answer 1

–Morphine
–Fentanyl
–Ketamine
–Versed

Question 2

Where are replacement seals for narcotic boxes located?

EOM 303.01 Narcotic Management

Answer 2

–In narcotics locker/vault
–Makes it a 2 person job whenever a seal breaks for any reason
–Must fill out Drug Usage Form

Question 3

What to do if there is a discrepancy in the narcotic seal numbers or vault counts

EOM 303.01 Narcotic Management

Answer 3

–Inform captain
–Write a memo
–Send memo to EMS chief and EMS coordinator
–Fire Chief and Medical Director are informed if applicable

Question 4

What happens when the Daily Narcotic Log has not been filled out?

EOM 303.01 Narcotic Management

Answer 4

– a reminder will be sent that morning to the unit phone
–a message will be sent to the captain by 1000 hrs

Question 5

What happens if the FF goes home sick before relief arrives?

EOM 303.01 Narcotic Management

Answer 5

Another Medic must sign the daily log to continue the chain of custody for the Narcotics

Question 6

What must happen if the crew gets deployed on a strike team on the brush rig?

EOM 303.01 Narcotic Management

Answer 6

The Engine Narcotics must be transferred into the Narcotic locker

Question 7

What does the DEA require in the Controlled Drug Accountability Binder in the narc locker

EOM 303.01 Narcotic Management

Answer 7

 A copy of the DEA license.
 A copy of the controlled drug purchasing record sets.
 Station Narcotics inventory including apparatus and vaults.
 Audit reports
 Expired narcotic disposal
 Copy of monthly drug usage report.

Question 8

When does the EMS coordinators need to be informed about expiring narcotics

EOM 303.01 Narcotic Management

Answer 8

Within one month of expiration

Question 9

How long before restock of narcotic must occur when used on shift

EOM 303.01 Narcotic Management

Answer 9

–Reasonable time frame
–Less than 8 hours
–And/or before shift change

Question 10

When should engine narcotics be exchanged back into the vault

EOM 303.01 Narcotic Management

Answer 10

–Within 60 days of expiration
–So Ambulance can restock with nearest expired med

Question 11

Where and how to dispose of unused narcotics

EOM 303.01 Narcotic Management

Answer 11

–In an environmentally secure
container
–standard inventory on all ambulances.
–Additional containers are available in the stations
–Must be wasted in the presence of a witness
–Must be documented on the Drug Usage Form

Question 12

What to do if there is a discrepancy within the narc vault

EOM 303.01 Narcotic Management

Answer 12

–Immediate notification to the station Captain
–check the Station Usage log
–memo submitted to the EMS Chief and EMS coordinator
–notify the Fire Chief and Medical Director as applicable

Question 13

Max narcotics inventory of versed, fentanyl, ketamine

EOM 303.01 Narcotic Management

Answer 13

–Versed 20/30 units
–Fentanyl 50 units
–Ketamine 30 units
***morphine not being reordered

Question 14

How often EMS coordinator to inventory vault

EOM 303.01 Narcotic Management

Answer 14

–Upon receiving new medications
–Quarterly

Question 15

Question on Test?

Answer 15

Can Narcs be moved between lockers?

Question 16

DEA form for narcotics

EOM 303.01 Narcotic Management

Answer 16

222 form
–Kept in Controlled Drug Accountability Binder for 7 years
–Admin keeps copy for 3 years

Question 17

How often does DEA require an inventory of narcotics?

EOM 303.01 Narcotic Management

Answer 17

DEA requires a biennial (every other year) inventory inspection of all controlled drugs.

Question 18

What are the 2 types of CDC Precautions for exposure control

EOM 704–Exposure Control Plan, Methods of Compliance

Answer 18

–Standard precautions
–Transmission based precautions

Question 19

What is considered Standard Precautions?

EOM 704–Exposure Control Plan, Methods of Compliance

Answer 19

–Universal Precautions (UP)
–Body Substance Isolation (BSI)

Question 20

What is considered Transmission Based Precautions ?

EOM 704–Exposure Control Plan, Methods of Compliance

Answer 20

• Contact precautions
• Droplet precautions
• Airborne precautions

Question 21

What are Contact Precautions

EOM 704–Exposure Control Plan, Methods of Compliance

Answer 21

–To prevent transmission of infectious agents through use of proper PPE including gloves, eye protection, EMS coat, and surgical Mask

Question 22

What are Droplet Precautions

EOM 704–Exposure Control Plan, Methods of Compliance

Answer 22

–Protect against CLOSE respiratory or mucus membrane contact with respiratory secretions
–Usually less than 6 feet
–Wear a mask and put one on the patient

Question 23

**What are Airborne Precautions

EOM 704–Exposure Control Plan, Methods of Compliance

Answer 23

-Protect against infectious agents that can travel over longer distances
-Examples: H1N1, measles, chickenpox, TB
**-Must wear N95 mask or greater
-Non-immune personnel should not care for the patient

Question 24

What are the 8 primary concerns to adhering to exposure control plan

EOM 704–Exposure Control Plan, Methods of Compliance

Answer 24

1. CDC precautions
2. Engineering and work practice controls
3. Implementing decontamination
4. PPE use
5. Determine exposure
6. Pre-Employment testing and vaccinations
7. Communication of hazards to employee
8. Establish record keeping

Question 25

Are Personnel required to receive mandated “Baseline Testing” and subsequent “Pre-Exposure Vaccinations?

EOM 711–Exposure Control Plan, Pre-Employment Testing & Vaccinations

Answer 25

Personnel are NOT required to receive mandated “Baseline Testing” and subsequent
“Pre-Exposure Vaccinations

Question 26

**What form must be signed if employee refuses vaccinations or baseline testing

EOM 711–Exposure Control Plan, Pre-Employment Testing & Vaccinations

Answer 26

**“Declination of a Recommended Testing/Vaccination” form

Question 27

Within how many days must a hep B vaccine be made available

EOM 711–Exposure Control Plan, Pre-Employment Testing & Vaccinations

Answer 27

10 Days

Question 28

3 reasons a hep B vaccine wouldn’t be needed

EOM 711–Exposure Control Plan, Pre-Employment Testing & Vaccinations

Answer 28

-Already immune
- Already had vaccine series
- Contraindicated for medical reasons

Question 29

What vaccines will be available to the employee after training required and within 10 working days of the initial assignment

EOM 711–Exposure Control Plan, Pre-Employment Testing & Vaccinations

Answer 29

–Tetanus Toxoid with Diptheria Booster (TDap) offered every 10 years
–Measles Mumps and Rubella (MMR)
–Varicella
–Seasonal Influenza
–Novel or Pandemic Influenza

Question 30

What are some exceptions to receiving vaccines?

EOM 711–Exposure Control Plan, Pre-Employment Testing & Vaccinations

Answer 30

–Previously Received
–Has Immunity
–Contraindicated
–Not available

Question 31

When will EFD conduct Tuberculosis (TB) tests

EOM 711–Exposure Control Plan, Pre-Employment Testing & Vaccinations

Answer 31

–At time of employment
–Annually
–Following an exposure to active TB