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02. EMS Bulletins > Ems Ops Bulletin 5 > Flashcards

Ems Ops Bulletin 5 Flashcards

1
Q

The controlled medication program establishes methods for managing medications that are classified by the ____ as controlled medications on schedules __,___,___.

A

DEA

II, III, and IV

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2
Q

Instead of the phrase, “controlled substance”, DC fire will substitute the phrase ___

A

controlled medication

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3
Q

Controlled Medications are covered by the _____?

A

Controlled Substances Act.

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4
Q

CMID

A

Unique number created by DCFEMS for each individual dose of controlled medication.

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5
Q

Controlled medications use and restock log

A

Shall be updated anytime numbered break away seal on a medication box is opened, replaced, exchanged, etc. Used for pt use, preparation but not used on a pt, breakage.

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6
Q

Controlled medication Tracking Card

A

card utilized for tracking the transfer, use, and reverse distribution of controlled medications on field units

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7
Q

Controlled meds station safe inventory verification form

A

form used by EMS supervisors to track and document inventories in the station safe

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8
Q

Patient Care controlled medication inventory tracking form

A

used to document the inventory, changes in numbered break away seals, transfer of custody of controlled meds between personnel at relief of duty. Creates the audit trail!

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9
Q

CMPO

A

Controlled Medication Program Officer

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10
Q

Who has a copy of the barrel key?

A

DFC Ops

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11
Q

If a key is misplaced, is must be located within what time frame?

A

within 2 hours or change of shift

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12
Q

When changing over apparatus, does the key go with the officer or stay with the apparatus?

A

Stay with the apparatus.

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13
Q

If a medic unit is downgraded to a BLS unit, does the key get transferred to the officer or stay with the unit and passed along at shift change?

A

Passed along and accounted for at shift change

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14
Q

What purpose does swiping a key fob serve even if it will NOT open a station safe?

A

Serves as a witness to the safe being opened.

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15
Q

Who signs the controlled medication station safe inventory form?
just an officer, just an ems supervisor, officer and ems supervisor, Ems supervisor and medic?

A

C and D

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16
Q

The transfer of custody of medications and barrel key should be done: at 0700, verbally between officer and ems supervisor, or face to face?

A

Face to face

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17
Q

Transfer of custody is acceptable and inventory documentation requires: signatures from two parties, the off-going medic, the oncoming officer, or on-coming EMS supervisor

A

signatures from both parties

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18
Q

01 denotes what drug, concentration?

A

Morphine - 10mg in 1 mL

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19
Q

02 denotes what drug, concentration?

A

Midazolam - 10mg in 10 mL

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20
Q

03 denotes what drug, concentration?

A

Midazolam - 10mg in 2 mL

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21
Q

05 denotes what drug, concentration?

A

Fentanyl Citrate - 100mcg in 2 mL

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22
Q

01-12-1234

A

example of CMID numbering sequence

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23
Q

the third and fourth number indicate what?

A

the year the drug was introduced into the system

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24
Q

The final four digits indicate what?

A

the inventory control numbers for that medication and dose.

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25
Q

Can CM boxes be carried in the ALS bag routinely?

A

NO

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26
Q

Can carpujet, 3cc syringe, MAD devices be carried in the CM box?

A

NO

27
Q

What happens if the apparatus is not capable of providing sufficient power to supply the security system?

A

It will completely disable the safe.

28
Q

If a BLS unit is requested by law enforcement or security officials to open the safe for screening, are they required to do so? If so, how?

A

yes, contact nearest battalion supervisor to assist.

29
Q

Can unused waste product of CM be used on a second pt?

A

NO

30
Q

Where must unused medication be kept after use?

A

In the custody of the paramedic or secured in the assigned ALS unit safe.

31
Q

If the security wrapper is breeched in preparation for use on a pt but not used, what shall occur?

A

The ENTIRE container shall be processed returned as residual waste product.

32
Q

If a container is broken while on a call, what are other members required to do?

A

Submit special reports that address what they were doing at the time of the breakage and what they witnessed.

33
Q

Where is the CM tracking card placed?

A

In the secondary side pouch of the CM return bag or rubber banded to the CM return bag

34
Q

Should MAD’s be placed in the CM box when returned?

A

No.

35
Q

Can members responsible for controlled medications leave their duty assignment if they have not signed the form to transfer drug custody?

A

No, unless relief is at an extended fireground operation and the off going member is not available.

36
Q

If an ALS provider is continuing work into the next shift, does he need to complete the CM box inventory tracking form?

A

Yes, with the oncoming company officer as the witness

37
Q

Do both members need to be physically present for the transfer of custody to occur?

A

YES

38
Q

Do both members need to swipe key fob’s for transfer of custody of the CM drugs?

A

Yes - it creates an audit trail

39
Q

If the unit is getting downgraded from ALS to BLS, who can sign in place of an oncoming ALS provider?

A

a company officer or EMS supervisor

40
Q

Who shall secure the barrel key for the apparatus in the absence of an ALS provider?

A

Company officer

41
Q

Who should be notified to secure barrel key if an ems supervisor is going out of service? If they are unavailable, who is notified?

A

BFC - EMS Operations, DFC OPs Aide

42
Q

If switching to a reserve apparatus and it does not have a fully functional safe, what action should be taken?

A

CM Box, CM return bags, and Controlled meds log book are to be removed and transferred to the battalion office with a station safe closest to companies quarters.

43
Q

If the CM box is out of the apparatus safe and due to an apparatus issue (MVC) the apparatus and ALS provider are incapacitated, what shall the first officer do upon making contact with the incapacitated member?

A

Secure: the controlled meds, controlled med return bags, and the barrel key.

44
Q

If a company is to remain downgraded for the remainder of the shift, where does the CM box get secured?

A

Station Safe until the next ALS provider assumes duty.

45
Q

If a discrepancy is found in the CM boxes, where will they be secured?

A

In the vehicle safe, access will be denied until an official investigation is conducted.

46
Q

If there is a discrepancy found, who is required to remain in the station until given permission by an on duty BFC or higher ranking official? A) ALS provider, B) Officer and ALS provider, C) ALS provider, Officer, EMS supervisor, D) All personnel

A

All personnel

47
Q

The station safe shall be opened with 2 parties at all times except for who?

A

restocking by the CMPO

48
Q

Members that are present for an inventory count but not signing for custody of meds should sign the form how?

A

Their initials with the words “witness” beside it.

49
Q

Can hospital personnel exchange or resupply controlled meds?

A

No.

50
Q

What 3 medication stores may be used to restock ALS Controlled meds?

A

Battalion EMS supervisor apparatus safes
Battalion station safes
Via the CMPO

51
Q

If an ALS unit without controlled meds is dispatched to a call possibly requiring them, can that unit dispatch a second unit with CM on board?

A

yes, but not until fully assessing the pt first.

52
Q

If the transport time to the hospital is less than the ETA of the requested ALS provider with the CM, what should the transport unit do?

A

Transport without delay

53
Q

How will units status themselves when opening a CM safe or CM box?

A

“Delayed”

54
Q

If resupply is occurring at a station safe, how many members need to swipe their key fobs?

A

2 - the EMS supervisor and ALS provider

55
Q

EMS supervisors shall submit routine inventory reports and restocking requests to the CMPO when?

A

On the Monday of the 2nd and 4th week of each month

56
Q

All reordering and purchases of controlled medications shall be on form what?

A

DEA Form 222.

57
Q

How often does the EMS supervisor inventory the station safe?

A

Daily

58
Q

Can CM be stored in the special event equipment lock boxes at E24?

A

No. they are stored in the special event apparatus safe and SP OPS Battalion safe.

59
Q

Where does the exchange of CM boxes occur for special events?

A

Quarters of Engine 4

60
Q

In the case of a broken medication, who will complete the Controlled Medication Preliminary Investigation Report?

A

EMS supervisor and or respective BFC

61
Q

Who is responsible for completing all the forms and records associated with the exchange of CM?

A

EMS supervisor

62
Q

For an MVC involving dept. apparatus and the apparatus needs to be towed, what happens to the CM and barrel key?

A

CM’s removed, secured in reserve apparatus or station safe, barrel key paired with apparatus ignition key and sent with apparatus to FMD.

63
Q

For an MVC involving dept. apparatus and apparatus disabled and ALS provider incapacitated, what actions occur?

A

Dispatch EMS Supervisor to obtain CM with officer, execute form 1 to document transfer, barrel key with disabled apparatus.

64
Q

Who is dispatched for a broken medication?

A

EMS supervisor

02. EMS Bulletins (11 decks)

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