Operational Guidline 2.4 Controlled substance policy

Question 1

Controlled substances are defined as:

Answer 1

Schedule II Fentanyl
Schedule IV Midazolam
Ketamine

Question 2

The following forms shall be used with controlled substances

Answer 2

1. Controlled substance allocation 900.21
2. Controlled substance damaged tamperproof seal 900.22
3. Controlled substance inventory log 900.26
4. Controlled substance inventory log examples
5. EMS office CS inventory log-available stock
6. EMS office inventory log-reserve stock

Question 3

The station ___________ shall review and sign the controlled substance inventory log monthly.

Answer 3

Captain

Question 4

Who can sign the controlled substance inventory log in the captains absence?

Answer 4

A designated station officer. verifying accuracy of tallies, descriptions, and completeness of the log.

Question 5

Each ALS equipped unit shall carry the following:

Answer 5

controlled substance logbook
supply of controlled substances
double lock secure box
supply of security seals

Question 6

Controlled substance logbook will include:

Answer 6

controlled substance allocation 900.21
controlled substance inventory log 900.26
controlled substance inventory log examples
a copy of O.G. 2.4

Question 7

Max amount of Versed

Answer 7

(6) 10mg total of 60 mg

Question 8

Max amount of Fentanyl

Answer 8

(2) 100mcg total 200 mcg

Question 9

Max amount of Ketamine

Answer 9

(2) 500 mg total of 1000mg

Question 10

Stations housing ALS equipped reserve apparatus shall have what?

Answer 10

lock boxes in the EMS supply area containing controlled substances assigned to the reserve apparatus.

Question 11

The two members signing will verify what when a seal is broken?

Answer 11

The broken seal number matches the number listed in the log
The drug count listed matches the count in the log
The drugs used, including amount. if applicable
The drugs wasted, including amount
The new drug count
The new seal number

Question 12

The EMS office will schedule a time within how many days for replacement of used or expired drugs?

Answer 12

30 days

Question 13

Do you count expired drugs in your tally for the 900.26?

Answer 13

yes

Question 14

An email with the following information should be sent to EMS Supplies (PF&R) for replenishment is EMS staff can not be reached.

Answer 14

you name and company number
date and time
type of drugs and amount needed
reason for needing replacement
usable stock remaining in you inventory

Question 15

Can an authorized member from one apparatus transport expired controlled substance drugs from another apparatus to EMS for exchange?

Answer 15

yes, the exchange must be documented on both 900.26 drug logs
This will cause a temporary increase in the maximum number of controlled drugs on one apparatus but is authorized to accommodate the transfer.

Question 16

The EMS office will dispose of expired drugs how often?

Answer 16

quarterly

Question 17

ensure the following before change of drug custody

Answer 17

1. The security seal is intact and the number matches the 900.26
2. The two Versed outside the lockbox are visually inspected
3. The off going member has completed the date, seal#, drug count and signature.
4. if everything is correct above, the oncoming member fills out the next line of the 900.26

Question 18

In the event that no crew will be assigned to an ALS unit for longer than one shift, the following shall apply:

Answer 18

1. Controlled substance coordinator shall be notified
2. Versed in the kits should be placed in the lockbox
3. Fill out the 900.26 after breaking the seal to put the Versed in

Question 19

Who should be notified if the drug count can not be reconciled?

Answer 19

The company officer and the controlled substance coordinator. If a further audit/check fails to find the drugs, the station Captain, BC, C103, and on duty investigator will be notified.

Question 20

In the vent of lost or stolen drugs who should be contacted?

Answer 20

Station officer notifies the Captain. BC, C103. On duty investigator and the controlled substance coordinator.

Question 21

For lost or stolen drugs, an incident report shall be written on PF&R interoffice memo, signed and forwarded to who?

Answer 21

EMS office

Question 22

Who files the DEA form #106?

Answer 22

EMS office will file all DEA reports

Question 23

What for should you use for reporting damaged tamperproof seal?

Answer 23

900.22

Question 24

When emailing EMS supplies to report a damaged/broken seal you should include the following

Answer 24

your name and company number
date and time
drugs damaged or broken
reason for needing replenishment of drugs
usable stock remaining

Question 25

The ____________________ shall be retained by the member retrieving the controlled substance.

Answer 25

security seal

Question 26

After administration of any controlled substance document the what on the 900.26?

Answer 26

date and time
subtract number of units given and end tally
the amount used and/or wasted
PF&R incident number

Question 27

For wasting of unused controlled substance, document the following on the 900.26

Answer 27

date and time
amount used/wasted
method of destruction
PF&R incident number
name and signature of authorized member and witness

Question 28

After a rig swap, record the following information on 900.26

Answer 28

apparatus number
new seal number
reason for the transfer
names and signatures of the authorized member and the witness
drug count and tally