Operational Guidline 2.4 Controlled substance policy Flashcards
Controlled substances are defined as:
Schedule II Fentanyl
Schedule IV Midazolam
Ketamine
The following forms shall be used with controlled substances
- Controlled substance allocation 900.21
- Controlled substance damaged tamperproof seal 900.22
- Controlled substance inventory log 900.26
- Controlled substance inventory log examples
- EMS office CS inventory log-available stock
- EMS office inventory log-reserve stock
The station ___________ shall review and sign the controlled substance inventory log monthly.
Captain
Who can sign the controlled substance inventory log in the captains absence?
A designated station officer. verifying accuracy of tallies, descriptions, and completeness of the log.
Each ALS equipped unit shall carry the following:
controlled substance logbook
supply of controlled substances
double lock secure box
supply of security seals
Controlled substance logbook will include:
controlled substance allocation 900.21
controlled substance inventory log 900.26
controlled substance inventory log examples
a copy of O.G. 2.4
Max amount of Versed
(6) 10mg total of 60 mg
Max amount of Fentanyl
(2) 100mcg total 200 mcg
Max amount of Ketamine
(2) 500 mg total of 1000mg
Stations housing ALS equipped reserve apparatus shall have what?
lock boxes in the EMS supply area containing controlled substances assigned to the reserve apparatus.
The two members signing will verify what when a seal is broken?
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
The EMS office will schedule a time within how many days for replacement of used or expired drugs?
30 days
Do you count expired drugs in your tally for the 900.26?
yes
An email with the following information should be sent to EMS Supplies (PF&R) for replenishment is EMS staff can not be reached.
you name and company number
date and time
type of drugs and amount needed
reason for needing replacement
usable stock remaining in you inventory
Can an authorized member from one apparatus transport expired controlled substance drugs from another apparatus to EMS for exchange?
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.
The EMS office will dispose of expired drugs how often?
quarterly
ensure the following before change of drug custody
- The security seal is intact and the number matches the 900.26
- The two Versed outside the lockbox are visually inspected
- The off going member has completed the date, seal#, drug count and signature.
- if everything is correct above, the oncoming member fills out the next line of the 900.26
In the event that no crew will be assigned to an ALS unit for longer than one shift, the following shall apply:
- Controlled substance coordinator shall be notified
- Versed in the kits should be placed in the lockbox
- Fill out the 900.26 after breaking the seal to put the Versed in
Who should be notified if the drug count can not be reconciled?
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.
In the vent of lost or stolen drugs who should be contacted?
Station officer notifies the Captain. BC, C103. On duty investigator and the controlled substance coordinator.
For lost or stolen drugs, an incident report shall be written on PF&R interoffice memo, signed and forwarded to who?
EMS office
Who files the DEA form #106?
EMS office will file all DEA reports
What for should you use for reporting damaged tamperproof seal?
900.22
When emailing EMS supplies to report a damaged/broken seal you should include the following
your name and company number
date and time
drugs damaged or broken
reason for needing replenishment of drugs
usable stock remaining
The ____________________ shall be retained by the member retrieving the controlled substance.
security seal
After administration of any controlled substance document the what on the 900.26?
date and time
subtract number of units given and end tally
the amount used and/or wasted
PF&R incident number
For wasting of unused controlled substance, document the following on the 900.26
date and time
amount used/wasted
method of destruction
PF&R incident number
name and signature of authorized member and witness
After a rig swap, record the following information on 900.26
apparatus number
new seal number
reason for the transfer
names and signatures of the authorized member and the witness
drug count and tally
