Controlled Substance Guidelines...

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Questions and Answers

Where are the controlled substances stored for Bonita Springs Fire Control and Rescue District?

In a designated area within the ambulance
In a metal keyed lock box located in a lockable file cabinet within the administrative office (correct)
In a locked safe within the paramedics' unit
In a secure storage room at the main station

Who has access to the controlled substances used by the agency?

All medical staff at the main station
All employees of the agency
Only the Medical Director
Only Paramedics working with the Bonita Springs Fire Control and Rescue District that function with full privileges (correct)

Who approved the Controlled Substances Inventory, Storage, and Security Procedures?

The Medical Director (correct)
The Department Chief
The U.S. Department of Justice and D.E.A.
The Bonita Springs Fire Control and Rescue District Board

Where is the main storage location for all controlled substances?

At the department’s main station, at which the Medical Director is registered with the U.S. Department of Justice and D.E.A. (A) Signup and view all the answers

When controlled substances are removed, who is required to print and sign the Controlled Substance Form?

The individual removing the substance and a witness (A) Signup and view all the answers

Where will all narcotics be stored?

In a secured vault with dual authentication on the unit (A) Signup and view all the answers

Who should errors in the log or with the controlled substance policy be reported to immediately?

Shift supervisor, Deputy Chief EMS, and Medical Director if necessary (C) Signup and view all the answers

What is to be documented each time controlled substances are placed on a licensed ALS unit?

Date, name and amount of substance added, expiration date, signature/printed name of the paramedic adding the substance, signature/printed name of witness, total amount of substance on unit (D) Signup and view all the answers

What is to be documented by the on-coming paramedic and the off-going paramedic on the Daily Controlled Substance Form during the arriving check?

Date, time, printed name of off-going and on-coming paramedics, signature of off-going and on-coming paramedics, total amount of each controlled substance on-board the unit, expiration date of each controlled substance on-board unit (B) Signup and view all the answers

What is to be documented each time a controlled substance is used?

Incident number, date, time, name of substance given, amount of substance given, amount of substance wasted, signature and printed name of the witness seeing the substance being wasted, signature and printed name of the paramedic administering and/or wasting the substance, amount of substance now on the unit (A) Signup and view all the answers

What is to be documented upon finding expired controlled substances?

Date, time, name of expired substance, amount of controlled substance expired, expiration date of expired substance, amount of expired substance wasted, printed name of wasting paramedic and witness, signature of wasting paramedic and witness, amount and expiration of substance replaced (B) Signup and view all the answers

Who is authorized to use controlled and non-controlled drugs carried by the system?

All paramedics with the Bonita Springs Fire Control and Rescue District that function with full privileges (D) Signup and view all the answers

How should the administration of drugs be carried out?

As directed by the Medical Director following the Lee County Common Treatment Guidelines Manual, or as directed by a patient’s private physician, or an emergency room physician at a medical facility (A) Signup and view all the answers

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Study Notes

Storage and Access

Controlled substances for Bonita Springs Fire Control and Rescue District are stored in designated secure locations.
Access to these substances is limited to authorized personnel who have the necessary training and credentials.

Approval and Procedures

The procedures for Controlled Substances Inventory, Storage, and Security were approved by the agency's governing body or designated authority.
The main storage location for all controlled substances is specified and ensures strict adherence to safety and security protocols.

Documentation Requirements

When controlled substances are removed, the responsible individual is required to print and sign the Controlled Substance Form for accountability.
All narcotics will be stored securely in the main designated storage area, accessible only to authorized personnel.

Error Reporting

Any errors in the log or discrepancies with the controlled substance policy must be reported immediately to a supervisor or designated authority for review and action.

ALS Unit Procedures

Each time controlled substances are placed on a licensed Advanced Life Support (ALS) unit, documentation must be completed to track usage and inventory accurately.
The on-coming and off-going paramedics must document their findings on the Daily Controlled Substance Form to ensure proper accountability during shifts.

Usage and Expiration

Each time a controlled substance is used, it must be documented to maintain accurate records of administration and usage.
Upon finding expired controlled substances, immediate documentation is required to track the issue and ensure proper disposal.

Authorization and Administration

Only authorized personnel are permitted to use both controlled and non-controlled drugs carried by the agency.
The administration of drugs must be conducted following established protocols to ensure patient safety and compliance with regulations.

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