Policy 505 Controlled Substance Accountability

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Questions and Answers

What is the primary purpose of the Controlled Substance Accountability policy?

To limit the use of controlled substances in emergencies

To establish procedures for the supply, use, and accountability of controlled substances (correct)

To reduce the number of paramedics authorized to handle medications

To increase the availability of controlled substances for all staff members

Who qualifies as an authorized handler under the policy?

All medical personnel, regardless of rank

Any firefighter in the department

Only the Fire Chief and EMS supervisor

Only paramedics authorized to handle and administer controlled substances based on certification levels (correct)

How must controlled substances be stored when not in direct possession of an authorized handler?

In an unsecured vehicle

Inside the fire station’s main office

In a secured area with a locking mechanism (correct)

In an open area accessible to all staff

What action must be taken if there is a discrepancy in the controlled substance inventory?

Immediate notification must be made to the Lieutenant, Duty Officer, and EMS supervisor Signup and view all the answers

Which form must be completed if there is a loss or theft of controlled substances?

DEA Form 106, Report of Theft or Loss of Controlled Substances Signup and view all the answers

How often must an authorized handler inspect the quantities and integrity of controlled substances?

At each shift change Signup and view all the answers

What is the policy regarding signatures on controlled substance daily reports?

Each handler must sign their name, and no one may sign on behalf of another Signup and view all the answers

What should be done with controlled substances if the unit is dispatched before the daily inventory occurs?

An interim inventory must be conducted before dispatch Signup and view all the answers

What must happen immediately upon receiving a controlled substance?

The authorized handler must immediately secure it in a locked mechanism on the unit Signup and view all the answers

Who is primarily responsible for determining the standard complement of controlled substances?

The AHMD (Authorized Handler Medical Director) Signup and view all the answers

What information must be recorded when a controlled substance is administered?

Date, incident number, patient’s name, drug, dose, and administering paramedic’s signature Signup and view all the answers

What is required if a controlled substance container is found to be damaged?

Return it to Cape Cod Hospital Pharmacy with an Unusual Occurrence Form Signup and view all the answers

How often should the controlled substance vault be inventoried?

Weekly Signup and view all the answers

What procedure must be followed if a controlled substance is not fully administered?

A licensed staff member or another paramedic must witness its disposal Signup and view all the answers

When is the EMS supervisor required to submit a DEA Form 222?

When ordering controlled substances to maintain established levels Signup and view all the answers

What is the minimum retention period for controlled substance reports and records?

One year Signup and view all the answers

Who is responsible for ensuring the proper registration of all COMM Fire Department ambulances for controlled substances?

The EMS supervisor Signup and view all the answers

What documentation is required when restocking controlled substances?

The date, printed name, and signature of the paramedic restocking the substance Signup and view all the answers

Study Notes

Controlled Substance Accountability Policy

The primary purpose of the policy is to establish procedures for the supply, use, and accountability of controlled substances.
Authorized handlers are paramedics certified to handle and administer controlled substances.
Controlled substances must be stored in a secured area with a locking mechanism when not in direct possession of an authorized handler.
If there is a discrepancy in the controlled substance inventory, the authorized handler must notify the Lieutenant, Duty Officer, and EMS supervisor immediately.
DEA Form 106, Report of Theft or Loss of Controlled Substances must be completed if there is a loss or theft of controlled substances.
Authorized handlers must inspect the quantities and integrity of controlled substances at each shift change.
Each authorized handler must sign their name on controlled substance daily reports, and no one may sign on behalf of another.
If a unit is dispatched before the daily inventory occurs, the inventory must be completed as soon as practicable upon return to the station.
Controlled substance daily reports and restock records must be retained at the station for one year before forwarding to the EMS Officer.
The Authorized Handler Medical Director (AHMD) is responsible for determining the standard complement of controlled substances.
When a controlled substance is received, it must be secured in the locked mechanism on the unit by the authorized handler.
When a controlled substance is administered, the date, incident number, patient’s name, drug, dose, and administering paramedic’s signature must be recorded.
If a controlled substance is not fully administered, a licensed staff member or another paramedic must witness its disposal.
The EMS supervisor must submit a DEA Form 222 when ordering controlled substances to maintain established levels.
The controlled substance vault must be inventoried weekly.
The EMS supervisor must complete and submit DEA Form 106 if a discrepancy is discovered during inventory.
If a controlled substance container is damaged, it must be returned to Cape Cod Hospital Pharmacy with an Unusual Occurrence Form.
Controlled substance reports and records must be retained for at least three years.
If an authorized handler transfers patient care before administering the entire dosage, the remaining substance must be disposed of with another paramedic as a witness.
When restocking controlled substances, the date, printed name, and signature of the restocking paramedic must be recorded.
The EMS supervisor is responsible for ensuring the proper registration of all COMM Fire Department ambulances for controlled substances.
The EMS supervisor must review controlled substance reports for compliance monthly.
Expired controlled substances must be exchanged immediately at Cape Cod Hospital Pharmacy.
Authorized handlers must conduct inventory checks at the beginning of each shift if they work consecutive shifts.
Controlled substance records must be forwarded to the EMS Officer for retention after one year at the station.

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Description

Test your knowledge on the procedures and responsibilities outlined in the Controlled Substance Accountability Policy. This quiz covers key aspects such as authorized handlers, storage requirements, and inventory discrepancies. Ensure compliance and understand the importance of securing controlled substances in your practice.