Policy Controlled Substances
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Questions and Answers

Who is responsible for the accurate inventory of controlled substances on a unit?

  • All employees in the department
  • Only the paramedics on duty
  • All department protocoled paramedics assigned to the unit (correct)
  • Only the head of the department

    • What are the responsibilities of department protocoled paramedics assigned to a unit regarding controlled substances?

  • Inventory and distribution only
  • Inventory, distribution, transfer, documentation, and record-keeping (correct)
  • Documentation and inventory only
  • Record-keeping and transfer only

    • When should controlled substances be accounted for?

  • During scheduled inventory checks
  • When preparing for unit inspections
  • Only during working hours
  • At all times regardless of the unit's status (correct)

    • How should operational units securely store and maintain all controlled substances?

    <p>In sealed, department-issued containers</p> Signup and view all the answers

    What is the requirement for sealing the department-issued container when not in use?

    <p>It should be sealed with a numbered, one-way locking (tamper evident) plastic seal</p> Signup and view all the answers

    How should operational units securely store controlled substances?

    <p>In a sealed, department-issued container secured with a numbered, one-way locking plastic seal</p> Signup and view all the answers

    What should the number on the sealed container correspond to?

    <p>The seal number documented in the corresponding logbook at all times</p> Signup and view all the answers

    Why is it important for the sealed container number to correspond to the logbook entry?

    <p>To ensure proper documentation and accountability</p> Signup and view all the answers

    Where should the record-keeping binder containing the Controlled Substance Inventory Log be stored?

    <p>In a secure location within the corresponding unit at all times</p> Signup and view all the answers

    Why is it important for the record-keeping binder to be stored on the corresponding unit at all times?

    <p>To ensure immediate access during audits and inspections</p> Signup and view all the answers

    In which situations is written authorization required for the use of controlled substances?

    <p>Special events and dignitary details</p> Signup and view all the answers

    Who must provide written authorization for the use of controlled substances that deviate from the directives outlined in this policy?

    <p>Division Chief of Medical Services or their designee</p> Signup and view all the answers

    What is the primary purpose of obtaining written authorization for controlled substance use in deviation from the policy?

    <p>Ensure accountability and compliance with regulations</p> Signup and view all the answers

    What type of locking mechanism can be used for securely storing controlled substances on EMS units?

    <p>Keyed, coded, or biometrically locked</p> Signup and view all the answers

    What is the primary requirement for the department-issued container used to store controlled substances on EMS units?

    <p>It must be securely lockable</p> Signup and view all the answers

    Where should EMS Captains shall securely store all controlled substances?

    <p>On their respective units</p> Signup and view all the answers

    Where should EMS Captains securely store the key(s) to their unit's department-issued container?

    <p>In a secure location at all times</p> Signup and view all the answers

    A controlled substance inspection includes, but is not limited to?

    <p>Medication condition, National Drug Code (NDC) or lot number, expiration date, container breakage</p> Signup and view all the answers

    What shall be performed while conducting a controlled substance inventory?

    <p>An inspection of the medications and their containers</p> Signup and view all the answers

    When should a complete inventory and inspection of all controlled substances be conducted?

    <p>At the beginning and end of each shift, when any controlled substance custody change occurs, and when the tamper-evident seal is changed</p> Signup and view all the answers

    The off-going crew shall not leave the station until:

    <p>The on-coming crew physically verifies that the stock of the controlled substances corresponds with the Controlled Substance Inventory Log</p> Signup and view all the answers

    What should be done if there is any change in the quantity of controlled substances?

    <p>Document it in the Controlled Substance Usage and Distribution Log</p> Signup and view all the answers

    What document is used to reflect the change of custody?

    <p>The Controlled Substance Inventory Log (FR-M-102 Attachment A)</p> Signup and view all the answers

    What is required when a controlled substance custody change occurs?

    <p>A complete inventory and inspection including the placement of a new numbered, one-way locking (tamper evident) plastic seal.</p> Signup and view all the answers

    If no relief is available for an employee who cannot maintain custody of controlled substances, who will assume custody?

    <p>Lieutenant, Operational Captain, or designee</p> Signup and view all the answers

    The locking mechanism can be keyed, coded, or biometrically locked and maintained, as approved by who?

    <p>Division Chief of Medical Services or designee</p> Signup and view all the answers

    Where should the sealed, department-issued container and associated logbook be placed when an aircraft is placed out of service?

    <p>In a department-issued lockable safe</p> Signup and view all the answers

    What is required to be documented for each controlled substance, as appropriate in the space provided?

    <p>Total amount as indicated in dosage, NDC or lot number, expiration date</p> Signup and view all the answers

    How much prior notice should be given to the EMS Captain before a controlled substance reaches its expiration date?

    <p>At least seven (7) days</p> Signup and view all the answers

    What action should be taken if there is an unexplained discrepancy between the actual physical stock and the recorded amount in the logbook?

    <p>Report to the EMS Captain through the chain of command</p> Signup and view all the answers

    When making appropriate notation of clerical errors, what should be done to authenticate them?

    <p>Add initials next to the correction</p> Signup and view all the answers

    What is the appropriate way to correct documentation errors?

    <p>Strike through using a single line</p> Signup and view all the answers

    Who should be notified about any explained discrepancy in the logbook where there is no actual loss?

    <p>Operational Captain</p> Signup and view all the answers

    Any explained discrepancy in the logbook, where there is no actual loss, shall be reported to?

    <p>Lieutenant, Operational Captain, or designee</p> Signup and view all the answers

    If an unexplained discrepancy is found between the EMS Captain's controlled substance stock and the EMS Captain Controlled Substance Inventory Log, what action should be taken?

    <p>Report it to the Division Chief of Medical Services through the chain of command</p> Signup and view all the answers

    If an unexplained discrepancy is found between the actual stock and the recorded amount in the Controlled Substance Inventory Log, who should the EMS Captain report the discrepancy to?

    <p>The Division Chief of Medical Services through the chain of command</p> Signup and view all the answers

    What should be done by the EMS Captain when notified of an unexplained discrepancy in the controlled substance inventory?

    <p>Immediately report the discrepancy to the Division Chief of Medical Services through the chain of command</p> Signup and view all the answers

    What should be done immediately following the removal of a controlled substance from the unit's sealed, department-issued container for administration?

    <p>Re-sealed with a new, numbered, one-way locking seal</p> Signup and view all the answers

    When should the re-sealing of the department-issued container occur after the removal of a controlled substance?

    <p>Immediately following the removal or as soon as reasonably possible thereafter</p> Signup and view all the answers

    Where should the administration of a controlled substance to a patient be documented?

    <p>Controlled Substance Usage and Distribution Log</p> Signup and view all the answers

    Who should not be the same employee who witnessed the use and/or waste of a controlled substance?

    <p>The employee who administered the medication</p> Signup and view all the answers

    What should be done with unused or remaining material?

    <p>It shall be destroyed or wasted in compliance with applicable laws and regulations</p> Signup and view all the answers

    Why should unused controlled substances be rendered non-retrievable?

    <p>In compliance with applicable Federal, State, and local laws and regulations</p> Signup and view all the answers

    The employee signatures on the 'Witnessed Controlled Substance Use/Waste' form in the ePCR shall correspond with?

    <p>The employee signatures in the 'Witness to waste/Received by' signature section of the Controlled Substance Usage and Distribution Log</p> Signup and view all the answers

    Who must approve the distribution of controlled substances from one unit to another for inventory balancing?

    <p>The EMS Captain</p> Signup and view all the answers

    What form should the EMS Captain use to document the change of inventory after distributing a controlled substance to a unit for replenishing stock?

    <p>EMS Captain Controlled Substance Distribution Log</p> Signup and view all the answers

    What must the EMS Captain review to verify authorized usage of controlled substances?

    <p>The corresponding ePCR and/or the receiving unit's Controlled Substance Usage and Distribution Log</p> Signup and view all the answers

    If a controlled substance is broken, damaged, or spilled, is it considered 'lost'?

    <p>No, it is not considered 'lost' as it can be accounted for</p> Signup and view all the answers

    What should an employee do when a controlled substance container breaks?

    <p>Immediately notify the EMS Captain through the chain of command.</p> Signup and view all the answers

    Which forms in the units logbook should be updated after a controlled substance container breaks?

    <p>Controlled Substance Usage and Distribution Log (FR-M-102 Attachment B)</p> Signup and view all the answers

    When should an employee write 'Damaged' or 'Broken' in the 'Case #' section of the Controlled Substance Usage and Distribution Log?

    <p>When the controlled substance container is compromised</p> Signup and view all the answers

    What should an employee write in the 'Case #' section of the Controlled Substance Usage and Distribution Log when a controlled substance container (i.e., vial) breaks?

    <p>'Unexplained Discrepancy'</p> Signup and view all the answers

    What should be done If broken or damaged vial has some medication remaining?

    <p>The remaining material should be disposed of in the same manner as the remaining substance post-administration</p> Signup and view all the answers

    What should be done with a broken or damaged vial containing fully intact medication?

    <p>Surrender the vial to the EMS Captain for proper medication disposal</p> Signup and view all the answers

    What should the EMS Captain ensure upon notification of broken or damaged vials?

    <p>Proper documentation is completed</p> Signup and view all the answers

    What is the responsibility of the EMS Captain upon notification of broken or damaged vials?

    <p>Ensure proper documentation is completed and notify the Division Chief of Medical Services</p> Signup and view all the answers

    Who should be notified by the EMS Captain upon notification of broken or damaged vials?

    <p>Division Chief of Medical Services or designee</p> Signup and view all the answers

    What should the EMS Captain ensure when a broken or damaged vial, with fully intact medication, is surrendered?

    <p>Document the change of custody in each unit's logbook</p> Signup and view all the answers

    What should the EMS Captain do if a controlled substance is broken or damaged from the EMS Captain stock?

    <p>Notify the Division Chief of Medical Services or designee through the chain of command to determine proper handling and disposal.</p> Signup and view all the answers

    Any instance involving a lost or stolen controlled substance, shall be?

    <p>Immediately reported to the EMS Captain through the chain of command</p> Signup and view all the answers

    Who should the incidents involving theft of controlled substances be reported to?

    <p>Law Enforcement</p> Signup and view all the answers

    What report should be attached to the Property and Liability Accident/Incident Report in case of theft of controlled substances?

    <p>Law Enforcement report</p> Signup and view all the answers

    How should missing controlled substance logs be handled?

    <p>In the same manner as missing controlled substances</p> Signup and view all the answers

    What is the responsibility of the EMS Captain upon notification of lost or stolen controlled substances?

    <p>Immediately report the occurrence through the chain of command to the Division Chief of Medical Services</p> Signup and view all the answers

    What should the EMS Captain ensure when notified of lost or stolen controlled substances?

    <p>Proper documentation is completed</p> Signup and view all the answers

    What is the responsibility of the Medical Services Division upon notification of lost or stolen controlled substances?

    <p>Ensure appropriate administrative departmental notifications are made and notify the DEA registrant</p> Signup and view all the answers

    Who should the Medical Services Division notify upon discovery of lost or stolen controlled substances?

    <p>DEA registrant (Medical Director)</p> Signup and view all the answers

    Who will notify the DEA upon discovery as appropriate, of lost or stolen controlled substances?

    <p>Medical Director</p> Signup and view all the answers

    Who is responsible for making efforts to determine the facts involved by conducting inventories, internal audits, and/or investigations using internal or law enforcement resources?

    <p>The DEA registrant and appropriate administrative staff</p> Signup and view all the answers

    What should be done if, after an investigation, it is determined that no theft or significant loss occurred?

    <p>DEA Form 106 does not need to be filed</p> Signup and view all the answers

    Who is responsible for submitting the DEA Form 106 (FR-M-102 Attachment E) after the circumstances surrounding theft or significant loss are clear?

    <p>Medical Services Division</p> Signup and view all the answers

    When is it necessary to file the DEA Form 106 (FR-M-102 Attachment E)?

    <p>After the circumstances surrounding theft or significant loss are clear</p> Signup and view all the answers

    After the circumstances surrounding theft or significant loss are clear, what should be submitted by the DEA registrant?

    <p>DEA Form 106</p> Signup and view all the answers

    Who determines a significant loss, after an investigation involving a lost or stolen controlled substance?

    <p>The DEA registrant</p> Signup and view all the answers

    What should be done with any unused or remaining material after administration of controlled substances?

    <p>Destroyed or wasted in compliance with applicable laws and regulations</p> Signup and view all the answers

    Who is required to witness and record the disposal of any unused or remaining material?

    <p>Two employees, one of whom may be the employee who administered the medication</p> Signup and view all the answers

    Where should the disposal of unused or remaining material be recorded?

    <p>In the Controlled Substance Usage and Distribution Log</p> Signup and view all the answers

    What action should be taken with unused or remaining material?

    <p>It should be rendered non-retrievable as directed by the Medical Services Division</p> Signup and view all the answers

    Personnel shall return all expired controlled substances to:

    <p>The EMS Captain</p> Signup and view all the answers

    Which form should be used to document the transfer of expired controlled substances to the EMS Captain?

    <p>Controlled Substance Usage and Distribution Log, Controlled Substance Inventory Log</p> Signup and view all the answers

    When transferring expired controlled substances to the EMS Captain, who is responsible for completing the 'Witness to waste/Received by' section?

    <p>The EMS Captain</p> Signup and view all the answers

    What form should be used to document the transfer of expired controlled substances to the EMS Captain?

    <p>Controlled Substance Usage and Distribution Log (FR-M-102 Attachment B)</p> Signup and view all the answers

    What should be written in the 'Case #' section of the Controlled Substance Usage and Distribution Log when transferring expired controlled substances?

    <p>'Expired'</p> Signup and view all the answers

    When do medications with an expiration date indicating only the month and year expire?

    <p>At the end of the stated month</p> Signup and view all the answers

    How do medications with an expiration date indicating a month, day, and year expire?

    <p>As indicated on the date</p> Signup and view all the answers

    If a medication expires on 05/17, when does it expire?

    <p>May 31, 2017</p> Signup and view all the answers

    What must the EMS Captain do with all expired controlled substances?

    <p>Dispose of them by hand-delivering to an authorized member of the Medical Services Division</p> Signup and view all the answers

    Which forms must be updated in the EMS Captains logbook to reflect the change in inventory to the EMS Captains stock?

    <p>EMS Captain Controlled Substance Distribution Log (FR-M102 Attachment C) and EMS Captain Controlled Substance Inventory Log (FR-M-102 Attachment D)</p> Signup and view all the answers

    What is the responsibility of the EMS Captain regarding updating forms in the logbook?

    <p>To ensure that the EMS Captains logbook reflects the change in inventory to the EMS Captains stock</p> Signup and view all the answers

    What should be the primary consideration when destroying an expired controlled substance?

    <p>Ensuring the substance is disposed of in a way that prevents diversion</p> Signup and view all the answers

    What is the primary responsibility of the Medical Services Division when it comes to the destruction of expired controlled substances?

    <p>Ensure compliance with Federal, State, and local laws and regulations</p> Signup and view all the answers

    Who is responsible for the destruction of an expired controlled substance, in a manner compliant with Federal, State, and local laws and regulations?

    <p>Medical Services Division</p> Signup and view all the answers

    Who sets the running par levels of controlled substances for each unit in a battalion?

    <p>The EMS Captain</p> Signup and view all the answers

    Where are the controlled substance running par levels of each medication located?

    <p>On the front cover of the unit's Controlled Substances Inventory logbook</p> Signup and view all the answers

    Who should be notified when the designated running par level is different from the unit's actual physical stock?

    <p>The EMS Captains</p> Signup and view all the answers

    What is recorded by the EMS Captain each time a new logbook is issued?

    <p>Running Par Level</p> Signup and view all the answers

    Who must authorize any permanent deviation from the minimum par levels?

    <p>The Medical Director(s) and the Division Chief of Medical Services</p> Signup and view all the answers

    Who is responsible for determining the minimum par levels on EMS Captain vehicles and Special Operations units?

    <p>The Medical Director and the Division Chief of Medical Services</p> Signup and view all the answers

    What happens when controlled substance quantities fall below the minimum par level?

    <p>The EMS Captain shall be notified through the chain of command</p> Signup and view all the answers

    The specific controlled substances, concentrations, and packaging are subject to change based on:

    <p>The current availability</p> Signup and view all the answers

    What is the responsibility of the EMS Captain when additional controlled substances are required at the Battalion level?

    <p>Notify the Medical Services Division and retrieve the necessary controlled substances in person from the Medical Services Division</p> Signup and view all the answers

    Who sets the running par levels of controlled substances for each unit in a battalion?

    <p>EMS Captain</p> Signup and view all the answers

    What should the Medical Services Division do if there is any change in the quantity of controlled substances?

    <p>Update the records and logs accordingly</p> Signup and view all the answers

    Who should be notified of any theft or significant loss of controlled substances upon its discovery?

    <p>DEA registrant</p> Signup and view all the answers

    Who is responsible for DEA registrant requirements, storage, security, distribution, disposal, and destruction of controlled substances, in compliance with laws and regulations?

    <p>The Medical Services Division</p> Signup and view all the answers

    What is the minimum duration for which records and logs pertaining to Fire Rescue's controlled substances should be kept available for inspection and copying?

    <p>Two years</p> Signup and view all the answers

    If procedures or processes involving controlled substances fall outside of the policy, who should ensure compliance with Federal, State, and local laws and regulations?

    <p>The Medical Services Division</p> Signup and view all the answers

    Additional controlled substance purchase orders shall be based on current:

    <p>Usage trends, projected usage, and product availability</p> Signup and view all the answers

    What should be done immediately following the removal of a controlled substance from the unit's sealed, department-issued container for administration?

    <p>The quantity used should be recorded in the logbook</p> Signup and view all the answers

    Who is responsible for all new controlled substance orders?

    <p>The Medical Services Division and the Medical Director(s)</p> Signup and view all the answers

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