Policy Controlled Substances

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

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

When should controlled substances be accounted for?

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

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

How should operational units securely store controlled substances?

What should the number on the sealed container correspond to?

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

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

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

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

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

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

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

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

Where should EMS Captains shall securely store all controlled substances?

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

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

What shall be performed while conducting a controlled substance inventory?

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

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

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

What document is used to reflect the change of custody?

What is required when a controlled substance custody change occurs?

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

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

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

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

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

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

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

What is the appropriate way to correct documentation errors?

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

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

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?

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?

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

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

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

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

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

What should be done with unused or remaining material?

Why should unused controlled substances be rendered non-retrievable?

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

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

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

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

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

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

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

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

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?

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

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

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

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

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

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

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

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

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

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

How should missing controlled substance logs be handled?

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

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

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

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

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

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?

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

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

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

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

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

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

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

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

What action should be taken with unused or remaining material?

Personnel shall return all expired controlled substances to:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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?

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

Additional controlled substance purchase orders shall be based on current:

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

Who is responsible for all new controlled substance orders?