60 Questions
How should operational units stocked with controlled substances securely store these medications and their corresponding logbook?
In a sealed, department-issued container secured with a numbered, one-way locking plastic seal
What is the responsibility of all employees who are department protocoled paramedics assigned to a unit regarding controlled substances?
Accurate inventory, distribution, transfer, documentation, and record-keeping
In what manner should controlled substances be maintained in the department-issued container?
Secured with a numbered, one-way locking (tamper evident) plastic seal
Where should the record-keeping binder (logbook) containing the Controlled Substance Inventory Log and the Controlled Substance Usage and Distribution Log be stored?
On the corresponding unit at all times
What should be done in situations that deviate from the outlined directives for controlled substances?
Obtain written authorization from the Division Chief of Medical Services or their designee
How should all controlled substances be accounted for at all times?
Regardless of the unit's status
What must the number on the sealed container correspond to at all times?
The seal number documented in the corresponding logbook
Who should not be the same employee who administered the medication, according to the text?
Witness to waste
What should be done with any unused material, as per the text?
Destroyed in compliance with applicable laws and regulations
Who must approve the distribution of controlled substances between units, according to the text?
EMS Captain
What is the responsibility of the EMS Captain regarding broken, damaged, or spilled controlled substances?
Immediate reporting
What should be done if broken vials are partially exhausted, according to the text?
The remaining material should be disposed of
Who is responsible for documenting the change of inventory and verifying authorized usage, as per the text?
EMS Captain
What should be done if any controlled substances are lost or stolen, according to the text?
Immediately reported to the EMS Captain
Who is responsible for securely storing all controlled substances on their respective units?
EMS Captains
How often must a complete inventory and inspection of all controlled substances carried on the unit be conducted?
At the beginning and end of each shift
What must be done if a custody change occurs and no relief is available?
Designated personnel will assume custody of the controlled substances
How is controlled substance inventory conducted?
By reconciling each medication's physical count with the amount recorded in the logbook
Who should be notified at least seven days prior to a controlled substance reaching its expiration date?
The EMS Captain
What should be done with any unexplained discrepancy in the controlled substance stock or logbook?
Reported through the chain of command
Who is responsible for removing and re-sealing controlled substances from the department-issued container for administration?
EMS Captains
Who is responsible for setting running par levels of controlled substances for each unit?
The EMS Captain
How should expired controlled substances be handled?
Hand-delivered to the Medical Services Division for proper disposal
Who is responsible for updating inventory logs when expired controlled substances are returned?
The EMS Captain
How long should records and logs related to handling controlled substances be kept on file?
A minimum of two years
Who should be notified of any theft or significant loss of controlled substances?
The DEA registrant
Who is responsible for conducting inventories, audits, and investigations to ensure compliance with laws and regulations?
DEA registrant and administrative staff
What is the minimum duration for which records and logs related to handling controlled substances should be available for inspection?
A minimum of two years
Who is responsible for new controlled substance orders based on usage trends, projected usage, and product availability?
Medical Services Division
Who is responsible for specifying minimum par quantities of controlled substances for Palm Beach County Fire Rescue ALS Units?
The EMS Captain
Who is responsible for documenting the change of inventory and verifying authorized usage?
EMS Captain
What should be done if broken vials are partially exhausted, according to the text?
The remaining material should be disposed of
Who should be notified of any theft or significant loss of controlled substances?
EMS Captain
What is the responsibility of the EMS Captain regarding broken, damaged, or spilled controlled substances?
Immediate reporting
Who is responsible for securely storing all controlled substances on their respective units?
Paramedics assigned to a unit
What must be done if a custody change occurs and no relief is available?
Immediate reporting to the EMS Captain
Who is responsible for notifying the DEA registrant and DEA upon discovery of lost or stolen controlled substances?
Medical Services Division
How should operational units stocked with controlled substances securely store these medications and their corresponding logbook?
In a sealed, department-issued container with a numbered, one-way locking plastic seal
Who must approve the distribution of controlled substances between units, according to the text?
Division Chief of Medical Services or their designee
What should be done with any unexplained discrepancy in the controlled substance stock or logbook?
Report to the Division Chief of Medical Services
How should all controlled substances be accounted for at all times?
Regardless of the unit's status
Where should the record-keeping binder (logbook) containing the Controlled Substance Inventory Log and the Controlled Substance Usage and Distribution Log be stored?
On the corresponding unit at all times
What must be done in situations that deviate from the outlined directives for controlled substances?
Obtain written authorization from the Division Chief of Medical Services or their designee
Who is responsible for the accurate inventory, distribution, transfer, documentation, and record-keeping of all controlled substances carried on a unit?
All employees who are department protocoled paramedics assigned to the unit
Who is responsible for securely storing all controlled substances on their respective units?
EMS Captains
How often must a complete inventory and inspection of all controlled substances carried on the unit be conducted?
Daily
What should be done with any unexplained discrepancy in the controlled substance stock or logbook?
Report through the chain of command
Who should be notified at least seven days prior to a controlled substance reaching its expiration date?
Division Chief of Medical Services
How is controlled substance inventory conducted?
By reconciling each medication's physical count with the amount recorded in the logbook
What should be done if any controlled substances are lost or stolen, according to the text?
Report through the chain of command
Who must approve the distribution of controlled substances between units, according to the text?
Division Chief of Medical Services
Who is responsible for updating inventory logs when expired controlled substances are returned?
EMS Captain
What is the responsibility of the Medical Services Division regarding new controlled substance orders?
Placing orders based on usage trends and product availability
Who is responsible for specifying minimum par quantities of controlled substances for Palm Beach County Fire Rescue ALS Units?
EMS Captain
What is required for deviations from the specified minimum par quantities of controlled substances for Palm Beach County Fire Rescue ALS Units?
Authorization from the Medical Director(s) and the Division Chief of Medical Services
Who is responsible for conducting inventories, audits, and investigations to ensure compliance with laws and regulations?
DEA registrant and administrative staff
Who should be notified of any theft or significant loss of controlled substances?
DEA registrant
What should be done with expired controlled substances?
Hand-delivered to the Medical Services Division for proper disposal
Who is responsible for running par levels of controlled substances for each unit?
EMS Captain
How long should records and logs related to handling controlled substances be kept on file?
Minimum of two years
Study Notes
Controlled Substances Handling and Management Procedures
- DEA registrant and administrative staff are responsible for conducting inventories, audits, and investigations to ensure compliance with laws and regulations.
- Partially exhausted containers of controlled substances must be disposed of in compliance with applicable laws and rendered non-retrievable, with disposal witnessed by two employees.
- Expired controlled substances are to be returned to the EMS Captain and documented on specific forms, with the EMS Captain responsible for updating inventory logs.
- Medications with different expiration date formats are to be handled accordingly, with expired controlled substances hand-delivered to the Medical Services Division for proper disposal.
- Destruction of expired controlled substances must adhere to federal, state, and local laws and regulations to prevent diversion.
- Running par levels of controlled substances for each unit are set by the EMS Captain and recorded in the Controlled Substances Inventory logbook.
- Minimum par quantities of controlled substances for Palm Beach County Fire Rescue ALS Units are specified and deviations require authorization from the Medical Director(s) and the Division Chief of Medical Services.
- EMS Captains are responsible for notifying and retrieving additional controlled substances from the Medical Services Division when needed at the Battalion level.
- Medical Services Division is responsible for new controlled substance orders, based on usage trends, projected usage, and product availability.
- Compliance with federal, state, and local laws and regulations in handling controlled substances is essential, with records and logs to be kept on file for a minimum of two years and available for inspection by authorized DEA employees.
- The Medical Services Division should notify the DEA registrant of any theft or significant loss of controlled substances and ensure compliance with laws and regulations for procedures involving controlled substances falling outside the policy.
- Compliance with laws and regulations for special events, dignitary detail, and other processes involving controlled substances is required before authorization.
Controlled Substances Handling and Management Procedures
- DEA registrant and administrative staff are responsible for conducting inventories, audits, and investigations to ensure compliance with laws and regulations.
- Partially exhausted containers of controlled substances must be disposed of in compliance with applicable laws and rendered non-retrievable, with disposal witnessed by two employees.
- Expired controlled substances are to be returned to the EMS Captain and documented on specific forms, with the EMS Captain responsible for updating inventory logs.
- Medications with different expiration date formats are to be handled accordingly, with expired controlled substances hand-delivered to the Medical Services Division for proper disposal.
- Destruction of expired controlled substances must adhere to federal, state, and local laws and regulations to prevent diversion.
- Running par levels of controlled substances for each unit are set by the EMS Captain and recorded in the Controlled Substances Inventory logbook.
- Minimum par quantities of controlled substances for Palm Beach County Fire Rescue ALS Units are specified and deviations require authorization from the Medical Director(s) and the Division Chief of Medical Services.
- EMS Captains are responsible for notifying and retrieving additional controlled substances from the Medical Services Division when needed at the Battalion level.
- Medical Services Division is responsible for new controlled substance orders, based on usage trends, projected usage, and product availability.
- Compliance with federal, state, and local laws and regulations in handling controlled substances is essential, with records and logs to be kept on file for a minimum of two years and available for inspection by authorized DEA employees.
- The Medical Services Division should notify the DEA registrant of any theft or significant loss of controlled substances and ensure compliance with laws and regulations for procedures involving controlled substances falling outside the policy.
- Compliance with laws and regulations for special events, dignitary detail, and other processes involving controlled substances is required before authorization.
Test your knowledge of handling and managing controlled substances with this quiz. Covering topics such as inventory management, disposal procedures, compliance with laws and regulations, and responsibilities of DEA registrants and administrative staff, this quiz will help ensure a thorough understanding of proper procedures.
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