GOG 10-26 Custody and Transfer of Controlled Substances for ALS Apparatus
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Questions and Answers

What color security tag is used to denote an unopened, fully supplied drug box?

  • Yellow Tag
  • Green Tag
  • Red Tag
  • Blue Tag (correct)

Which of the following personnel are considered authorized personnel for handling narcotics, Diphenhydramine, and anti-emetics?

  • Paramedics (correct)
  • Administrative staff
  • Security personnel
  • Maintenance crews

What must the on-coming paramedic do when taking custody of the drug boxes?

  • Check the expiration dates of the drugs only
  • Verify the color of the tags only
  • Seal the drug boxes again with new tags
  • Record the blue tag numbers on the Drug Box Log (correct)

What denotes a drug box that has been utilized and needs replacement?

<p>Red Tag (C)</p> Signup and view all the answers

How many drug boxes are stored on each ALS apparatus?

<p>Two drug boxes (C)</p> Signup and view all the answers

Where are drug boxes packaged before being assigned to an ambulance?

<p>Medical Supply Division office (C)</p> Signup and view all the answers

What is the primary responsibility of paramedics regarding the drug boxes?

<p>Maintaining control and custody of the drug boxes (B)</p> Signup and view all the answers

What must occur during the custody transfer of drug boxes between shifts?

<p>Both off-going and on-coming paramedics must confirm blue tag seals (B)</p> Signup and view all the answers

What should be done first after a narcotic drug box is opened?

<p>Notify the EST office (D)</p> Signup and view all the answers

What is used to seal the open drug box after it has been opened?

<p>A Red Tag (B)</p> Signup and view all the answers

When replacing a drug box during the shift, what must the paramedic record?

<p>The Red Tag number (D)</p> Signup and view all the answers

What is the last step in the custody transfer of a Red Tagged drug box?

<p>Both parties sign the Drug Box Log (B)</p> Signup and view all the answers

What does the paramedic need to check for on the replacement drug box?

<p>It is properly sealed with a Blue Tag (D)</p> Signup and view all the answers

What documentation is required to be completed by the paramedic and authorized personnel?

<p>A departmental drug inventory sheet (D)</p> Signup and view all the answers

What happens if the drug box replacement does not occur during the shift?

<p>A joint inventory is conducted at shift change (D)</p> Signup and view all the answers

Which tag is used to indicate that a drug box is in open status?

<p>Red Tag (B)</p> Signup and view all the answers

What is the first step the off-going paramedic must take when handling an open drug box at shift change?

<p>Re-seal the open drug box with a 'Red Tag' (D)</p> Signup and view all the answers

Which document must the off-going paramedic record the 'Red Tag' number on?

<p>Departmental drug inventory form (C)</p> Signup and view all the answers

What must happen to the 'Red Tagged' drug box after it has been re-sealed?

<p>Transfer it to the on-board vault (A)</p> Signup and view all the answers

When must the off-going paramedic contact the on-duty DVC?

<p>When leaving a red tag box (B)</p> Signup and view all the answers

In what circumstance can resealed boxes be opened?

<p>In extreme emergencies (A)</p> Signup and view all the answers

What should happen if both drug boxes are open or resealed?

<p>Notify the Assistant Division Chief immediately (C)</p> Signup and view all the answers

What is required from the off-going paramedic after recording the Red Tag number?

<p>Collect all drug signatures (B)</p> Signup and view all the answers

Who jointly inventories the open drug box when shift relief is not available?

<p>Off-going paramedic and a company officer (A)</p> Signup and view all the answers

What is required for the custody exchange of the drug box to be complete?

<p>Both paramedics must sign the Drug Box Log. (C)</p> Signup and view all the answers

Where must the Drug Box Log be maintained?

<p>In the ambulance vault's designated folder. (B)</p> Signup and view all the answers

What actions must the off-going paramedic and company officer take during the drug box custody management?

<p>Ensure the drug boxes are sealed and count specific vials. (D)</p> Signup and view all the answers

How should the Blue Tag numbers be documented?

<p>The company officer will record them on the Drug Box Log. (B)</p> Signup and view all the answers

What must the on-coming paramedic do after verifying the drug box custody process?

<p>Assume custody and control of the assigned drug boxes. (A)</p> Signup and view all the answers

What should happen when prior shift relief is not present?

<p>The off-going personnel must manage drug box custody. (C)</p> Signup and view all the answers

Which of the following items must the company officer record on the Drug Box Log?

<p>The Blue Tag numbers and the count of all designated items. (B)</p> Signup and view all the answers

What is required when an ambulance is unstaffed regarding drug boxes?

<p>Secure unopened drug boxes in the on-board vault. (A)</p> Signup and view all the answers

Study Notes

Purpose and Scope

  • Establishes procedures for maintaining, transferring, and securing narcotics, Diphenhydramine, and anti-emetic medications at ALS apparatus stations.
  • Applies to KCFD personnel responsible for supervision and handling of these medications.

Definitions

  • Authorized Personnel: Includes Paramedic, Company Officer, EST Personnel, or Field DVC.

Storage and Responsibility

  • Narcotics and medications are stored on ALS apparatus in sealed drug boxes.
  • Each apparatus will contain two drug boxes under the primary custody of assigned paramedics.
  • Control of drug boxes is maintained on the person or in the fixed vault on the apparatus.

Tagging System

  • Drug boxes are sealed with security tags:
    • Blue Tag: Denotes unopened, fully stocked drug box.
    • Red Tag: Indicates used drug box that needs replacement.

Unopened Drug Boxes Management

  • Drug boxes are packaged at the Medical Supply Division and secured with a Blue Tag.
  • Custody transfers occur at shift change:
    • Both off-going and on-coming paramedics confirm Blue Tag seals.
    • They record relevant inventory on the Drug Box Log.
    • Signatures are required to complete custody transfer.

Opened Narcotic Drug Boxes Procedures

  • Upon opening, the appropriate KCFD personnel must notify the EST office.
  • Replacement procedures follow:
    • Inventory of open box with an assigned EMT and/or authority.
    • Reseal with a Red Tag and record on the Drug Box Log.
    • Custody of replacement box is transferred upon confirmation and signing.

Shift Change without Replacement

  • If a drug box is open during shift change:
    • The on-coming and off-going paramedics inventory together.
    • The open box is resealed with a Red Tag and documented.
    • If no relief is present, a company officer assists in inventory and documentation.

Emergency Access

  • Resealed Red Tagged boxes may only be opened in extreme emergencies.
  • Immediate notification to the Assistant Division Chief is required if both boxes are open or resealed.

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Description

This quiz tests knowledge on the standard procedures for maintaining, transferring, and securing narcotics, Diphenhydramine, and anti-emetic medications at ALS Apparatus stations. It is designed for KCFD personnel involved in supervision, custody, and handling of these medications.

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