OG 2.4 Controlled Substance Policy of PF&R

These flashcards cover the key terms and definitions involved in the Controlled Substance Policy of Portland Fire & Rescue, aiding in understanding and compliance.

Controlled Substances

Drugs declared to be handled as such, including Schedule II - Fentanyl, Schedule IV - Midazolam, and others determined by the Physician Supervisor.

Authorized member

A sworn PF&R Officer or Paramedic assigned to the unit, or any employee designated by the EMS Battalion Chief or their designee.

Witness

A sworn member of PF&R, or any employee designated by the EMS Battalion Chief or their designee.

Log Entry

An entry made in LogRx or back-up Controlled Substance Inventory Log that includes pertinent information about the use and resupply of controlled substances.

Unit

An apparatus with ALS capability assigned to Portland Fire & Rescue.

Controlled Substance Allocation (Form 900.21)

A form used to allocate controlled substances.

Controlled Substance Damaged Tamperproof Seal (Form 900.22)

A form used to document damaged tamper-proof seals.

Back-Up Controlled Substance Inventory Log (Form 900.26)

A form for tracking the inventory of controlled substances.

LogRx Instruction Sheets (Form 900.28)

Instructions for using LogRx for controlled substances.

Midazolam (Versed)

A controlled substance classified as a Schedule IV drug used by PF&R paramedics.

Fentanyl

A controlled substance classified as a Schedule II drug used by PF&R paramedics.

Ketamine

A controlled substance used by PF&R paramedics, maximum amounts determined by the Physician Supervisor.

Double lock secured steel lockbox

A secure box used for storing controlled substances in an ALS unit.

RSI Kit

A kit that includes equipment for Rapid Sequence Intubation, must be sealed with a security seal.

Security seals

Numbered seals maintained for each ALS unit, used to ensure the integrity of controlled substance storage.

Emergency Retrieval

The act of a single PF&R EMT-Basic or Paramedic retrieving a controlled substance for administration in an emergency.

Expired Drugs Handling

Procedure to manage expired controlled substances, including labeling and storage.

Work Supply Request

A request made by an authorized member to notify the EMS Office of the need for new stock.

Transfer entry

Documentation of drug transfers between different ALS units.

Daily inventory checks

Verification of controlled substances against logs which must be performed regularly.

Incident report

A report documenting details of any loss or theft of controlled substances.

Replenishment of drugs

Procedure to obtain necessary controlled substances from EMS or neighboring stations.

Tamper-resistant cap

A cap that ensures the integrity of a drug container, which if damaged means the drug must be taken out of service.

Controlled Substance Inventory Log Examples

Examples of log entries for maintaining proper records of controlled substances.

Drug Administration Procedures

Guidelines for administering controlled substances according to county protocols.

Lockbox key storage

Key for the steel lockbox kept in a Supra-type key safe for security.

Controlled substances documentation

All records related to the handling, use, and resupply of controlled substances.

Logging Procedure for Administration

Process conducted after administering any controlled substance to maintain proper records.

Drug count discrepancies

Issues that arise if the number of controlled substances logged does not match the physical count.

Drug Enforcement Administration (DEA) auditing

Inspection of drug logs and inventory by DEA to ensure compliance with regulations.

Medical control verification

The process of ensuring medications administered align with approved medical protocols.

Documentation of wasted drugs

Recording the disposal or wasting of unused medications, requiring a witness.

Form 900.28

A form that includes instructions for various procedures related to controlled substances.

Controlled Substance Notebook

A notebook containing relevant forms and information regarding controlled substances.

Drug transfer documentation

Recordkeeping of drugs moved from one unit to another during transfers.

Inventory management

The process of checking, documenting, and maintaining controlled substance supplies.

Controlled Substance Procedures Overview

The policies and procedures governing the handling of controlled substances by PF&R.

Emergency Medication Retrieval Protocol

Guidelines for safely retrieving medications in emergencies.

Controlled Substance Disposal Guidelines

Instructions for the proper disposal of expired or unusable medications.

Certification for drug transfer

Verification process involving authorized members when transferring drugs.

Tampered seal protocol

Steps to follow if a security seal is found to be damaged during inspections.

Monthly drug inventory

A routine check conducted to verify stock levels of controlled substances.

Restricted substance handling

Protocols that dictate who can handle controlled substances and under what conditions.

Auditing frequency

How often audits of controlled substance logs may occur, typically by the DEA.

Interdepartmental communication for drugs

Notification procedures for drug management between different units or departments.

Controlled substance resupply

The replenishment of controlled substances depleted during use.

Protocol adherence for drug use

Measures to ensure that all drugs administered are compliant with local medical protocols.

Drug custody change procedures

The steps taken to verify and account for controlled substances during shifts.

Drug custody verification

Action taken to ensure the security and accountability of controlled substances during transfers.

Employee training on drug policies

Education procedures for personnel regarding the handling of controlled substances.

Guidelines for drug administration verification

Standards set forth to confirm that drug administration is performed correctly.

Form #106 for theft reporting

The document required for reporting lost or stolen controlled substances to the DEA.

Emergency medical supply management

Protocols for maintaining healthcare supplies, specifically medications, during emergencies.

Operational guidelines revision date

The date when the current policies and procedures were last updated.

Security measures for drug transport

Strategies implemented to protect controlled substances during transit.