1040 - Controlled Substance

Question 1

Who is responsible for the procurement, storage, dispersal and disposal of controlled substances?

Answer 1

Logistical Support Facility

pg. 1

Question 2

Logistical Support will disperse controlled substances to individual ALS companies the
_____________________________ as directed by the Division Chief of Rescue and the JFRD Medical Director.

Answer 2

Rescue District/Battalion Chiefs

pg. 1

Question 3

Access to the locked storage safe will be limited to the:

Answer 3

• Paramedic Officer-in-Charge of the ALS company
OR (if Officer is not a paramedic)
• Paramedic assigned to the ALS company

pg. 1

Question 4

Any access to the safe will be witnessed by appropriate individuals:

Answer 4

• Engineer will witness Paramedic Officer-in-Charge
OR (if Officer is not a paramedic)
• Officer-in-Charge will witness for paramedic assigned to the ALS companies

pg. 1

Question 5

A new JFRD Controlled Substance Daily Checklist shall be started:

Answer 5

At the beginning of each month

pg. 1

Question 6

Completed JFRD Controlled Substance Daily Checklists will remain with the notebook until collected by the District/Battalion Chiefs and forwarded to:

Answer 6

Quality Improvement Officer

pg. 1

Question 7

Discrepancies concerning controlled substances will be:

Answer 7

• Reported to Rescue District/Battalion Chief
• Recorded in the company logbook, including circumstances
• Documented in the Explanation section of the JFRD Controlled Substance Daily Checklist
• Investigated by the Quality Improvement Officer and Rescue District/Battalion Chief with a discrepancy report provided to the Division Chief of Rescue and the JFRD Medical Director

pg. 3

Question 8

It is a first degree misdemeanor to administer expired controlled substances.

True or false?

Answer 8

False. (Felony)

pg. 3

Question 9

Monthly Chief’s inspection will occur (___________________) of each month.

Answer 9

23rd, 24th, or 25th

pg. 4

Question 10

Controlled Substance Inventory

ALS Engine:

Answer 10

• Minimum
  
  • Midazolam - 5 mg
• Maximum
  
  • Midazolam - 10 mg

pg. 4

Question 11

Controlled Substance Inventory

Rescue Units:

Answer 11

• Minimum
  
  • Etomidate/Amidate - 60 mg
  • Fentanyl - 200 mg
  • Ketamine - 500 mg
  • Midazolam - 15 mg

Maximum
     •  Etomidate/Amidate - 100 mg
     •   Fentanyl - 400 mg
     •   Ketamine - 1500 mg
     •   Midazolam - 25 mg

pg. 4

Question 12

Controlled substances inventory will be determined and authorized by:

Answer 12

• Division Chief of Rescue and the Medical Director

pg. 4

Question 13

Restocking should occur when:

Answer 13

• Minimum ALS Engine inventory is reached
• Minimum Rescue inventory is reached
• Month prior to expiration date
• Prior to holiday or weekend when stock is close to minimum Rescue inventory

pg. 5

Question 14

Rescue District/Battalion Chiefs Storage:

Controlled substances will be stored at all times in a locked safe in a climate controlled location.

true or false?

Answer 14

true

pg. 6

Question 15

R103, R104, and R106 requires concurrent use of a key and PIN. A seal is in place on the hinge of safe and is replaced each time safe requires access.
true or false?

Answer 15

true

pg. 6

Question 16

Acces to the safe at R105 and R107 requires using a key that is attained by breaking a seal.

true or false?

Answer 16

true

pg. 6

Question 17

Rescue District/Battalion Chiefs Storage

Discrepancies concerning controlled substances will be: (2)

Answer 17

• Reported to the Division Chief of Rescue and the JFRD Medical Director
• Investigated by the Quality Improvement Officer with a discrepancy report provided to the Division Chief of Rescue and the JFRD Medical Director

pg. 7

Question 18

Controlled substance inventory

Rescue District/Battalion Chiefs

Controlled substance inventory will be authorized by: (2)

Answer 18

• Division Chief of Rescue
and
• Medical Director

pg. 8

Question 19

Rescue District/Battalion Chiefs

The ________________ ______________ ___________
will disperse controlled substances to the Rescue District/Battalion Chiefs during normal business hours.

Answer 19

Logistical Support Facility

pg. 8