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E/F-17-Controlled Substances <br /> 1. ALS Personnel will properly document the administration and waste of controlled <br /> substances. <br /> 2. Personnel will complete the daily inventory sheet for all ALS, BLS and Transport NSMT <br /> Vehicles. <br /> 3. All controlled substances will be maintained in a secure locked location. <br /> 4. The system for maintaining inventory on controlled substances will involve two separate <br /> logbooks. <br /> 5. The paramedic administering the controlled substance will be responsible for <br /> documenting the information in the logbook assigned to the specific North State Medical <br /> Transport response unit, stored in the locked drug cabinet. <br /> 6. The logbook will remain together if a unit is switched. <br /> 7. The paramedic administering the controlled substance will contact the operations chief <br /> when narcotics are used to obtain replacement. <br /> 8. All narcotic use and waste will be properly documented on the patient care report <br /> 9. The operations chief will document the appropriate information into a master log located <br /> in the pharmacy supply safe. <br /> 10. All broken or contaminated controlled substances will be properly documented in all <br /> logbooks with a written explanation of how the substance was disposed. <br /> 11. All actions regarding controlled substances shall be witnessed by a second party. <br /> 12. All amounts of wasted controlled substances will be properly documented and witnessed. <br /> 13. The manager will not issue replacement controlled substances unless presented with the <br /> properly documented call report and log book. <br /> E/F-18-Accountability for Controlled Substances <br /> The following procedure will be used to establish the accountability for controlled substances on <br /> a daily basis and applies to response units <br /> 1. The off-going shift's attending paramedic will unlock the drug locker to visually inspect <br /> all controlled substances with the off-going shift's employee in their presence. <br /> 2. Both paramedics will sign a daily accountability form verifying the process took place <br /> and noting the quantities present <br /> 3. Failure to complete and document this process will result in disciplinary action. <br /> 4. North State Medical Transport personnel will notify the Operations Chief immediately of �. <br /> finding any missing controlled substances. <br /> 5. The supervisor is accountable for ensuring that this process and documentation occurs on <br /> a consistent basis. <br /> 6. If all controlled substances are not accounted for, both the oncoming and off going <br /> paramedics, supervisor and director shall be notified. <br /> 7. Failure to immediately call a supervisor/manager establishes acceptance of accountability <br /> for the controlled substances by the oncoming shift paramedic. <br /> 8. All personnel that were assigned to the unit where the controlled substance is missing <br /> shall remain until a supervisor/manager arrives. <br /> 95 <br />