DEA Dos & Don'ts for EMS - Our Story at Katy Fire Dept.
In this overview, we delve into the history of EMS at Katy Fire Department, highlighting protocols, certifications, and control measures. Discover what went wrong and the importance of questioning authority to ensure compliance and safety in EMS operations.
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Presentation Transcript
DEA Dos & Don'ts for EMS OUR STORY AT KATY FIRE DEPT.
Overview Our Story What went wrong DEA 222 s Invoices Distribution Inventory Education
History 20+ years of EMS we have never had a DEA audit/Investigation 1 Medical Director Numerous EMS Directors All certifications were up to date (DEA, DPS, DSHS or TX Dept. Of Health) Protocols regularly reviewed and updated CCTV with recording and Cyber keys in place for control measures Log books in place
What went wrong Protocol change to phase out Valium and add Ativan (Diazepam) (Lorazepam) Surplus Valium in stock Valium should have been returned to vendor or destroyed
What went wrong No one questioned the Boss The boss knew better than anyone The boss educated staff The boss wouldn t do wrong
WHAT ELSE DID WE FIND? APPROPRIATE BOXES MUST BE FILLED OUT & LEGIBLE. EACH INFRACTION OR MISSING 222 $10,000
Copy 3 will be for receiving Packages received and date received must be completed
Invoices Letter must be on file with the DEA listing the address and intent to keep invoices at a different address than where scheduled drug are delivered and stored. Can be kept in two places On site On site City Hall/finance/records City Hall/finance/records Invoices & Packing slips are NOT the same!!! Packing slips should be signed and dated to account for arriving narcotics. Keep invoices, packing slips, and 222 forms together and keep for 2 years Each missing invoice is $10,000
Distribution Agencies with multiple stations: Power of Attorney You must have a power of attorney on file to purchase and distribute narcotic on behalf of the medical director. Cannot distribute from a central station without licensure Cannot distribute narcotics to an ambulance then post the ambulance (anywhere) for a majority of the workday 1 POA for purchasing Each station must be on file with DEA Drugs must be delivered to that address for supply, distribution, and usage. 1 POA for distribution
Biennial Inventory Biennial Inventory (2yrs) of scheduled drugs must be completed and on file!
Education Educate your personnel Diversion education should be part of new hire indoctrination diversion should be a part of your training program Continuing education on Once found, you have 24 hours to report missing (LOSS or THEFT) narcotics to the DEA!!! Form 106 or call to DEA
