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Re: Help with narcotics

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We have our license/permit at our EMS station location for DPS, and DEA. We do

this since they advised us years ago we had to have it where we store the drugs.

I'm talking about replacement drugs, and not what's on the vehicle. If you don't

have it then your dealing with a possible federal charge. If your a government

service the cost is a couple of dollars, if your private it will cost a couple

of hundred per storage site. I'm sure BEM is probably who you should consult

with since they regulate EMS.

Ron

Help with narcotics

Hello. I need some help from the experts. We will begin carrying

morphine valium in the near future. What do we need to do other than

protocols and medical director prescriptions before we place these

medications on the ambulance. Are there any special permits we

need? Anything from the DEA or DPS?

Thanks for your help

Nick

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Give yourself plenty of time, the DPS cert can be walked in and out in

Austin if needed, but the DEA is a " process " by itself. Your Medical

Director will be more familiar with geting a new DEA number for the EMS

agents.

Have fun, geting the paperwork in line. It is just the begining of the fun!

Help with narcotics

> Hello. I need some help from the experts. We will begin carrying

> morphine valium in the near future. What do we need to do other than

> protocols and medical director prescriptions before we place these

> medications on the ambulance. Are there any special permits we

> need? Anything from the DEA or DPS?

>

> Thanks for your help

> Nick

>

>

>

>

>

>

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Check with TDH, i am pretty sure the narcotics must also be kept locked up

on the truck as well. You can also put copies of your permits on the truck.

Deena

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In a message dated 1/1/2002 01:17:11 Central Standard Time,

ncbailey2000@... writes:

> What do we need to do other than

> protocols and medical director prescriptions before we place these

> medications on the ambulance. Are there any special permits we

> need? Anything from the DEA or DPS?

>

Nick:

First of all, congrats on upgrading to carry these medications. These are

both important medications in the practice of out-of-hospital medicine.

There are a couple of things you will need to do.

1. You need a permit from the DEA. I *think* you have to do this one first,

before you get the DPS permit (if I remember correctly, the DPS application

requires the DEA number). Call your local DEA office for help with this.

2. Get the DPS permit. Again, call your local DPS office for help.

Both of these permits have VERY specific requirements regarding how the

permit is identified. They now both require that the permit be in the M.D.'s

name, with the service name immediately below his/hers. Even though your MD

has DEA and DPS permits already, you MUST have seperate permits for the EMS

operation(s).

3. Write a policy as to how you will order, purchase, store, distribute and

track these medications. You will need this in case either DEA or DPS audits

you (I've been audited a couple of times....it aint fun. A real, written

procedure is a must).

4. Figure out how you're gonna secure the meds. The rules are actually

different for Valium than for Morphine (different " schedules " ....morphine is

a bigger deal). Put briefly, Valium must be " secured " and tracked, but not

neccessarily triple-locked. Morphine must generally either be triple-locked

or carried on the paramedic's person at all times. Many services treat these

two meds the same for simplicity's sake, which is not a bad approach.

Hope that helps you some. Feel free to email me directly if you want some

specific answers.

Good luck,

, BS, LP

Director of Prehospital Services

and White Hospital

2401 South 31st Street

Temple, Texas 76508

voice

fax

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In a message dated 1/1/2002 01:17:11 Central Standard Time,

ncbailey2000@... writes:

> What do we need to do other than

> protocols and medical director prescriptions before we place these

> medications on the ambulance. Are there any special permits we

> need? Anything from the DEA or DPS?

>

Nick:

First of all, congrats on upgrading to carry these medications. These are

both important medications in the practice of out-of-hospital medicine.

There are a couple of things you will need to do.

1. You need a permit from the DEA. I *think* you have to do this one first,

before you get the DPS permit (if I remember correctly, the DPS application

requires the DEA number). Call your local DEA office for help with this.

2. Get the DPS permit. Again, call your local DPS office for help.

Both of these permits have VERY specific requirements regarding how the

permit is identified. They now both require that the permit be in the M.D.'s

name, with the service name immediately below his/hers. Even though your MD

has DEA and DPS permits already, you MUST have seperate permits for the EMS

operation(s).

3. Write a policy as to how you will order, purchase, store, distribute and

track these medications. You will need this in case either DEA or DPS audits

you (I've been audited a couple of times....it aint fun. A real, written

procedure is a must).

4. Figure out how you're gonna secure the meds. The rules are actually

different for Valium than for Morphine (different " schedules " ....morphine is

a bigger deal). Put briefly, Valium must be " secured " and tracked, but not

neccessarily triple-locked. Morphine must generally either be triple-locked

or carried on the paramedic's person at all times. Many services treat these

two meds the same for simplicity's sake, which is not a bad approach.

Hope that helps you some. Feel free to email me directly if you want some

specific answers.

Good luck,

, BS, LP

Director of Prehospital Services

and White Hospital

2401 South 31st Street

Temple, Texas 76508

voice

fax

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Dear Nick;

Just to be on the safe side I would highly

recommend that you also carry Narcan and romazicon on

the wagon.

These medications will reverse the effects of

morphine or valium if you need to do so.

It would just really suck to be out there with a

30 minute eta from the hospital and have your patient

slide into respiratory depression.

Peace

Donnie <><

--- ncbailey2000 wrote:

> Hello. I need some help from the experts. We will

> begin carrying

> morphine valium in the near future. What do we need

> to do other than

> protocols and medical director prescriptions before

> we place these

> medications on the ambulance. Are there any special

> permits we

> need? Anything from the DEA or DPS?

>

> Thanks for your help

> Nick

>

>

__________________________________________________

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Dear Nick;

Just to be on the safe side I would highly

recommend that you also carry Narcan and romazicon on

the wagon.

These medications will reverse the effects of

morphine or valium if you need to do so.

It would just really suck to be out there with a

30 minute eta from the hospital and have your patient

slide into respiratory depression.

Peace

Donnie <><

--- ncbailey2000 wrote:

> Hello. I need some help from the experts. We will

> begin carrying

> morphine valium in the near future. What do we need

> to do other than

> protocols and medical director prescriptions before

> we place these

> medications on the ambulance. Are there any special

> permits we

> need? Anything from the DEA or DPS?

>

> Thanks for your help

> Nick

>

>

__________________________________________________

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