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SOG - Controlled Substances, Exams of Advanced Education

Chamberlain College of NursingAdvanced Education

SOG - Controlled Substances latest update

Typology: Exams

2025/2026

Available from 01/11/2026

lectben
lectben 🇺🇸

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SOG - Controlled Substances
All controlled substances shall be accounted for at all times regardless of the unit's
______. - ANSWER status
Operational units stocked with controlled substances shall securely store these
medications, as well as their corresponding logbook, in the following manner:
-Securely store and maintain all controlled substances in a _______, _________ -
issued container.
-Each container shall be outfitted with the ability to be secured with a _________,
_______ -way locking (_________ evident) plastic seal, and the container shall be
sealed when not in use.
1. The number on the sealed container shall correspond to the seal number
documented in the corresponding __________ at all times.
-The record-keeping binder (logbook) containing the Controlled Substance Inventory
Log and the Controlled Substance Usage and Distribution Log shall be stored on the
corresponding ________ at all times. - ANSWER numbered, department
sealed, one, tamper
unit
-Situations that deviate from the directives outlined in this policy, such as special
events, dignitary details, etc...., where controlled substances are required must first
obtain ________ authorization from the _________ Chief of Medical Services or their
designee. - ANSWER written
Division
-EMS Captains shall securely store all controlled substances on their respective
_______.
1. A department-issued container that can be securely locked will be utilized for this
purpose. The locking mechanism can be _________, ______, or __________ locked.
-EMS Captains shall keep the key(s) to their unit's department-issued container
________ at all times.
-The record-keeping binder (logbook) containing the EMS Captain Controlled
Substance Distribution Log and EMS Captain Controlled Substance Inventory Log shall
be stored on the corresponding EMS Captain unit. - ANSWER unit
keyed, coded, biometrically
-An inspection of the medications and their containers (i.e., vials) shall be performed
while conducting a controlled substance _________.
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SOG - Controlled Substances

All controlled substances shall be accounted for at all times regardless of the unit's ______. - ANSWER status Operational units stocked with controlled substances shall securely store these medications, as well as their corresponding logbook, in the following manner: -Securely store and maintain all controlled substances in a _______, _________ - issued container. -Each container shall be outfitted with the ability to be secured with a _________, _______ -way locking (_________ evident) plastic seal, and the container shall be sealed when not in use.

  1. The number on the sealed container shall correspond to the seal number documented in the corresponding __________ at all times. -The record-keeping binder (logbook) containing the Controlled Substance Inventory Log and the Controlled Substance Usage and Distribution Log shall be stored on the corresponding ________ at all times. - ANSWER numbered, department sealed, one, tamper unit -Situations that deviate from the directives outlined in this policy, such as special events, dignitary details, etc...., where controlled substances are required must first obtain ________ authorization from the _________ Chief of Medical Services or their designee. - ANSWER written Division -EMS Captains shall securely store all controlled substances on their respective _______.
  2. A department-issued container that can be securely locked will be utilized for this purpose. The locking mechanism can be _________, ______, or __________ locked. -EMS Captains shall keep the key(s) to their unit's department-issued container ________ at all times. -The record-keeping binder (logbook) containing the EMS Captain Controlled Substance Distribution Log and EMS Captain Controlled Substance Inventory Log shall be stored on the corresponding EMS Captain unit. - ANSWER unit keyed, coded, biometrically -An inspection of the medications and their containers (i.e., vials) shall be performed while conducting a controlled substance _________.

-A controlled substance inspection includes, but is not limited to, medication condition,__________ (NDC) or _______ number, expiration date, container __________, alteration, as well as any evidence of tampering. - ANSWER inventory National Drug Code, Lot, breakage A complete inventory and inspection of all controlled substances carried on the unit shall be conducted: -At the _________ and _______ of each shift. -When any controlled substance _________ change occurs. -When the numbered, one-way locking (tamper evident) plastic seal is _________. - ANSWER beginning, end custody changed The off-going crew shall not leave the station until: The on-coming crew __________ verifies that the ________ of the controlled substances corresponds with the Controlled Substance Inventory Log

  1. If there is a change in the controlled substance ________ on the Controlled Substance Inventory Log it shall be verified with the off-going crew. -The Controlled Substance Inventory Log is updated to reflect the change of _______. - ANSWER physically, stock quantity custody -When a controlled substance custody change occurs, a complete __________ and __________ shall include the placement of a _______ numbered, one-way locking (tamper evident) plastic seal. - ANSWER inventory and inspection new If the employee who had assumed custody of the controlled substances cannot maintain custody, and no relief is available, the ____________, ____________, or designee will assume custody. - ANSWER Lieutenant Operational Captain -Special consideration is applied to Trauma Hawk personnel when an aircraft is placed ___________. The sealed, department-issued container and the associated logbook shall be placed in a department-issued _________ ______. The locking mechanism can be keyed, coded, or biometrically locked and maintained as approved by the ________ Chief of Medical Services or designee. - ANSWER out of service

one-way locking seal __________ following the removal or as soon as ____________ possible thereafter. - ANSWER immediately reasonably The employee who witnessed the use and/or waste ("Witness to waste/Received by") of a controlled substance shall not be the __________ employee who administered ("Given by/Issued by") the medication. - ANSWER Same If there is unused or remaining material, it shall be ________ or ________ in compliance with applicable Federal, State, and local laws and regulations and shall be rendered non-retrievable - ANSWER destroyed wasted The controlled substance's administration and/or transfer shall be entered on the same numbered page on which the controlled substance was initially inventoried, on the __________ side of the Controlled Substance Inventory Log - ANSWER reverse The employee signatures on the "Witnessed Controlled Substance Use/Waste" form in the ePCR shall __________ with the employee signatures in the "Witness to waste/Received by" signature section of the Controlled Substance Usage and Distribution Log - ANSWER correspond An ___________ must approve the distribution of controlled substances from one unit to another unit for the purpose of _________ inventory. - ANSWER EMS Captain, balancing EMS Captain Responsibility: After distribution of a controlled substance to a unit for the purpose of replenishing stock, the EMS Captain shall document the change of inventory on the following forms:

  1. EMS Captain Controlled Substance __________ Log -The EMS Captain shall complete the "____________ By (EMS CPT)" section, and the unit receiving the controlled substance(s) shall complete the "_________" section.
  2. EMS Captain Controlled Substance _________ Log - ANSWER distribution Given By/Issued Received By inventory The EMS Captain must review the corresponding _________ and/or the receiving unit's Controlled Substance Usage and Distribution Log - ANSWER ePCR After administration of a controlled substance that was taken directly from the EMS Captains stock, the EMS Captain shall:
  3. Document the change of inventory on the following forms: -EMS Captain Controlled Substance __________ Log -The EMS Captain shall complete the "EMS Captain Controlled Substance __________/_________ Log"

section. -EMS Captain Controlled Substance ________ Log -The controlled substance's administration and/or transfer shall be entered on the same numbered page on which the controlled substance was initially inventoried, on the reverse side of the ___________ Controlled Substance Inventory Log - ANSWER Distribution Usage/Administration Inventory EMS Captain -If a controlled substance is broken, damaged, or spilled, the controlled substance is not considered "________" because it can be accounted for. -When a controlled substance container (i.e., vial) breaks, the employee shall: -Immediately notify the ___________ through the chain of command. -Refer to ________ Damage and Bodily _________ Reports for the property loss or damage documentation. -Update the following forms in the units logbook:

  1. Controlled Substance Inventory Log
  2. Controlled Substance Usage and Distribution Log -Write "_______ " or "________" in the "________" section, followed by the corresponding Property Damage__________ Number - ANSWER lost EMS Captain Property, Injury damaged, broken, Case # -If broken or damaged vials are partially exhausted (some of the medication remains in the container), the remaining material shall be __________ of in the same manner as the remaining substance post-____________. -If a vial is broken or damaged, but the medication remains fully intact (e.g., cap off), __________ dispose of the contents. Broken or damaged vials shall be surrendered to the _________ to facilitate proper medication disposal. - ANSWER disposed administration DO NOT, EMS Captain EMS Captain Responsibility: -Upon notification of broken or damaged vials, the EMS Captain shall ensure proper documentation is completed

-The Medical Services Division shall notify the ______ registrant (________ ________, who will then notify the _______ upon discovery as appropriate. -The ________ registrant and appropriate __________ staff may then make efforts to determine the facts involved by conducting inventories, internal audits, and/or investigations using internal or law enforcement resources, as appropriate. -After the circumstances surrounding theft or significant loss are clear, the DEA Form _______ should be submitted by the DEA registrant. If, after an investigation, it is determined that no _______ or significant _______ occurred, the DEA Form 106 does not need to be filed.

  1. The ______ ______ determines a significant loss. - ANSWER administrative DEA, Medical Director, DEA DEA, administrative 106, theft, loss DEA Registrant -Disposal of Partially Exhausted Containers Post-Administration: i. Any unused or remaining material shall be __________ or _________ in compliance with applicable Federal, State, and local laws and regulations and shall be rendered ______-__________.
  2. Draw up unused or remaining material and dispose of it as directed by the_______________ to be rendered non-retrievable.
  3. _________ employees are required to witness and record the disposal of any unused or remaining material in the appropriate section of the Controlled Substance Usage and Distribution Log one of whom may be the employee who __________ the medication. -The employee who witnessed the use and/or waste ("Witness to waste/Received by") of a controlled substance shall not be the _______ employee who administered ("Given by/Issued by") the medication. - ANSWER destroyed, wasted, non-retrievable Medical Services Division 2, administered same Expired Controlled Substances: -Personnel shall return all expired controlled substances to the _________. -Transfer of expired controlled substances to the EMS Captain shall be documented on the following forms:
  4. Controlled Substance Inventory Log
  1. Controlled Substance Usage and Distribution Log -The word "_________" is to be written in the "________" section. -The EMS Captain shall complete the "Witness to waste/Received by" section, and the unit transferring the controlled substance(s) shall complete the "Given by/Issued by" section. - ANSWER EMS Captain Expired, Case # All expired controlled substances must be ______ -delivered to an AUTHORIZED MEMBER of the _____________ for proper disposal in accordance with Federal, State, and local laws and regulations. - ANSWER hand Medical Services Division Destruction of Controlled Substances: i. Medical Services Division Responsibility:
  2. Destruction of an expired controlled substance shall be performed in a manner compliant with Federal, State, and local laws and regulations and consistent with preventing the __________ of such substances. - ANSWER diversion Running Par Level: -A running par level is the "_______" quantity of each controlled substance carried by a unit in order to maintain sufficient operations. -The running par levels of controlled substances for each unit in a battalion are set by the respective __________. -Each medication's controlled substance running par level is located on the _________ cover of the unit's Controlled Substances Inventory logbook and recorded by the __________ each time a new logbook is issued. -The EMS Captains shall be notified through the _____________ when the designated running par level is different from the unit's actual physical stock. - ANSWER ideal EMS Captain front, EMS Captain chain of command -When controlled substance quantities fall below the minimum par level designated above, the EMS Captain shall be notified through the chain of command. -Any permanent deviation from the minimum par levels must be authorized by the _____________ and the ______________ with ________ consent. -Minimum par levels on the EMS Captain vehicles and Special Operations units shall be determined by the ____________ and the __________________.

Ensure procedures or processes involving controlled substances that fall outside of this policy (i.e., special events, dignitary detail, etc....) comply with Federal, State, and local laws and regulations ________ to authorizing. - ANSWER prior