Careful management of narcotic medications carried on emergency service vehicles includes:
a. Eliminating standing orders and protocols when using narcotics
b. Only using Schedule IV narcotics if necessary
c. Ensuring that the medications are stored in a substantial safe or cabinet or have a tamperproof seal
d. Allowing Schedule I drug if an unlabeled medication use exists according to current literature.
c
Rationale: a. Standing orders may be necessary in circumstances where on-line medical direction is not available.
b. Schedule IV narcotics generally do not have application to prehospital care.
c . All narcotics should be stored in a substantial safe or cabinet or have a tamperproof seal if necessary to remove from unit.
d. Schedule I narcotics have no acceptable use in prehospital care and often are illegal.
You might also like to view...
Your patient is a five-year-old girl who awoke with a harsh cough, sore throat, drooling, and high fever. She has shallow respirations of 40 and inspiratory stridor. She is completely focused on breathing, leaning forward on her outstretched arms. Which of the following is the best course of action?
A) Start an IV for administration of succinylcholine and midazolam for RSI, intubate the trachea, and ventilate at a rate of 24 to 28 per minute. B) Provide high-concentration oxygen by nonrebreather mask, start an IV, and repeat a full set of vital signs every 5 minutes en route to the emergency department. C) Inspect the hypopharynx for edema and be prepared for immediate surgical cricothyrotomy if airway obstruction is imminent. D) Provide blow-by oxygen, humidified if possible; transport without delay and avoid procedures that might upset her.
Method of Internet Security
What will be an ideal response?