N.J. Admin. Code § 8:41-6.3

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:41-6.3 - Medication controls, inventory, storage and recordkeeping

(a) Each provider shall devise a plan for maintaining inventory control over medications, including all substances identified in Schedules II and III of the New Jersey Controlled Dangerous Substances Act (24:21-6 and 24:21-7) . The following information shall be recorded:

1. The name of the patient receiving the medication;

2. The name of the prescribing physician;

3. The name and strength of the drug;

4. The date the vehicle received the drug for each Schedule I through V (inclusive) drug received by the provider;

5. The date the drug was administered;

6. The dosage administered;

7. The method of administration;

8. The signature of the ALS crewmember administering the drug;

9. The amount of medication wasted, if any; and

10. The co-signature of the crewmember witnessing the waste.

(b) A written narcotics log shall be maintained, which sets forth the date, time, drugs or therapeutic agents administered, route of administration, the name of the medical command physician ordering the drug or therapeutic agent, and the quantity and strength administered. All entries shall be typewritten or written in ink, legible, dated and signed by all crewmembers.

(c) All medications are to be kept in a locked storage box or compartment when not under the direct control of an ALS crewmember. All substances identified in Schedules I through V of the New Jersey Controlled Dangerous Substances Act (24:21-5 through 8.1) shall be kept under a double lock system that requires two separate keys for access, except when under the direct control of an ALS crewmember responsible for their custody. Keys to the medications box or compartment shall be available only to ALS crewmembers or as allowed by applicable law, rule and/or regulation.

(d) EMT-Paramedic students shall have access to all substances identified in Schedules I through V of the New Jersey Controlled Dangerous Substances Act (24:21-5 through 8.1) only while in the presence of an EMT-Paramedic, registered nurse or physician. All student signatures shall be countersigned by the supervising EMT-Paramedic, registered nurse or physician.

(e) A report shall be written and signed by all crewmembers and any witnesses present in the event that any controlled dangerous substances of a particular vehicle cannot be verified or drugs are lost, contaminated or destroyed. This report shall be in addition to any other reports required by any applicable law, rule and/or regulation. Copies of the report shall be sent for review to the provider's director or specialty care coordinator, as applicable. Copies of the report shall be forwarded to OEMS in the event of loss of any substance identified in Schedules I through V of the New Jersey Controlled Dangerous Substances Act (24:21-5 through 8.1).

(f) The provider shall notify OEMS if any EMT-Paramedic, EMT-Basic or EMT-Paramedic student affiliated with the vehicle is relieved of duty due to improper handling of any medication or controlled dangerous substance. The notification shall be made by telephone during regular business hours on or before the next business day, followed by written confirmation within 14 calendar days of the action.

(g) No vehicle shall carry any medication, solution, supplies or equipment beyond the sterility or expiration date printed or affixed to the item by the manufacturer or processor.

(h) All medications and solutions shall be stored so as to ensure that each item meets its respective manufacturer's recommendations for the maintenance of that medication or solution's efficacy. A provider shall not utilize any medication or solution whose efficacy has been compromised.

N.J. Admin. Code § 8:41-6.3