standard operating procedure college station fire department

STANDARD OPERATING PROCEDURE
COLLEGE STATION FIRE DEPARTMENT
SUBJECT: Medication Exchange and Replacement SOP: 400.3.10
CATEGORY: EMS Procedures PAGE: 1 of 4
APPROVED BY:
E-Signed by David K. Giordano
VERIFY authenticity with ApproveIt
Definitions:
Chief, Fire Department DATE: 11/02
Medication refers to any medication in ampule, tube, pre-filled syringe form, or vial; fluid; or premixed drip.
Medication does not refer to sterile water or saline, alcohol or iodine preps, vaccutainers, or other nonmedicinal
supplies.
Exchange refers to any medications that are within expiration date and/or damage that is being traded for a
new dose.
Replacement refers to any medication that has been used on a patient and is being obtained from the
medication supply cabinet located at station 2 or at College Station Medical Center to be replaced in CSFD
inventory.
Medication List:
A list of the drugs in the ambulance must be present and within easy access inside the ambulance,
according to Texas Department of Health guidelines. The list will be kept in the protocol book. This list will
be approved or changed only with approval of the Medical Director.
Medication Check:
All medication will be checked in accordance with SOP 400.3.20.
Medication Usage:
Nitrous Oxide (NitroNox) is the only multiple use medication used by College Station Fire Department.
Nitroglycerin tablets are also considered a multi use medication. Once the bottle is opened a piece of tape
should be placed over the cap and labeled with the date the bottle was originally opened for use. This date
is now to be considered a expiration date and the medication will be replaced within thirty (30) days. All
other medications are single use medications. If a dose is used and there is medication left over, the unused
portion will be given to the ER Nurse that accepts the patient. For example, if only .5 mg of atropine is used
the rest of the medication will be given to the receiving nurse that sign’s for the patient. The wasting of
morphine, valium and/or nubain is found on pages 3 and 4 under the Controlled Medication section for each
medication.
Exchange Of Medications That Are Not Controlled
A. Due to Expiration Date
When medications are within 30 days from expiration, the medications shall be exchanged at either fire
station #2 or from the drug locker located at College Station Medical Center. The expired drug/drugs should
be placed in the bin labeled, expired medication, located in the locker. The requisition form shall be
forwarded to the EMS Coordinator. If the medication has a expiration date printed on the package that is
printed with just the month and year of expiration, then it will be considered to expire on the first day of the
month printed.
rev:9/94, 8/95, 4/98, 3/99, 3/02,re#’d 11-02