standard operating procedure college station fire department

SUBJECT: Medication Exchange and Replacement SOP: 400.3.10
CATEGORY: EMS Procedures PAGE: 3 of 4
Morphine
Storage:
Morphine is stored in a locker at Columbia Medical Center. The keys are kept within the hospital’s
computerized dispensing system (currently Pixis). College Station Fire Department can only obtain
Morphine from this locker at CSMC. Morphine cannot be obtained through the Pharmacy or Emergency
Department.
Morphine Replacement:
When a paramedic removes Morphine from the locker, the removal must be witnessed by a Columbia
Medical Center Nurse. The paramedic and Nurse must complete the Morphine Accountability Form that is
located in the locker. If the patient has been transported to any emergency department other than CSMC,
the ambulance must then go to CSMC to replace the Morphine.
Morphine Usage:
After a patient has been administered Morphine, the remaining Morphine must go to the hospital. At the
hospital, the paramedic will have a Hospital Nurse witness the wasting of the extra Morphine. This will be
documented on the Controlled Medication Usage Form. Upon using Morphine, the Controlled Drug Usage
Form will be completed. A copy of this form is found on page 4 of this SOP. This form is triplicate and the
parts will be left as follows:
Pink -placed in the locker when the replacement Morphine is obtained
Yellow - forwarded to EMS Coordinator
White - attached to run report
Damaged or Expired Morphine:
Certain rules apply to Morphine that has been damaged or expired. Under no circumstance can Morphine
be destroyed by the College Station Fire Department or either hospital. In the case of damage and/or
expiration, the Morphine will be labeled as damaged and/or expired, bagged and then placed in the locker at
CSMC. A memo will be forwarded to the EMS Coordinator as to why and when the Morphine was placed in
the locker.
rev:9/94, 8/95, 4/98, 3/99, 3/02,re#’d 11-02